DEREK GREENE (NPI# 1720012719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720012719 |
| Entity Type | Individual |
| Full Name | DEREK GREENE |
| Credential | MD |
| Practice Address |
1035 S Highline Pl Sioux Falls SD 57110-1000 |
| Mailing Address |
Po Box 86430 Sioux Falls SD 57118-6430 |
| Practice Telephone | 6053222945 |
| Practice Fax Number | 6053222926 |
| Mailing Telephone | 6053224900 |
| Mailing Fax Number | 6053224910 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4460 | SD | Allopathic & Osteopathic Physicians |
| Street Address |
1035 S HIGHLINE PL |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57110-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700852050 | Tammie V Smart | Nurse Practitioner | 1035 S Highline Pl, Sioux Falls, SD 57110-1000 | 2006-02-27 |
| 1457835639 | Teresa Ann Jatczak | Nurse Practitioner | 1035 S Highline Pl, Sioux Falls, SD 57110-1000 | 2018-09-24 |
| 1114445988 | Rachel Krajca | Nurse Practitioner | 1035 S Highline Pl, Sioux Falls, SD 57110-1000 | 2017-08-31 |
| 1215386743 | David Kapperman | Family Medicine | 1035 S Highline Pl, Sioux Falls, SD 57110-1000 | 2016-06-06 |
| 1427454495 | Kalee Marie Olson | Physician Assistant | 1035 S Highline Pl, Sioux Falls, SD 57110-1000 | 2014-11-18 |
| 1144635335 | Allison Marie Becker | Physician Assistant | 1035 S Highline Pl, Sioux Falls, SD 57110-1000 | 2014-06-25 |
| 1942640461 | Michael Paul Mclaury | Physician Assistant | 1035 S Highline Pl, Sioux Falls, SD 57110-1000 | 2013-06-28 |
| 1316208887 | Laura Jane Van Beek | Nurse Practitioner | 1035 S Highline Pl, Sioux Falls, SD 57110-1000 | 2012-05-31 |
| 1407082860 | Michael P Stotz | Family Medicine | 1035 S Highline Pl, Sioux Falls, SD 57110-1000 | 2009-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831661438 | Lisa Jo Nafziger | Social Worker | 3216 E 10th St, Sioux Falls, SD 57110 | 2018-12-19 |
| 1700146396 | Avera Mckennan | Clinic/Center | 1035 South Highline Pl, Ste #4, Sioux Falls, SD 57110 | 2012-05-17 |
| 1467517011 | Chad Jerome Hanson | Physical Therapist | 1914 S Sycamore Ave, Suite 108, Sioux Falls, SD 57110 | 2006-12-26 |
| 1407834419 | Lanpher Chiropractic | Chiropractor | 506 N Sycamore Ave, Sioux Falls, SD 57110 | 2006-01-09 |
| 1427605021 | Nicole Lindy Rasmussen | Pharmacist | Walgreens Pharmacy, 1720 South Sycamore Ave, Sioux Falls, SD 57110 | 2019-08-20 |
| 1285672246 | John Wesley Joseph Sivesind | Optometrist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-06-03 |
| 1487133047 | Stephanie Preheim | Pharmacist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2018-08-14 |
| 1124109194 | Wal-mart Stores, Inc. | Technician/Technologist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-10-18 |
| 1407949753 | Dr. John W Sivesind, O.d., P.C. | Optometrist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-10-01 |
| 1669499836 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-07-16 |
| Find all providers in zip 57110 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1023524741 | Quick Health Urgent Care LLC | Family Medicine | 7600 S Louise Ave Ste 150, Sioux Falls, SD 57108-5999 | 2017-12-18 |
| 1104246297 | Kayla Norenberg | Family Medicine | 6110 S. Minnesota Avenue, Sioux Falls, SD 57108-2571 | 2014-04-16 |
| 1427492206 | Nelly O Boyt | Family Medicine | 3524 S Spencer Blvd, Sioux Falls, SD 57103-4653 | 2013-04-23 |
| 1346512266 | Avera Mckennan | Family Medicine | 1035 South Highline Place, Sioux Falls, SD 57110-1000 | 2012-02-08 |
| 1699005074 | Avera Mckennan | Family Medicine | 930 E 6th St, Sioux Falls, SD 57103-1306 | 2010-01-06 |
| 1508196981 | Avera Mckennan | Family Medicine | 1200 E 3rd St, Sioux Falls, SD 57103-0901 | 2010-01-06 |
| 1912153578 | Avera Mckennan | Family Medicine | 501 N Sycamore Ave, Sioux Falls, SD 57110-5752 | 2008-08-14 |
| 1538315353 | Michael P. Crandell | Family Medicine | 300 Cherapa Pl, Suite 201, Sioux Falls, SD 57103-2269 | 2008-08-12 |
| 1225293996 | Jerry Leroi Walton | Family Medicine | 4310 S Minnesota Ave, Sioux Falls, SD 57105-6747 | 2008-07-22 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57110 |
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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.