JACK ROBERT SCHLEIFFARTH (NPI# 1699972000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699972000 |
| Entity Type | Individual |
| Full Name | JACK ROBERT SCHLEIFFARTH |
| Credential | M.D. |
| Practice Address |
4940 5th St Ste 2b Rapid City SD 57701-6026 |
| Practice Telephone | 6057910602 |
| Practice Fax Number | 6057910978 |
| Mailing Telephone | 6057910602 |
| Mailing Fax Number | 6057910978 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2019-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 9104 | SD | Allopathic & Osteopathic Physicians |
| Street Address |
4940 5TH ST STE 2B |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-6026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376520049 | Vaughan Richard Bowen | Otolaryngology | 4940 5th St Ste 2b, Rapid City, SD 57701-6026 | 2005-12-23 |
| 1346849478 | Advanced Ent and Allergy Center of The Black Hills, Prof LLC | Clinic/Center | 4940 5th St Ste 2b, Rapid City, SD 57701-6026 | 2020-10-20 |
| 1396307443 | Janell M Rubelt | Nurse Practitioner | 4940 5th St Ste 2b, Rapid City, SD 57701-6026 | 2019-06-28 |
| 1861973760 | West River Ear Nose and Throat, Prof., L.L.C. | Audiologist | 4940 5th St Ste 2b, Rapid City, SD 57701-6026 | 2018-08-28 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376520049 | Vaughan Richard Bowen | Otolaryngology | 4940 5th St Ste 2b, Rapid City, SD 57701-6026 | 2005-12-23 |
| 1164788667 | Troy Benjamin Howard | Otolaryngology | 101 E Minnesota St, Suite 210, Rapid City, SD 57701-7756 | 2012-04-09 |
| 1699973263 | Dale Eugene Gunderson | Otolaryngology | 504 E Monroe St, Rapid City, SD 57701 | 2007-07-05 |
| 1053359398 | Robert Ferrell | Otolaryngology | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2006-06-02 |
| 1013961978 | Robert Burgess | Otolaryngology | 101 E Minnesota St, Suite 210, Rapid City, SD 57701-7756 | 2006-05-22 |
| 1780635706 | Mary Snyder | Otolaryngology | 3615 5th St, Suite 101, Rapid City, SD 57701-6014 | 2006-05-15 |
| 1881651057 | Ronald Mark Guy | Otolaryngology | 4141 5th St, Rapid City, SD 57701-6021 | 2006-04-29 |
| 1912989864 | Gary L Carlson | Otolaryngology | 2805 5th St, Suite 100, Rapid City, SD 57701-6003 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255657888 | Sacred Heart Health Services | Otolaryngology | 409 Summit St Ste 3200, Yankton, SD 57078-3736 | 2010-04-07 |
| 1669616496 | Sacred Heart Rural Health Clinics | Otolaryngology | 409 Summit St, Suite 2800, Yankton, SD 57078-3734 | 2009-04-23 |
| 1124269162 | Micah Marshall Likness | Otolaryngology | 2525 Fox Run Parkway, Suite 101, Yankton, SD 57078-5371 | 2009-03-22 |
| 1265511406 | John Rhodes Oliphant | Otolaryngology | 5024 S Bur Oak Place, Suite 114, Sioux Falls, SD 57108-2237 | 2006-11-06 |
| 1801901863 | Yankton Ear Nose and Throat PC | Otolaryngology | 409 Summit St Ste 2800, Yankton, SD 57078-3735 | 2006-08-20 |
| 1881651958 | Reuben C Setliff IIi | Otolaryngology | 2709 E 26th St, Sioux Falls, SD 57103-4016 | 2006-05-01 |
| 1083680458 | Jonathan W Mellema | Otolaryngology | 310 22nd Ave, Brookings, SD 57006-2474 | 2006-02-27 |
| 1528039765 | Robert A Cihak | Otolaryngology | 820 1st Ave Se Ste 100, Aberdeen, SD 57401-4604 | 2006-01-27 |
| 1871590547 | Daniel Warren Todd | Otolaryngology | 2315 W 57th St, Sioux Falls, SD 57108-5046 | 2005-07-07 |
| 1053754994 | Sean Johnson | Otolaryngology | 1310 W 22nd St, Sioux Falls, SD 57105-1501 | 2013-04-10 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
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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.