BLACK HILLS ORTHOPEDIC AND SPINE CENTER, PC (NPI# 1669513289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669513289 |
| Entity Type | Organization |
| Organization Name | BLACK HILLS ORTHOPEDIC AND SPINE CENTER, PC |
| Practice Address |
7220 Mount Rushmore Rd Rapid City SD 57702-8754 |
| Mailing Address |
Po Box 6850 Rapid City SD 57709-6850 |
| Practice Telephone | 6053411414 |
| Practice Fax Number | 6053417062 |
| Mailing Telephone | 6053411414 |
| Mailing Fax Number | 6053417062 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2018-10-10 |
| Authorized Official Name | DIANE MARRIS (ADMIN) |
| Authorized Official Telephone | 6053411414 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0080 | SD | Suppliers |
| Street Address |
7220 MOUNT RUSHMORE RD |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-8754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801875562 | Lew W Papendick | Orthopaedic Surgery | 7220 Mount Rushmore Rd, Rapid City, SD 57702 | 2006-01-11 |
| 1992330203 | Keaton Gruda | Physical Therapist | 7220 Mount Rushmore Rd, Rapid City, SD 57702-8754 | 2020-03-06 |
| 1801454467 | Taylor James Bryan | Physician Assistant | 7220 Mount Rushmore Rd, Rapid City, SD 57702-8754 | 2019-05-30 |
| 1720642960 | R James C Whitcher | Physical Therapist | 7220 Mount Rushmore Rd, Rapid City, SD 57702-8754 | 2019-04-23 |
| 1891147450 | Jason Becker | Physician Assistant | 7220 Mount Rushmore Rd, Rapid City, SD 57702-8754 | 2016-07-07 |
| 1922401066 | Jason R Koch | Physician Assistant | 7220 Mount Rushmore Rd, Rapid City, SD 57702 | 2014-10-03 |
| 1669891412 | Nicholas Tolsma | Physician Assistant | 7220 Mount Rushmore Rd, Rapid City, SD 57702 | 2014-04-09 |
| 1972860534 | Christian Jay Gaffney | Orthopaedic Surgery | 7220 Mount Rushmore Rd, Rapid City, SD 57702-8754 | 2012-04-19 |
| 1669513552 | Robert James Woodruff | Orthopaedic Surgery | 7220 Mount Rushmore Rd, Rapid City, SD 57702 | 2007-02-12 |
| 1316048937 | Bryan Larson | Orthopaedic Surgery | 7220 Mount Rushmore Rd, Rapid City, SD 57702-8754 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689097347 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 5955 S Highway 16, Suite C, Rapid City, SD 57701-8911 | 2014-01-30 |
| 1225460603 | Innovative Bracing Concepts, LLC | Durable Medical Equipment & Medical Supplies | 629 Quincy St, #100, Rapid City, SD 57701-0200 | 2013-08-07 |
| 1902247083 | Performance Respiratory, Inc. | Durable Medical Equipment & Medical Supplies | 2255 Haines Ave, Ste 204, Rapid City, SD 57701-0404 | 2013-07-17 |
| 1225478837 | Tlc Home Care Services | Durable Medical Equipment & Medical Supplies | 14784 Quarter Horse Dr, Rapid City, SD 57703-9031 | 2013-06-27 |
| 1780939553 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 100 Stumer Rd, Rapid City, SD 57701-6417 | 2012-07-18 |
| 1295039451 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 925 Eglin St, Rapid City, SD 57701-9567 | 2011-01-03 |
| 1912229071 | Regional Health Network Inc | Durable Medical Equipment & Medical Supplies | 1800 Haines Ave, Rapid City, SD 57701-0616 | 2010-02-17 |
| 1346498342 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 1415 Eglin St, Rapid City, SD 57701-9504 | 2008-09-03 |
| 1982862835 | Black Hills Sleep Center | Durable Medical Equipment & Medical Supplies | 728 Jackson Blvd, Rapid City, SD 57702 | 2008-05-28 |
| 1649458142 | Denise Diane Purdy | Durable Medical Equipment & Medical Supplies | 3901 Parkridge Dr, Rapid City, SD 57702-0509 | 2008-02-06 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
Please comment or provide details below to improve the information on BLACK HILLS ORTHOPEDIC AND SPINE CENTER, PC.
| 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.