DR. KURT EEG (NPI# 1558542738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558542738 |
| Entity Type | Individual |
| Full Name | DR. KURT EEG |
| Credential | M.D. |
| Practice Address |
1600 W 22nd St Sioux Falls SD 57105-1521 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053121000 |
| Practice Fax Number | 6053121001 |
| Mailing Telephone | 6053286585 |
| Mailing Fax Number | 6053286512 |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2013-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 8614 | SD | Allopathic & Osteopathic Physicians |
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
8614 | SD | Allopathic & Osteopathic Physicians |
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
201779 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
1600 W 22ND ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425740 | John H Shelso | Pediatrics | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2005-05-27 |
| 1831714245 | Shea Bonine | Genetic Counselor, MS | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2020-06-11 |
| 1952922932 | Kyla Stoops | Nurse Practitioner | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2020-05-01 |
| 1265064620 | Cassandra Larsen | Registered Nurse | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2020-02-04 |
| 1245871466 | Noelle Marie Mcgee | Nurse Practitioner | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2019-09-30 |
| 1780240622 | Nathaniel R. Nelson | Pediatrics | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2019-05-16 |
| 1457914046 | Michelle Ahnberg | Clinical Nurse Specialist | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2019-04-18 |
| 1548737018 | Jacqueline Deborah Weidauer | Pediatrics | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2018-11-01 |
| 1801373766 | Ashlee Blumhoff | Nurse Practitioner | 1600 W 22nd St, Sioux Falls, SD 57105 | 2018-07-24 |
| 1619464294 | Pamela Ann Koepsell | Clinical Nurse Specialist | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2018-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.