DR. SHEILLA KICONCO


Address: 3015 3rd Ave Se Ste 104, Aberdeen, SD 57401-5539
Phone: 6057256700

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
Bronx-lebanon Hospital Center 1650 Grand Concourse, Bronx, NY 10457 9142581361

Office Location

Street Address 3015 3RD AVE SE STE 104
City ABERDEEN
State SD
Zip Code 57401-5539

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City ABERDEEN
Zip Code 57401

Improve Information

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Dataset Information

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.

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