OLEKSANDR KACHANOV (NPI# 1629345723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629345723 |
| Entity Type | Individual |
| Full Name | OLEKSANDR KACHANOV |
| Credential | M.D. |
| Practice Address |
105 S State St Ste 113 Aberdeen SD 57401-4501 |
| Mailing Address |
Po Box 1460 Aberdeen SD 57402-1460 |
| Practice Telephone | 6052250378 |
| Practice Fax Number | 6052257919 |
| Mailing Telephone | 6052250378 |
| Mailing Fax Number | 6052257919 |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2016-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
9898 | SD | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
125060731 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
105 S STATE ST STE 113 |
| City | ABERDEEN |
| State | SD |
| Zip Code | 57401-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567319 | Mark P Mogen | Family Medicine | 105 S State St, Suite 113, Aberdeen, SD 57401-4500 | 2005-06-09 |
| 1316563141 | Danita Hoffman | Pharmacist | 105 S State St, Aberdeen, SD 57401-4501 | 2020-06-17 |
| 1487000709 | Kristin Sue Vanbuskirk | Nurse Practitioner | 105 S State St, Suite 113, Aberdeen, SD 57401-4501 | 2016-05-05 |
| 1790160570 | Jessica A Bierschbach | Nurse Practitioner | 105 S State St, Suite 113, Aberdeen, SD 57401-4501 | 2015-07-22 |
| 1437271301 | Aberdeen Family Physicians | Clinical Medical Laboratory | 105 S State St, Suite 113, Aberdeen, SD 57401-4500 | 2007-04-04 |
| 1912077249 | Shawn David Bartel | Internal Medicine | 105 S State St, Ste 113, Aberdeen, SD 57401-4501 | 2006-11-08 |
| 1407935901 | Cynthia Jane Pallesen | Nurse Practitioner | 105 S State St, Ste 113, Aberdeen, SD 57401-4501 | 2006-11-03 |
| 1083703037 | Aberdeen Medical Center Pharmacy, Inc | Pharmacy | 105 S State St, Suite 111, Aberdeen, SD 57401-4500 | 2006-10-11 |
| 1215905518 | Michael J Knapp | Family Medicine | 105 S State St, Suite 113, Aberdeen, SD 57401-4500 | 2006-03-10 |
| 1235102351 | Nancy Ann Rude | Physician Assistant | 105 S State St, Ste 113, Aberdeen, SD 57401-4501 | 2006-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
| 1104366475 | Jordan Shangreaux | Specialist/Technologist | 2200 S Roosevelt St, Aberdeen, SD 57401 | 2017-03-06 |
| 1205387545 | Midwest Medical Transport Company, LLC-aberdeen, Sd | Ambulance | 2919 Industrial Avenue, Aberdeen, SD 57401 | 2016-10-21 |
| 1356752471 | Cameron Eichler Enterprises | Hearing Aid Equipment | 110 6th Ave Se Ste 106, Aberdeen, SD 57401 | 2014-05-12 |
| 1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
| 1427395540 | Matthew William Svensen | Physical Therapist | 1109 S Jay St, Aberdeen, SD 57401 | 2013-01-09 |
| 1750655940 | Robert Ashly Froke | Audiologist | 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 | 2012-03-06 |
| 1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
| 1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
| 1558554626 | Tiffany Zimmerman Hoeft | Speech-Language Pathologist | 39515 Pintail Ave, Aberdeen, SD 57401 | 2007-08-22 |
| Find all providers in zip 57401 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891743019 | Sudhir Eugene Finch | Pediatrics | 1417 S Cliff Ave Ste 201, Sioux Falls, SD 57105-1009 | 2006-05-04 |
| 1932175221 | Arvind B Kasaragod | Pediatrics | 800 E 21st Street, Sioux Falls, SD 57105-1016 | 2006-02-27 |
| 1841454634 | Mir Hyder Ali | Pediatrics | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2008-07-11 |
| 1689632358 | Children's Acute Care PC | Pediatrics | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2006-05-03 |
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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.