JENNA KING (NPI# 1679864375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679864375 |
| Entity Type | Individual |
| Full Name | JENNA KING |
| Credential | DO |
| Practice Address |
1301 S. Cliff Ave Suite 300 Plaza 2 Sioux Falls SD 57105-1032 |
| Practice Telephone | 6053226625 |
| Practice Fax Number | 6053226626 |
| Mailing Telephone | 6053226625 |
| Mailing Fax Number | 6053226626 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2016-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
9975 | SD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740839562 | Jenna King | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2019-09-04 |
| 1942791660 | Jenna King | Behavior Technician | 629 Phoenix Dr Ste 150, Virginia Beach, VA 23452-7341 | 2018-05-29 |
| 1346751245 | Jenna King | Nurse Practitioner | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2017-10-18 |
| 1699206979 | Jenna M King | Counselor | 6601 Ne 78th Ct, Suite A3, Portland, OR 97218-2823 | 2017-03-27 |
| 1588108187 | Jenna N. King | Nurse Practitioner | 2425 Bradshaw Way, Pittsburg, KS 66762-6600 | 2016-12-15 |
| 1366718884 | Jenna Ariel King | Counselor | 2001 Junipero Serra Blvd Ste 650, Daly City, CA 94014-3897 | 2012-03-29 |
| 1003140872 | Jenna King | Physical Therapist | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2009-09-28 |
| 1083825889 | Jenna King | Counselor | 1 Bethany Rd, Building 3, Suite 42, Hazlet, NJ 07730-1663 | 2007-05-24 |
| Street Address |
1301 S. CLIFF AVE SUITE 300 PLAZA 2 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417921685 | Daniel Gerard Tynan | Neurological Surgery | 1301 S. Cliff Ave, Ste 610, Sioux Falls, SD 57105-1032 | 2006-02-15 |
| 1821334913 | Nelli Y Shchur | Nurse Practitioner | 1301 S. Cliff Ave, Suite 610, Sioux Falls, SD 57105-1032 | 2012-12-18 |
| 1174846612 | Teresa Ann Schelhaas | Nurse Practitioner | 1301 S. Cliff Ave, Ste 401, Sioux Falls, SD 57105-1023 | 2010-03-11 |
| 1629257365 | Tuan V Nguyen | Neurological Surgery | 1301 S. Cliff Ave, Ste. 610, Sioux Falls, SD 57105-1032 | 2007-10-30 |
| 1821021304 | Michael Ricard Puumala | Neurological Surgery | 1301 S. Cliff Ave, Ste 610, Sioux Falls, SD 57105-1032 | 2006-07-08 |
| 1609809094 | Phillip E Meehan | Physician Assistant | 1301 S. Cliff Ave, Ste 610, Sioux Falls, SD 57105-1032 | 2006-07-08 |
| 1902837420 | Melvin W. Thomas | Internal Medicine | 1301 S. Cliff Ave, Ste 400, Sioux Falls, SD 57105-1023 | 2006-07-05 |
| 1427097260 | Tonya R. Venhuizen Matt | Nurse Practitioner | 1301 S. Cliff Ave, Ste 601, Sioux Falls, SD 57105-1032 | 2006-06-06 |
| 1720054091 | Thomas John Ripperda | Physical Medicine & Rehabilitation | 1301 S. Cliff Ave, Ste 401, Sioux Falls, SD 57105-1023 | 2006-02-27 |
| 1700852480 | Brian T Hurley | Internal Medicine | 1301 S. Cliff Ave, Ste 601, Sioux Falls, SD 57105-1032 | 2006-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669737862 | Hamza Hadi A Tantoush | Internal Medicine | 1310 W 22nd St Ste Lower Level, Sioux Falls, SD 57105-1501 | 2012-07-12 |
| 1710377544 | Wais Afzal | Internal Medicine | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2015-02-02 |
| 1669888566 | Vivek Joseph | Internal Medicine | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2014-07-11 |
| 1871881284 | Aaroop Haridas | Internal Medicine | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2011-07-19 |
| 1013177393 | Avera Mckennan | Internal Medicine | 6100 S Louise Ave Ste 1130, Sioux Falls, SD 57108-6021 | 2008-06-11 |
| 1437182516 | Joseph J Fanciullo | Internal Medicine | 6100 S Louise Ave Ste 1130, Sioux Falls, SD 57108-6021 | 2006-07-09 |
| 1871526962 | Christine S. Halligan | Internal Medicine | 6100 S Louise Ave Ste 1130, Sioux Falls, SD 57108-6021 | 2006-07-09 |
| 1851328231 | Kara Linda Petersen | Internal Medicine | 6100 S Louise Ave Ste 1130, Sioux Falls, SD 57108-6021 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255568069 | Michael Thomas Avery | Internal Medicine | 640 Flormann St, Rapid City, SD 57701-4679 | 2009-06-18 |
| 1871784124 | Leann Bassing | Internal Medicine | 1104 W 8th St, Yankton, SD 57078-3306 | 2007-08-01 |
| 1891877098 | Brian Paul Bowers | Internal Medicine | 640 Flormann St, Rapid City, SD 57701-4579 | 2006-10-19 |
| 1881604320 | Cnos PC | Internal Medicine | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2006-08-08 |
| 1386694255 | Ricardo Ernesto Alvillar | Internal Medicine | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2006-05-11 |
| 1699778928 | Robert Chad Wisco | Internal Medicine | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2005-05-31 |
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.