PHILLIP E MEEHAN (NPI# 1609809094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609809094 |
| Entity Type | Individual |
| Full Name | PHILLIP E MEEHAN |
| Credential | PA |
| Practice Address |
1301 S. Cliff Ave Ste 610 Sioux Falls SD 57105-1032 |
| Mailing Address |
2400 S. Minnesota Ave Ste 100 Sioux Falls SD 57105-3762 |
| Practice Telephone | 6053228860 |
| Practice Fax Number | 6053228868 |
| Mailing Telephone | 6053227510 |
| Mailing Fax Number | 6053226475 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2013-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0571 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025568900 | 05 | |
| SD | MIDLANDS CHOICE | 248340 | 01 |
| MN | CC SYSTEMS/ BLUE PLUS | 46L92ME | 01 |
| SD | DAKOTACARE | 9238709 | 01 |
| IA | 1821021304 | 05 | |
| SD | BLUE CROSS | 4992676 | 01 |
| SD | MEDICA | 0127834 | 01 |
| SD | ARAZ/ AMERICA'S PPO | 1609809094 | 01 |
| SD | MIDLAND'S CHOICE | 248340 | 01 |
| SD | 6827152 | 05 | |
| SD | PREFERRED ONE | C83141041559 | 01 |
| SD | WPS TRICARE | 57105AT04 | 01 |
| Street Address |
1301 S. CLIFF AVE STE 610 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417921685 | Daniel Gerard Tynan | Neurological Surgery | 1301 S. Cliff Ave, Ste 610, Sioux Falls, SD 57105-1032 | 2006-02-15 |
| 1821334913 | Nelli Y Shchur | Nurse Practitioner | 1301 S. Cliff Ave, Suite 610, Sioux Falls, SD 57105-1032 | 2012-12-18 |
| 1679864375 | Jenna King | Internal Medicine | 1301 S. Cliff Ave, Suite 300 Plaza 2, Sioux Falls, SD 57105-1032 | 2011-04-28 |
| 1174846612 | Teresa Ann Schelhaas | Nurse Practitioner | 1301 S. Cliff Ave, Ste 401, Sioux Falls, SD 57105-1023 | 2010-03-11 |
| 1629257365 | Tuan V Nguyen | Neurological Surgery | 1301 S. Cliff Ave, Ste. 610, Sioux Falls, SD 57105-1032 | 2007-10-30 |
| 1821021304 | Michael Ricard Puumala | Neurological Surgery | 1301 S. Cliff Ave, Ste 610, Sioux Falls, SD 57105-1032 | 2006-07-08 |
| 1902837420 | Melvin W. Thomas | Internal Medicine | 1301 S. Cliff Ave, Ste 400, Sioux Falls, SD 57105-1023 | 2006-07-05 |
| 1427097260 | Tonya R. Venhuizen Matt | Nurse Practitioner | 1301 S. Cliff Ave, Ste 601, Sioux Falls, SD 57105-1032 | 2006-06-06 |
| 1720054091 | Thomas John Ripperda | Physical Medicine & Rehabilitation | 1301 S. Cliff Ave, Ste 401, Sioux Falls, SD 57105-1023 | 2006-02-27 |
| 1700852480 | Brian T Hurley | Internal Medicine | 1301 S. Cliff Ave, Ste 601, Sioux Falls, SD 57105-1032 | 2006-02-23 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619007911 | Jill Marie Gassen | Physician Assistant | 2501 W 22nd Street, Sioux Falls, SD 57117-5046 | 2007-03-06 |
| 1285602649 | David A Welch | Physician Assistant | 1001 E. 21st St., Ste 301, Sioux Falls, SD 57105 | 2006-03-10 |
| 1811546385 | Lindsey Nicole Bouma | Physician Assistant | 911 E 20th St Ste 700, Sioux Falls, SD 57105-1049 | 2019-09-08 |
| 1558460089 | John Lewis Jacobs | Physician Assistant | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2006-09-21 |
| 1912939653 | Robin Renee Carlson | Physician Assistant | 2501 W 22nd St, Sioux Falls, SD 57117 | 2006-07-06 |
| 1740243641 | Courtney N Linton | Physician Assistant | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2006-04-11 |
| 1104888627 | Angela Jean Majeres | Physician Assistant | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2006-04-03 |
| 1235190273 | Patrick R Heiser | Physician Assistant | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2006-03-29 |
| 1700859725 | Krista Kay Seurer | Physician Assistant | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790746105 | Nichole Renae Friessen | Physician Assistant | 575 Sioux Point Road, Dakota Dunes, SD 57049 | 2006-03-28 |
| 1053911123 | Tyson David Allen | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-10-28 |
| 1114524378 | Rosa Maria Marquez | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-10-01 |
| 1932734191 | Trisha Marie Anderson | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-03-09 |
| 1023678307 | William Ashton Mcguire | Physician Assistant | 2805 5th St, Rapid City, SD 57701-6003 | 2019-06-18 |
| 1144880535 | Morgan Elizabeth Kleinsasser | Physician Assistant | 4150 5th St, Rapid City, SD 57701-6022 | 2019-06-18 |
| 1992286223 | Trae Jordan Bergh | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2018-08-24 |
| 1982123725 | Jacob Lewis Hemenway | Physician Assistant | 4141 5th St, Rapid City, SD 57701-6021 | 2017-09-13 |
| 1205362282 | Chase Beiermann | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2017-05-11 |
| 1568868610 | Ashton Tyler Redstone | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2014-11-17 |
| Find all providers with the same taxonomy | ||||
| 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.