MATTHEW J MCKENZIE (NPI# 1720094089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720094089 |
| Entity Type | Individual |
| Full Name | MATTHEW J MCKENZIE |
| Credential | MD |
| Practice Address |
810 East 23rd Street Orthopedic Institute Sioux Falls SD 57117-5116 |
| Mailing Address |
Po Box 5116 810 East 23rd Street Orthopedic Institute Sioux Falls SD 57117-5116 |
| Practice Telephone | 6053315890 |
| Practice Fax Number | 6053363974 |
| Mailing Telephone | 6053315890 |
| Mailing Fax Number | 6053363974 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 35462 | MN | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 5001 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 7301470 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417489329 | Matthew Mckenzie | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm H110, Lexington, KY 40536-0602 | 2017-03-30 |
| Street Address |
810 EAST 23RD STREET ORTHOPEDIC INSTITUTE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57117-5116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386677516 | Christopher Steven Tibbetts | Physician Assistant | 810 East 23rd Street, Orthopedic Institute, Sioux Falls, SD 57117-5116 | 2006-07-09 |
| 1952336372 | Chad Robert Scott | Physician Assistant | 810 East 23rd Street, Orthopedic Institute, Sioux Falls, SD 57117-5116 | 2006-07-12 |
| 1093740417 | Scott Douglas Rawson | Physician Assistant | 810 East 23rd Street, Orthopedic Institute, Sioux Falls, SD 57117-5116 | 2006-07-12 |
| 1073546156 | Alissa M Moen | Physician Assistant | 810 East 23rd Street, Orthopedic Institute, Sioux Falls, SD 57117-5116 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699299685 | Brooke Emily Welker | Nurse Practitioner | 1305 W 18th St., Sioux Falls, SD 57117 | 2017-08-01 |
| 1093075053 | Hillary Nicole Turner | Registered Nurse | 1325 S. Cliff Avenue, Plaza 4, Suite 509, Sioux Falls, SD 57117 | 2012-05-24 |
| 1881971919 | Patrick Ryan Kelly | Registered Nurse | 1600 North Drive, Sioux Falls, SD 57117 | 2011-11-03 |
| 1538319116 | Julie Lindgren | Pharmacist | 2501 West 22nd St, Sioux Falls, SD 57117 | 2008-09-19 |
| 1003073917 | Dept of Veteran Affairs | Psychiatric Hospital | 2501 W 22nd St Sf Va Medical Center, 116a, Sioux Falls, SD 57117 | 2008-05-19 |
| 1295837656 | Phillip Edward Little | Internal Medicine | 2501 W. 22nd, Sioux Falls, SD 57117 | 2006-09-05 |
| 1659376648 | Roger I Van Riper | Chiropractor | 4925 E 26th St, Sioux Falls, SD 57117 | 2005-06-16 |
| 1962987081 | Gabrielle Elizabeth Price | Nurse Practitioner | 1301 W. 18th Street, Sioux Falls, SD 57117 | 2018-09-25 |
| 1033622568 | Paige Irene Deperno | Physician Assistant | 1305 W 18th St., Sioux Falls, SD 57117 | 2017-11-06 |
| 1104367440 | Clinton Bresee | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Anesthesia Dept, Sioux Falls, SD 57117 | 2017-03-20 |
| Find all providers in zip 57117 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598325375 | Osd Care of Sd, LLC | Orthopaedic Surgery | 519 W 22nd St Ste 100, Sioux Falls, SD 57105-1745 | 2019-06-14 |
| 1982821898 | Michael Coale Devish | Orthopaedic Surgery | 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 | 2007-04-20 |
| 1861615155 | Patrick Mark O'brien | Orthopaedic Surgery | 911 E 20th St Ste 300, Sioux Falls, SD 57105-1045 | 2007-04-11 |
| 1144232042 | Travis Richard Liddell | Orthopaedic Surgery | 2908 E. 26th St., Sioux Falls, SD 57103-4034 | 2006-08-12 |
| 1679524805 | Thomas A Ambrose II | Orthopaedic Surgery | 911 E. 20th St., Ste. 300, Sioux Falls, SD 57105-1045 | 2006-05-12 |
| 1437123320 | Erik Douglas Peterson | Orthopaedic Surgery | 810 E 232rd St, Sioux Falls, SD 57105 | 2006-02-15 |
| 1275530644 | Timothy L Walker | Orthopaedic Surgery | 1210 W 18th St Ste G01, Sioux Falls, SD 57104-4651 | 2005-06-30 |
| 1861022543 | Manus, LLC | Orthopaedic Surgery | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2020-01-22 |
| 1669735676 | Harvey Anthony Oliver IIi | Orthopaedic Surgery | 1210 W 18th St Ste G01, Sioux Falls, SD 57104-4651 | 2012-06-25 |
| 1366702326 | Jonathon Ross Geisinger | Orthopaedic Surgery | 810 E 23rd St, Sioux Falls, SD 57105 | 2012-05-24 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57117 |
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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.