WAPITI MEDICAL CORPORATION (NPI# 1639383383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639383383 |
| Entity Type | Organization |
| Organization Name | WAPITI MEDICAL CORPORATION |
| Practice Address |
603 S Dakota St Milbank SD 57252-0523 |
| Practice Telephone | 6054326621 |
| Practice Fax Number | 6054325669 |
| Mailing Telephone | 6054326621 |
| Mailing Fax Number | 6054325669 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRADLEY A MCDONALD (PRESIDENT) |
| Authorized Official Telephone | 6054326621 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 237J2WA | 278J4BA | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WAPITI MEDICAL CORPORATION | 107 Flynn Dr Ste 600, Milbank, SD 57252-1557 |
| Street Address |
603 S DAKOTA ST |
| City | MILBANK |
| State | SD |
| Zip Code | 57252-0523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316285299 | Mary Jo Nemec | Nurse Practitioner | 603 S Dakota St, Milbank, SD 57252-2812 | 2013-01-28 |
| 1356654388 | Doron Michael Spierer | Family Medicine | 603 S Dakota St, Milbank, SD 57252-2812 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629319231 | Erin Elizabeth Kannegieter | Physical Therapy Assistant | 1103 South 2nd Street, Milbank, SD 57252 | 2013-03-06 |
| 1376838839 | Paul Thrasher Denna | General Practice | 803 E. Milbank Ave., Milbank, SD 57252 | 2011-06-13 |
| 1063593275 | Mark A Bierschbach D.d.s., P.C. | Dentist | 1203 East 4th Ave., Suite 103, Milbank, SD 57252 | 2006-10-17 |
| 1336686500 | Wapiti Medical Group Limited Company | Internal Medicine | 107 Flynn Dr Ste 600, Milbank, SD 57252 | 2017-01-26 |
| 1083636773 | Alan David Bergquist | Chiropractor | 1203 E. 4th Ave. Suite 101, Milbank, SD 57252-0230 | 2006-07-24 |
| 1962620260 | Whetstone Valley Electric Cooperative | Technician, Other | 1101 E 4th Ave, Milbank, SD 57252-0512 | 2007-04-23 |
| 1093909616 | Mary G Bray | Occupational Therapy Assistant | 309 N Bell Ave, Milbank, SD 57252-1302 | 2007-08-28 |
| 1992701619 | Nanci J Vanpeursem | Family Medicine | 803 E Milbank Ave, Milbank, SD 57252-1413 | 2005-06-27 |
| 1992158760 | Elizabeth Van Lith | Physician Assistant | 803 E Milbank Ave, Milbank, SD 57252-1413 | 2016-07-18 |
| 1750488730 | Avera Mckennan | Clinic/Center | 803 E Milbank Ave, Milbank, SD 57252-1413 | 2006-09-20 |
| Find all providers in zip 57252 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211179 | Barbara Samson | Specialist | 1807 William Street, Sturgis, SD 57785 | 2016-09-01 |
| 1144776345 | Mary Wood-fossen | Specialist | 1807 Williams, Sturgis, SD 57785 | 2016-08-28 |
| 1407204175 | Melissa Krogman | Specialist | 1451 Mcclellan Dr, Huron, SD 57350-3860 | 2016-06-02 |
| 1558716621 | Sharon Buseman Egan | Specialist | 409 E 41st St, Sioux Falls, SD 57105-5837 | 2016-04-26 |
| 1518375906 | Angela Schrader | Specialist | 2708 S Sandstone Cir, Sioux Falls, SD 57103-6511 | 2014-07-29 |
| 1952647760 | Klancy Tindall | Specialist | 1311 Vander Horck Avenue, Britton, SD 57430-0939 | 2012-12-26 |
| 1184996696 | Robert Eugene Polcyn | Specialist | 617 S 15th Street, Hot Springs, SD 57747-5127 | 2012-01-30 |
| 1013149681 | Ann M Host | Specialist | 404 Jackson Ave, Murdo, SD 57559 | 2009-08-17 |
| 1427213602 | Peggy Flynn Settle-kenefick | Specialist | 521 6th St Ste 102, Brookings, SD 57006-1461 | 2008-07-27 |
| 1366610339 | Judy Ann Zimbelman | Specialist | 7500 E Pine Lake Dr, Sioux Falls, SD 57110-6241 | 2008-02-13 |
| Find all providers with the same taxonomy | ||||
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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.