DR. RODNEY T VIZCARRA (NPI# 1538122015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538122015 |
| Entity Type | Individual |
| Full Name | DR. RODNEY T VIZCARRA |
| Credential | MD |
| Practice Address |
100 Mac Lane Avera Medical Group Pierre Pierre SD 57501 |
| Practice Telephone | 6059455202 |
| Practice Fax Number | 6059455094 |
| Mailing Telephone | 6059455202 |
| Mailing Fax Number | 6059455094 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2012-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | SD3621 | SD | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 3621 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 7301310 | 05 | |
| SD | 7301312 | 05 |
| Street Address |
100 MAC LANE AVERA MEDICAL GROUP PIERRE |
| City | PIERRE |
| State | SD |
| Zip Code | 57501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600276 | Cindy D. Erwin | Physician Assistant | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2005-06-22 |
| 1609955939 | Medical Associates Clinic Surgery Center | Clinic/Center | 100 Mac Lane, Pierre, SD 57501-0758 | 2006-11-06 |
| 1972618924 | Jeffrey J Liudahl | Otolaryngology | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2006-08-20 |
| 1568473247 | Vicki Blake-nafus | Physician Assistant | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2006-08-10 |
| 1942245071 | Christopher Miller | Nurse Anesthetist, Certified Registered | 100 Mac Lane, Medical Associates LLP, Pierre, SD 57501 | 2006-06-20 |
| 1851335905 | Jon Vander Maten | Physician Assistant | 100 Mac Lane, Pierre, SD 57501-0758 | 2006-06-16 |
| 1124062823 | Darcy J Mcclelland | Physician Assistant | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2006-06-15 |
| 1518900125 | Medical Associates Clinic LLP | Clinic/Center | 100 Mac Lane, Pierre, SD 57501 | 2006-06-13 |
| 1659314367 | Barb J Joy | Physician Assistant | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2006-06-13 |
| 1972546596 | Jayne L Novotny | Physician Assistant | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2006-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518420694 | Shawna K Fullerton | Social Worker | 1309 E Wells Ave, Pierre, SD 57501 | 2019-04-07 |
| 1841779758 | Joanne Sarringar | Physical Therapist | 801 E. Sioux Avenue, Pierre, SD 57501 | 2018-08-10 |
| 1003234832 | Katherine Bonnichsen | Dermatology | Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave, Pierre, SD 57501 | 2014-03-29 |
| 1417232166 | Louis J Van Roekel | Pharmacist | 100 E Sioux, Pierre, SD 57501 | 2011-10-13 |
| 1508164401 | Bechtold Thompson Dental Clinic | Dentist | 640 E. Sioux Ave, Pierre, SD 57501 | 2011-03-02 |
| 1417180969 | Dentistry At The St. Charles LLC | Dentist | 207 E. Capitol Ave. Ste 201, Pierre, SD 57501 | 2009-09-01 |
| 1063663995 | Buron O. Lindbloom | Family Medicine | 3200 E. Hwy 34, S.d. Womens Prison, Pierre, SD 57501 | 2008-10-09 |
| 1831221522 | Curt C Kuehl | Chiropractor | 430 W Sioux Ave, Pierre, SD 57501 | 2007-03-09 |
| 1376603092 | Tim Wald | Physical Therapist | 1012 Woodview Dr #20, Pierre, SD 57501 | 2006-12-11 |
| 1184702540 | Tami Lynn Hogie-lorenzen | Nurse Practitioner | 1714 Abbey Road, Pierre, SD 57501 | 2006-11-02 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588815641 | Riley Aaron Lamb | Surgery | 100 Mac Ln, Pierre, SD 57501-3391 | 2008-10-08 |
| 1538321708 | Brandt Eldon Becker | Surgery | 100 Mac Ln, Pierre, SD 57501-3391 | 2008-06-30 |
| 1023083797 | Eldon R. Becker | Surgery | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568733798 | Patrick Malachy Mcguigan | Surgery | 4102 Carriage Hills Drive, Rapid City, SD 57702-6868 | 2012-01-19 |
| 1932477098 | Avera Mckennan | Surgery | 1000 E 23rd St Ste 360, Sioux Falls, SD 57105-2140 | 2011-12-05 |
| 1992097703 | Gregory Mark Gerrish | Surgery | 401 9th Ave. Nw, Prairie Lakes Hospital, Watertown, SD 57201-1623 | 2011-05-12 |
| 1730410465 | Philip Felix Winskunas | Surgery | 6019 E. Powderhouse Circle, Sioux Falls, SD 57110-7468 | 2010-01-20 |
| 1184852782 | James H Oury Md Medical Corporation | Surgery | 607 1/2 Mount Rushmore Rd Ste 112, Rapid City, SD 57701-2782 | 2009-06-23 |
| 1265669956 | Tiffany Ann Frederickson | Surgery | 8412 Kitt Peak Rd, Rapid City, SD 57702-9512 | 2009-06-19 |
| 1467606400 | Grover W Bedeau | Surgery | 27150 Memorial Rd, Hot Springs, SD 57747-7510 | 2008-11-04 |
| 1295991370 | Comprehensive Breast Care PC | Surgery | 911 E 20th St Ste 400, Sioux Falls, SD 57105-1046 | 2008-07-29 |
| 1740490499 | Laura M Figura | Surgery | 1417 S Cliff Ave Ste 200, Sioux Falls, SD 57105-1009 | 2007-05-23 |
| 1043309891 | Wesley L Sufficool | Surgery | 904 Quincy St, Suite 2, Rapid City, SD 57701-2608 | 2006-10-12 |
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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.