GAITHER D BYNUM (NPI# 1669479168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669479168 |
| Entity Type | Individual |
| Full Name | GAITHER D BYNUM |
| Credential | M.D. |
| Practice Address |
101 Peabody Dr Webster SD 57274-1061 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053454141 |
| Practice Fax Number | 6053454135 |
| Mailing Telephone | 6053286585 |
| Mailing Fax Number | 6053286512 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2013-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 3770 | SD | Allopathic & Osteopathic Physicians |
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
3770 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5611740 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619940459 | Gaither D. Bynum | Internal Medicine | 2635 N 7th St Ste 4205, Grand Junction, CO 81501-8209 | 2006-02-10 |
| Street Address |
101 PEABODY DR |
| City | WEBSTER |
| State | SD |
| Zip Code | 57274-1061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113519 | Lola M Pollard | Physician Assistant | 101 Peabody Dr, Webster, SD 57274 | 2005-06-13 |
| 1821698598 | Ruth A Hernandez | Family Medicine | 101 Peabody Dr, Webster, SD 57274-1061 | 2020-10-30 |
| 1356750046 | Paula Bearman | Nurse Practitioner | 101 Peabody Dr, Webster, SD 57274-1061 | 2014-08-06 |
| 1649471962 | Hruby Dental PC | Dentist | 101 Peabody Dr, Suite #3, Webster, SD 57274-1061 | 2007-05-31 |
| 1346331097 | Bradley Lynn Hruby | Dentist | 101 Peabody Dr, Suite #3, Webster, SD 57274-1061 | 2006-09-27 |
| 1841205333 | Cheryl Hairgrove | Physician Assistant | 101 Peabody Dr, Webster, SD 57274-1061 | 2006-07-31 |
| 1770505760 | Sanford Health Network | Clinic/Center | 101 Peabody Dr, Webster, SD 57274-1061 | 2006-07-25 |
| 1659375137 | Elizabeth J Gravley | Family Medicine | 101 Peabody Dr, Webster, SD 57274-1061 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790971042 | Webster School District | Local Education Agency (LEA) | 102 E 9th Ave, Webster, SD 57274 | 2007-09-20 |
| 1619087236 | Rob D Krege | Chiropractor | 610 Main St, Webster, SD 57274 | 2006-08-30 |
| 1760738892 | Jennifer Grace Nelson | Physical Therapist | 1290 North Main St, Suite 3, Webster, SD 57274-0577 | 2012-07-26 |
| 1356348809 | Bethesda Home | Skilled Nursing Facility | 129 W Highway 12, Webster, SD 57274-1000 | 2005-06-30 |
| 1144773672 | Randal James Breske | Occupational Therapy Assistant | 1401 W 1st St, Webster, SD 57274-1054 | 2016-08-02 |
| 1427486174 | Kyle Hubsch | Physical Therapist | 1401 W 1st St, Webster, SD 57274-1054 | 2013-10-16 |
| 1013246388 | Janet A Holm | Speech-Language Pathologist | 1401 W 1st St, Webster, SD 57274-1054 | 2009-12-16 |
| 1588803167 | Melissa Jean Grewe | Occupational Therapist | 1401 W 1st St, Webster, SD 57274-1054 | 2009-02-05 |
| 1063651628 | David Leroy Wyman | Physical Therapist | 1401 W 1st St, Webster, SD 57274-1054 | 2009-02-05 |
| 1346433349 | Sanford Health Network | General Acute Care Hospital | 1401 W 1st St, Webster, SD 57274-1054 | 2007-08-22 |
| Find all providers in zip 57274 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053792465 | Sanford Clinic | Preventive Medicine | 900 E 54th St N Ste 200, Sioux Falls, SD 57104-0686 | 2015-06-11 |
Please comment or provide details below to improve the information on GAITHER D BYNUM.
| 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.