MEDICAL ASSOCIATES CLINIC SURGERY CENTER (NPI# 1609955939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609955939 |
| Entity Type | Organization |
| Organization Name | MEDICAL ASSOCIATES CLINIC SURGERY CENTER |
| Other Organization Name | MEDICAL ASSOCIATES CLINIC, LLP |
| Practice Address |
100 Mac Lane Pierre SD 57501-0758 |
| Mailing Address |
100 Mac Lane P. O. Box 758 Pierre SD 57501-0758 |
| Practice Telephone | 6059455210 |
| Practice Fax Number | 6059453244 |
| Mailing Telephone | 6059455210 |
| Mailing Fax Number | 6059453244 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2008-01-07 |
| Authorized Official Name | PAT K GORDON (HR) |
| Authorized Official Telephone | 6059455214 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
11146 | SD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Medical Associates Clinic, LLP | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1598705063 | Roger D Southmayd | Nurse Anesthetist, Certified Registered | 100 Mac Lane, Pierre, SD 57501-0758 | 2006-06-06 |
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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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083859532 | Avera Mckennan | Clinic/Center | 100 Mac Ln, Pierre, SD 57501-3391 | 2008-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518129576 | Usc Ambulatory Surgical Center Prof LLC | Clinic/Center | 201 West 69th Street, Sioux Falls, SD 57108-2424 | 2008-06-30 |
| 1184660151 | Innovative Procedural Center LLC | Clinic/Center | 1512 4th St Ne, Watertown, SD 57201-6824 | 2006-06-20 |
| 1427009034 | Prairie States Surgical Center LLC | Clinic/Center | 2908 E 26th St Ste B, Sioux Falls, SD 57103-4034 | 2006-05-16 |
| 1013968718 | Rushmore Ambulatory Surgery Center | Clinic/Center | 620 Sheridan Lake Rd, Suite 104, Rapid City, SD 57702-2406 | 2006-05-15 |
| 1093792244 | Cj Elmwood Partners L P | Clinic/Center | 3801 S Elmwood Ave, Sioux Falls, SD 57105-6565 | 2005-12-29 |
| 1033195912 | Surgical Associates Endoscopy Clinic LLC | Clinic/Center | 310 S Pennsylvania St, Suite 201, Aberdeen, SD 57401-4553 | 2005-12-21 |
| 1760465207 | Plastic Surgical Center of Rapid City, Prof. L.L.C. | Clinic/Center | 3615 5th St, Suite 100, Rapid City, SD 57701-6014 | 2005-11-29 |
| 1871581876 | Ophthalmology Ltd Eye Surgery Center LLC | Clinic/Center | 6601 S. Minnesota Avenue, Suite 100, Sioux Falls, SD 57108-2564 | 2005-10-12 |
| 1831504711 | Avera St Lukes | Clinic/Center | 310 S Penn St, Ste 201, Aberdeen, SD 57401 | 2014-06-30 |
| 1205171295 | Vance Thompson Vision Surgery Center Prof LLC | Clinic/Center | 3101 W 57th St, Sioux Falls, SD 57108-3162 | 2012-12-03 |
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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.