DR. SHEILLA KICONCO (NPI# 1528582723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528582723 |
Entity Type | Individual |
Full Name | DR. SHEILLA KICONCO |
Practice Address |
3015 3rd Ave Se Ste 104 Aberdeen SD 57401-5539 |
Mailing Address |
1749 Grand Concourse Apt 9g Bronx NY 10453 |
Practice Telephone | 6057256700 |
Practice Fax Number | 6057256708 |
Mailing Telephone | 9142581361 |
Enumeration Date | 2017-07-29 |
Last Update Date | 2020-09-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 12075 | SD | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
Bronx-lebanon Hospital Center 1650 Grand Concourse, Bronx, NY 10457 | 9142581361 |
Street Address |
3015 3RD AVE SE STE 104 |
City | ABERDEEN |
State | SD |
Zip Code | 57401-5539 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760676886 | Sanford Health Network | Pediatrics | 3015 3rd Ave Se Ste 104, Aberdeen, SD 57401-5539 | 2007-08-31 |
1215199500 | Bobby Goeman | Nurse Practitioner | 3015 3rd Ave Se Ste 104, Aberdeen, SD 57401-5539 | 2008-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
1104366475 | Jordan Shangreaux | Specialist/Technologist | 2200 S Roosevelt St, Aberdeen, SD 57401 | 2017-03-06 |
1205387545 | Midwest Medical Transport Company, LLC-aberdeen, Sd | Ambulance | 2919 Industrial Avenue, Aberdeen, SD 57401 | 2016-10-21 |
1356752471 | Cameron Eichler Enterprises | Hearing Aid Equipment | 110 6th Ave Se Ste 106, Aberdeen, SD 57401 | 2014-05-12 |
1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
1427395540 | Matthew William Svensen | Physical Therapist | 1109 S Jay St, Aberdeen, SD 57401 | 2013-01-09 |
1750655940 | Robert Ashly Froke | Audiologist | 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 | 2012-03-06 |
1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
1558554626 | Tiffany Zimmerman Hoeft | Speech-Language Pathologist | 39515 Pintail Ave, Aberdeen, SD 57401 | 2007-08-22 |
Find all providers in zip 57401 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720262421 | Sean Rae White | Pediatrics | 1812 Summer Ave, Aberdeen, WA 98520 | 2007-12-18 |
1760676886 | Sanford Health Network | Pediatrics | 3015 3rd Ave Se Ste 104, Aberdeen, SD 57401-5539 | 2007-08-31 |
1700965753 | Carmen Cabailo Briones | Pediatrics | 615 North F Street, Aberdeen, WA 98520 | 2006-11-02 |
1083721922 | William Steven Hutton | Pediatrics | 1100 Basich Blvd, Aberdeen, WA 98520-1066 | 2006-08-24 |
1497711824 | Julie M Mayo | Pediatrics | 1440 15th Ave Nw, Aberdeen, SD 57401-1846 | 2006-04-25 |
1629040894 | Tracy Lynne Russell | Pediatrics | 611 N F St, Ste 201, Aberdeen, WA 98520-2667 | 2006-02-02 |
1952699266 | Sana Khizer | Pediatrics | 3015 3rd Ave Se, Ste 120, Aberdeen, SD 57401-5418 | 2011-07-20 |
1912292756 | Taha Saif | Pediatrics | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2011-06-09 |
1518266170 | Maria T. Martinez | Pediatrics | 615 North F Street, Aberdeen, WA 98520 | 2011-03-22 |
1215132386 | Kathryn E Zeigler | Pediatrics | 915 Anderson Dr, Aberdeen, WA 98520-1097 | 2007-06-19 |
Find all providers in ABERDEEN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.