BLACK HILLS PEDIATRICS AND NEONATOLOGY (NPI# 1639229727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639229727 |
| Entity Type | Organization |
| Organization Name | BLACK HILLS PEDIATRICS AND NEONATOLOGY |
| Other Organization Name | BLACK HILLS PEDIATRICS AND NEONATOLOGY, LLP |
| Practice Address |
2905 5th St Rapid City SD 57701-7316 |
| Practice Telephone | 6053417337 |
| Practice Fax Number | 6053412447 |
| Mailing Telephone | 6053417337 |
| Mailing Fax Number | 6053412447 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2014-10-28 |
| Authorized Official Name | DEAN HASS (BUSINESS ADMINISTRATOR) |
| Authorized Official Telephone | 6053417337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
SD | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Black Hills Pediatrics and Neonatology, LLP | Doing Business As Name - Organization |
| Street Address |
2905 5TH ST |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-7316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225016777 | Gregory Anderson | Pediatrics | 2905 5th St, Rapid City, SD 57701-7316 | 2006-01-05 |
| 1679049910 | Elizabeth Larson | Nurse Practitioner | 2905 5th St, Rapid City, SD 57701-7350 | 2018-10-14 |
| 1780110767 | Elizabeth Mercurio | Physician Assistant | 2905 5th St, Rapid City, SD 57701-7316 | 2017-05-11 |
| 1003349903 | Kimberly Hushagen | Pediatrics | 2905 5th St, Rapid City, SD 57701-7316 | 2017-04-06 |
| 1316497720 | Suzanne Newsom | Nurse Practitioner | 2905 5th St, Rapid City, SD 57701-7316 | 2016-10-10 |
| 1568915502 | Nodia Berglund | Physician Assistant | 2905 5th St, Rapid City, SD 57701-7316 | 2016-07-26 |
| 1316209919 | Alicia Palmer Hooten | Pediatrics | 2905 5th St, Rapid City, SD 57701-7316 | 2012-06-11 |
| 1609146067 | Emily Suzanne Swett | Registered Nurse | 2905 5th St, Rapid City, SD 57701-7316 | 2012-01-03 |
| 1922329762 | Margaret Frances Kuehler | Pediatrics | 2905 5th St, Rapid City, SD 57701-7316 | 2010-06-16 |
| 1689874745 | David W Mueller | Pediatrics | 2905 5th St, Rapid City, SD 57701-7316 | 2007-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205321494 | B&b Neonatology | Pediatrics | 3213 W Main St Ste 128, Rapid City, SD 57702-2314 | 2018-06-29 |
| 1881917078 | Kimberly Sierra Balay | Pediatrics | 4140 Penrose Pl, Rapid City, SD 57702-6828 | 2010-03-02 |
| 1063437085 | Stephen M Kovarik | Pediatrics | 2905 5th St, Rapid City, SD 57701-7316 | 2006-07-12 |
| 1346265394 | Steven I Benn | Pediatrics | 2905 5th St, Rapid City, SD 57701-7316 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104896083 | Jose Marius D Dosado | Pediatrics | 1325 S. Cliff Ave., Sioux Falls, SD 57105-1007 | 2006-01-24 |
| 1548737018 | Jacqueline Deborah Weidauer | Pediatrics | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2018-11-01 |
| 1285054858 | Taylor Hansen | Pediatrics | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2014-04-22 |
| 1487099289 | Kathryn Marie Anderson | Pediatrics | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2013-05-07 |
| 1790925311 | Fernando Augusto Soares | Pediatrics | 1325 S. Cliff Ave., Sioux Falls, SD 57105-1007 | 2009-02-22 |
| 1841471521 | Sanford Medical Center | Pediatrics | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-11-21 |
| 1427258318 | Maria Margarita Talavera Barber | Pediatrics | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2007-07-19 |
| 1073585949 | Avera Mckennan | Pediatrics | 1325 S. Cliff Ave., Sioux Falls, SD 57105-1007 | 2006-02-06 |
| 1952371825 | Kandi Mcmenamy | Pediatrics | 1325 S. Cliff Ave., Sioux Falls, SD 57105-1007 | 2006-01-24 |
| 1780654665 | Samuel E Rogers | Pediatrics | 1325 S. Cliff Ave., Sioux Falls, SD 57105-1007 | 2006-01-24 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on BLACK HILLS PEDIATRICS AND NEONATOLOGY.
| 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.