GEORGE WILLIAM JENTER (NPI# 1609837699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609837699 |
| Entity Type | Individual |
| Full Name | GEORGE WILLIAM JENTER |
| Credential | D.O. |
| Practice Address |
1010 Ballpark Rd Suite 2 Sturgis SD 57785-2364 |
| Practice Telephone | 6053473684 |
| Practice Fax Number | 6053470083 |
| Mailing Telephone | 6053473684 |
| Mailing Fax Number | 6053470083 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2011-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1034 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | SD PHYSICIAN'S LICENSE | 1034 | 01 |
| SD | FAA LICENSE | 14172-1 | 01 |
| SD | TITLE 19 IDENTIFIER | 5602360 | 01 |
| SD | SD RADIATION MEDICAL LIC. | 42339 | 01 |
| SD | DEA | AJ5563653 | 01 |
| SD | CLIA LAB | 73D0408177 | 01 |
| SD | 5602360 | 05 | |
| SD | OWCP PROVIDER # | 142389900 | 01 |
| Street Address |
1010 BALLPARK RD SUITE 2 |
| City | STURGIS |
| State | SD |
| Zip Code | 57785-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609849165 | Dakota Hills Family Practice | Clinic/Center | 1010 Ballpark Rd, Suite 2, Sturgis, SD 57785-2364 | 2006-02-07 |
| 1750528089 | Regional Health Physicians Inc | Clinic/Center | 1010 Ballpark Rd, Ste 3, Sturgis, SD 57785-2208 | 2009-01-08 |
| 1871621292 | Jeffrey E Dekraai | Counselor | 1010 Ballpark Rd, Suite 1, Sturgis, SD 57785-2364 | 2007-02-28 |
| 1013057330 | Northern Hills Alcohol and Drug Services | Substance Abuse Rehabilitation Facility | 1010 Ballpark Rd, Sturgis, SD 57785-2364 | 2007-02-07 |
| 1982741484 | Howard Warde Smith | Counselor | 1010 Ballpark Rd, Ste. 1, Sturgis, SD 57785-2364 | 2007-01-31 |
| 1770504326 | Dakota Hills Family Practice | Clinic/Center | 1010 Ballpark Rd, Suite 3, Sturgis, SD 57785-2364 | 2006-07-21 |
| 1528020229 | Jen Med Prof LLC | Family Medicine | 1010 Ballpark Rd, Suite 2, Sturgis, SD 57785-2364 | 2006-04-06 |
| 1437122256 | David Lauer | Family Medicine | 1010 Ballpark Rd, Suite 3, Sturgis, SD 57785-2364 | 2006-02-10 |
| 1003889122 | Dakota Hills Family Practice | Clinic/Center | 1010 Ballpark Rd, Suite 3, Sturgis, SD 57785-2364 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211179 | Barbara Samson | Specialist | 1807 William Street, Sturgis, SD 57785 | 2016-09-01 |
| 1144776345 | Mary Wood-fossen | Specialist | 1807 Williams, Sturgis, SD 57785 | 2016-08-28 |
| 1851784508 | Kara Graveman | Counselor | 1807 Williams St., Sturgis, SD 57785 | 2015-03-05 |
| 1972674307 | Meade School District 46 1 | Local Education Agency (LEA) | 1230 Douglas St, Sturgis, SD 57785 | 2006-11-09 |
| 1962571414 | Dakota Hills Family Practice | Durable Medical Equipment & Medical Supplies | 1010 Ballpark Rd Suite 3, Sturgis, SD 57785 | 2006-11-07 |
| 1639130859 | Jerrid W. Goebel | Chiropractor | 824 1st Street, Sturgis, SD 57785 | 2006-03-29 |
| 1821092818 | James D Kienitz | Social Worker | 890 Lazelle St, Sturgis, SD 57785 | 2005-06-08 |
| 1851847065 | Heather Ochocki | Specialist | 1807 Williams St, Sturgis, SD 57785 | 2016-08-28 |
| 1619344405 | Regional Health Network, Inc. | Dietitian, Registered | 2140 Junction Ave, Sturgis, SD 57785 | 2015-08-27 |
| 1427440692 | Action for The Betterment of The Community | Community/Behavioral Health | 1807 Williams St, Sturgis, SD 57785 | 2015-02-25 |
| Find all providers in zip 57785 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386979979 | Regional Health Physicians Inc | Family Medicine | 1010 Ballpark Road, Suite 3, Sturgis, SD 57785-2209 | 2009-10-15 |
| 1942446604 | Hugh Bennett Mccullough | Family Medicine | 910 Independence St, Sturgis, MI 49091-2306 | 2008-12-31 |
| 1992739320 | Ann Hodgman | Family Medicine | 1010 Ballpark Rd Ste 3, Sturgis, SD 57785-2208 | 2006-07-10 |
| 1275592503 | James E Phillips | Family Medicine | 104 S Lakeview St, Sturgis, MI 49091-1947 | 2006-03-23 |
| 1518927888 | Thomas Brenner | Family Medicine | 1904 E Chicago Rd, Sturgis, MI 49091 | 2006-03-23 |
| 1134197569 | Michael Christopher Preys | Family Medicine | 1247 Sherman St, Sturgis, SD 57785-1504 | 2006-03-10 |
| 1619976271 | Yazdi N Amaria | Family Medicine | 111 S Monroe St, Sturgis, MI 49091-1728 | 2005-07-17 |
| 1972034759 | Kent Douglas Wright | Family Medicine | 2140 Junction Ave, Sturgis, SD 57785-2358 | 2017-03-23 |
| 1255782751 | Josephine V Davis | Family Medicine | 2140 Junction Ave, Sturgis, SD 57785-2358 | 2016-06-26 |
| 1760833560 | Joy Anna Mueller | Family Medicine | 2140 Junction Ave, Sturgis, SD 57785-2358 | 2016-06-23 |
| Find all providers in STURGIS | ||||
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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.