KENT M. PATRICK, M.D., P.C. (NPI# 1619229556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619229556 |
| Entity Type | Organization |
| Organization Name | KENT M. PATRICK, M.D., P.C. |
| Practice Address |
2525 Fox Run Pkwy Suite 200 Yankton SD 57078-5370 |
| Practice Telephone | 6052602118 |
| Practice Fax Number | 6052602119 |
| Mailing Telephone | 6052602118 |
| Mailing Fax Number | 6052602119 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-10 |
| Authorized Official Name | TERRY MICHAEL STEICHEN (BUSINESS MANAGER) |
| Authorized Official Telephone | 6056655105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
SD | Ambulatory Health Care Facilities |
| Street Address |
2525 FOX RUN PKWY SUITE 200 |
| City | YANKTON |
| State | SD |
| Zip Code | 57078-5370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750360202 | Jeffrey A Johnson | Family Medicine | 2525 Fox Run Pkwy, Ste 200, Yankton, SD 57078-5370 | 2006-01-12 |
| 1114374485 | Brock Bills | Physical Therapist | 2525 Fox Run Pkwy, Yankton, SD 57078-5370 | 2016-05-17 |
| 1497115216 | Jacklyn Logue | Nurse Practitioner | 2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5370 | 2016-03-07 |
| 1538456686 | Erica J Garvey | Physical Therapist | 2525 Fox Run Pkwy, Suite 100, Yankton, SD 57078-5370 | 2011-07-08 |
| 1467749523 | Lewis & Clark Urology, Ltd. | Specialist | 2525 Fox Run Pkwy, Ste. 204, Yankton, SD 57078-5370 | 2011-07-08 |
| 1295742310 | Scott Lee Shindler | Podiatrist | 2525 Fox Run Pkwy, Suite 202, Yankton, SD 57078-5371 | 2006-08-02 |
| 1447278650 | Beth Johanna Beeman | Audiologist-Hearing Aid Fitter | 2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5371 | 2006-07-17 |
| 1881612091 | Todd Alan Farnham | Audiologist-Hearing Aid Fitter | 2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5371 | 2006-07-17 |
| 1689605016 | Ear Nose and Throat Associates PC | Otolaryngology | 2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5371 | 2006-07-05 |
| 1932136173 | David Joel Abbott | Otolaryngology | 2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5371 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719661 | Jime Lynne Rivera | Psychiatry & Neurology | 708 E 21st Street, Yankton, SD 57078 | 2020-11-01 |
| 1043617210 | Kenneth Tomek | Dietitian, Registered | 2100 Broadway St, Yankton, SD 57078 | 2014-12-03 |
| 1932530276 | Jacqueline Ann Kelley | Nurse Practitioner | 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 | 2013-12-12 |
| 1124363130 | Susan Kay Taecker | Occupational Therapist | 1502 Jo Ln, Yankton, SD 57078 | 2012-12-02 |
| 1295865178 | Dr Jon C Baumann Dds PC | Dentist | 809 Belfast Street, Yankton, SD 57078 | 2007-03-07 |
| 1306989090 | Gregory Scott Erickson | Internal Medicine | 501 Summit, Yankton, SD 57078 | 2007-02-14 |
| 1104976356 | Pine Lane Estates LLC | Assisted Living Facility | 2905 Douglas Ave, Yankton, SD 57078 | 2007-01-11 |
| 1518029917 | Teresa M Henrickson | Counselor | 904 W 23rd St Ste 101, Heartland Psychological Services, Yankton, SD 57078 | 2006-12-14 |
| 1396805016 | Joseph G Blackinton | Psychologist | Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 | 2006-12-11 |
| 1942383468 | Deborah Jean Kachena | Social Worker | 610 W 23rd Street, Yankton, SD 57078 | 2006-10-21 |
| Find all providers in zip 57078 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1831329374 | Dr. Tim A. Benning, Chiropractor | Clinic/Center | 22736 S Rochford Rd, Hill City, SD 57745-6006 | 2009-07-17 |
| 1780811778 | Sioux Falls Physical Medicine and Rehabilitation, PC | Clinic/Center | 101 W 69th Str., Ste 103, Sioux Falls, SD 57108-2440 | 2009-06-17 |
| 1447295423 | Regional Health Physicians Inc | Clinic/Center | 908 H Street, Edgemont, SD 57735-0687 | 2006-06-17 |
| 1972506939 | Dakota Surgical Ltd | Clinic/Center | 911 E 20th St, Ste 300, Sioux Falls, SD 57105-1045 | 2005-05-24 |
| 1558734061 | Regional Health Network Inc | Clinic/Center | 130 N 15th St, Hot Springs, SD 57747-1316 | 2015-11-05 |
| 1811366438 | Rapid City Regional Hospital Inc | Clinic/Center | 640 Flormann St, Rapid City, SD 57701-4679 | 2015-09-24 |
| 1386062156 | Fromm Dermatology, P.C. | Clinic/Center | 4447 S Canyon Rd Ste 6, Rapid City, SD 57702-1889 | 2014-03-31 |
| 1124464128 | Avera St. Mary's | Clinic/Center | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2013-05-16 |
| 1467695767 | Avera Mckennan | Clinic/Center | 1000 E 23rd St, Suite 330, Sioux Falls, SD 57105-2113 | 2009-04-16 |
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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.