STEPHANIE M IDEKER (NPI# 1609213339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609213339 |
| Entity Type | Individual |
| Full Name | STEPHANIE M IDEKER |
| Credential | PA-C |
| Practice Address |
201 W 69th St Sioux Falls SD 57108 |
| Mailing Address |
201 W 69th St Sioux Falls SD 57108-2403 |
| Practice Telephone | 6053360635 |
| Practice Fax Number | 6052710543 |
| Mailing Telephone | 6053360635 |
| Mailing Fax Number | 6052710543 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2019-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0868 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1508 W 22nd St Ste 101, Sioux Falls, SD 571051514 | 6053283840 | 6053283841 |
| Street Address |
201 W 69TH ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790267276 | Trent Boone Graves | Nurse Practitioner | 201 W 69th St, Sioux Falls, SD 57108-2403 | 2018-08-31 |
| 1245619543 | Dennis Thum | Urology | 201 W 69th St, Sioux Falls, SD 57108 | 2015-05-20 |
| 1780022921 | Lauren Wood Thum | Urology | 201 W 69th St, Sioux Falls, SD 57108 | 2013-06-10 |
| 1114286804 | Angela Hudgins Mathiason | Physician Assistant | 201 W 69th St, Sioux Falls, SD 57108-2403 | 2012-05-15 |
| 1528397858 | Danielle L Skoglund | Physician Assistant | 201 W 69th St, Sioux Falls, SD 57108-2424 | 2009-12-16 |
| 1295901460 | Nathan Andrew Bockholt | Urology | 201 W 69th St, Sioux Falls, SD 57108-2403 | 2008-05-07 |
| 1548478118 | David Charles Arend | Urology | 201 W 69th St, Sioux Falls, SD 57108-2403 | 2007-05-18 |
| 1912121229 | Brian David Lindaman | Urology | 201 W 69th St, Sioux Falls, SD 57108-2403 | 2007-04-11 |
| 1881647246 | Urology Specialists Chartered | Urology | 201 W 69th St, Sioux Falls, SD 57108-2403 | 2006-05-18 |
| 1811945728 | John K Robbins | Urology | 201 W 69th St, Sioux Falls, SD 57108-2424 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1063020196 | Emily Mensen | Physical Therapist | 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 | 2020-07-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1184124935 | Haley Elizabeth Luond | Chiropractor | 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 | 2018-02-19 |
| 1770098881 | Yinan Zhao | Acupuncturist | 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 | 2017-12-12 |
| 1447780796 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 7600 South Minnesota Ave, Sioux Falls, SD 57108 | 2017-06-19 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1629517552 | Sarah Kenyon | Chiropractor | 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 | 2017-02-12 |
| 1386029460 | Michelle Anne Pliska | Counselor | 5621 Southeastern Ave, Sioux Falls, SD 57108 | 2015-07-30 |
| Find all providers in zip 57108 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627898 | Mikaela Theobald | Physician Assistant | 6101 E Quartzite Dr, Sioux Falls, SD 57110-3988 | 2020-10-22 |
| 1467064097 | Kara Rae Koth | Physician Assistant | 4913 E 42nd St, Sioux Falls, SD 57110-4409 | 2020-08-17 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1326608910 | Ashley Pommer | Physician Assistant | 8232 W 51st St, Sioux Falls, SD 57106-7861 | 2019-06-17 |
| 1225550908 | Almir Krdzalic | Physician Assistant | 110 W Honors St, Sioux Falls, SD 57108-8174 | 2017-07-13 |
| 1598160335 | Heidi Jo Vogel | Physician Assistant | 1417 S Cliff Avenue, Suite 200, Sioux Falls, SD 57105 | 2014-10-22 |
| 1639507882 | Kelsey Isaacson | Physician Assistant | 4201 S Minnesota Ave, Suite 112, Sioux Falls, SD 57105-6705 | 2013-10-25 |
| 1033551114 | Karissa G Zimmer | Physician Assistant | 2315 W. 57th Street, Suite 300, Sioux Falls, SD 57108 | 2013-07-18 |
| 1740623065 | Nicolette Schmuck | Physician Assistant | 1500 W 22nd St Ste 302, Sioux Falls, SD 57105-1599 | 2013-04-17 |
| 1023389392 | Leah Ayn Mergen | Physician Assistant | 521 N Main Ave Ste 100, Sioux Falls, SD 57104-5947 | 2012-01-19 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57108 |
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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.