ROGER D SOUTHMAYD (NPI# 1598705063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598705063 |
| Entity Type | Individual |
| Full Name | ROGER D SOUTHMAYD |
| Credential | CRNA |
| Practice Address |
100 Mac Lane Pierre SD 57501-0758 |
| Practice Telephone | 6052245901 |
| Practice Fax Number | 6059455295 |
| Mailing Telephone | 6052245901 |
| Mailing Fax Number | 6059455295 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | CR000347 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 MAC LANE |
| City | PIERRE |
| State | SD |
| Zip Code | 57501-0758 |
| 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 |
| Find all providers in zip 57501 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386671253 | Greg Jung | Nurse Anesthetist, Certified Registered | 100 Mack Lane, Medical Associates Clinic,llp, Pierre, SD 57501 | 2006-06-27 |
| 1780240994 | Michael Patrick Murphy | Nurse Anesthetist, Certified Registered | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2019-05-13 |
| 1104280296 | Erica Trebesch | Nurse Anesthetist, Certified Registered | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2016-04-05 |
| 1487063574 | Nick Paul Jung | Nurse Anesthetist, Certified Registered | 100 Mac Ln, Pierre, SD 57501-3391 | 2014-08-04 |
| 1023398898 | Kevin Daniel Roark | Nurse Anesthetist, Certified Registered | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2011-08-24 |
| 1447553938 | Kevin Allen Yackley | Nurse Anesthetist, Certified Registered | 801 E Sioux Ave, Pierre, SD 57501 | 2010-12-06 |
| 1164641320 | Christopher E Olson | Nurse Anesthetist, Certified Registered | 800 E Dakota Ave, Pierre, SD 57501-3313 | 2007-04-25 |
| 1083832620 | Rita L Wendt | Nurse Anesthetist, Certified Registered | 800 E Dakota Ave, Pierre, SD 57501-3313 | 2007-04-20 |
| 1942245071 | Christopher Miller | Nurse Anesthetist, Certified Registered | 100 Mac Lane, Medical Associates LLP, Pierre, SD 57501 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934335 | Jt Anesthesia Prof LLC | Nurse Anesthetist, Certified Registered | 32521 139th Street, Bowdle, SD 57428 | 2019-10-28 |
| 1073176921 | Jesse Alan Hyde | Nurse Anesthetist, Certified Registered | 101 Tower Rd Ste 201, Dakota Dunes, SD 57049-5098 | 2019-04-16 |
| 1053872416 | Ryan Joel Anderson | Nurse Anesthetist, Certified Registered | Address: 101 Tower Rd, Suite 201, Dakota Dunes, SD 57049 | 2019-03-28 |
| 1346775657 | Anesthesia Providers, Prof. LLC | Nurse Anesthetist, Certified Registered | 7023 S High Cross Trl, Sioux Falls, SD 57108-3332 | 2017-04-24 |
| 1497174593 | Heidi Underwood | Nurse Anesthetist, Certified Registered | 1305 W. 18th Street, Sioux Falls, SD 57117-5074 | 2014-04-16 |
| 1902166911 | David Lee Kallas | Nurse Anesthetist, Certified Registered | 47316 Rogness Pl, Renner, SD 57055-6526 | 2012-05-23 |
| 1073817870 | Anesthesia Solutions, PC | Nurse Anesthetist, Certified Registered | 540 Deadwood Ave, Suite 112, Rapid City, SD 57702-0395 | 2011-01-07 |
| 1528202967 | Mary E Bryant | Nurse Anesthetist, Certified Registered | 3748 Olympic Ct, Rapid City, SD 57702-0529 | 2009-04-29 |
| 1154541589 | Alfred Erwin Lupien | Nurse Anesthetist, Certified Registered | 3932 S Western Ave, Sioux Falls, SD 57105-6513 | 2007-04-26 |
| 1952525966 | Dan Mettler | Nurse Anesthetist, Certified Registered | 11220 338th Ave, Eureka, SD 57437-6801 | 2007-04-12 |
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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.