COREY P ROTHROCK (NPI# 1699974089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699974089 |
| Entity Type | Individual |
| Full Name | COREY P ROTHROCK |
| Credential | MD |
| Practice Address |
810 E 23rd St Sioux Falls SD 57105-2135 |
| Practice Telephone | 6053315890 |
| Practice Fax Number | 6053363974 |
| Mailing Telephone | 6053315890 |
| Mailing Fax Number | 6053363974 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2010-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
239510-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1699974089 | 05 | |
| SD | 1699974089 | 05 |
| Street Address |
810 E 23RD ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073508131 | James T Brunz | Anesthesiology | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2005-09-14 |
| 1447864855 | Jordan William Whitsell | Specialist/Technologist | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2020-09-02 |
| 1790307205 | Gina Fritz | Specialist/Technologist | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2020-05-07 |
| 1861022543 | Manus, LLC | Orthopaedic Surgery | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2020-01-22 |
| 1629616164 | Amanda Kaye Pospischil | Nurse Practitioner | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2019-12-16 |
| 1164060950 | John Dylan Shape | Specialist/Technologist | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2019-12-12 |
| 1124664065 | Jaymee Benson | Physician Assistant | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2019-11-26 |
| 1700430543 | Jena Rae Haigh | Physical Medicine & Rehabilitation | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2019-07-30 |
| 1962983981 | Andrew Holmstrom | Orthopaedic Surgery | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2018-08-27 |
| 1861907537 | Melissa Ann Weinandt | Physician Assistant | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2017-12-04 |
| 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 | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811940133 | Vikrant Choudhry | Orthopaedic Surgery | 2501 West 22nd Street, Surgical Service (112) Va Medical Center, Sioux Falls, SD 57105 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730797184 | Acute Care Surgery of South Dakota PC | Orthopaedic Surgery | 1635 Caregiver Cir, Rapid City, SD 57702-8529 | 2020-07-21 |
| 1245265610 | Paul R Miller | Orthopaedic Surgery | 2805 5th St, Rapid City, SD 57701-6003 | 2006-07-12 |
| 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.