MICHAEL D GILLETT (NPI# 1619954542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619954542 |
| Entity Type | Individual |
| Full Name | MICHAEL D GILLETT |
| Credential | M.D. |
| Practice 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 | 2005-12-30 |
| Last Update Date | 2012-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 5878 | SD | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 43656 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | RAILROAD MEDICARE | P00337027 | 01 |
| MN | 165167600 | 05 | |
| IA | 0749101 | 05 | |
| SD | 7500490 | 05 |
| Street Address |
201 W 69TH ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-2403 |
| 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 |
| 1609213339 | Stephanie M Ideker | Physician Assistant | 201 W 69th St, Sioux Falls, SD 57108 | 2013-06-04 |
| 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 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275654782 | Eugene S Park | Urology | 201 W 69th Street, Sioux Falls, SD 57108-2424 | 2007-04-02 |
| 1386692291 | Robert C Johnson | Urology | 1200 S Euclid Ave, Ste # 212, Sioux Falls, SD 57105-7703 | 2006-05-04 |
| 1588612469 | Janet E Smith | Urology | 1700 S Minnesota Ave, Sioux Falls, SD 57105-1723 | 2006-05-04 |
| 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 |
| 1295901460 | Nathan Andrew Bockholt | Urology | 201 W 69th St, Sioux Falls, SD 57108-2403 | 2008-05-07 |
| 1558542738 | Kurt Eeg | Urology | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2007-11-16 |
| 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 |
| 1831265727 | Sanford Clinic | Urology | 1201 S Euclid Ave, Suite 201, Sioux Falls, SD 57105-7700 | 2006-11-24 |
| 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.