ELIJAH JOHN WOLFE


Address: 100 Lake Traverse Dr, Sisseton, SD 57262-7046
Phone: 6052684547

ELIJAH JOHN WOLFE (NPI# 1730419557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730419557
Entity Type Individual
Full Name ELIJAH JOHN WOLFE
Credential RT
Practice Address 100 Lake Traverse Dr
Sisseton
SD 57262-7046
Mailing Address 218 W Pine St
Sisseton
SD 57262-1832
Practice Telephone 6052684547
Mailing Telephone 6052684547
Enumeration Date 2009-12-29
Last Update Date 2009-12-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247100000X Radiologic Technologist Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 100 LAKE TRAVERSE DR
City SISSETON
State SD
Zip Code 57262-7046

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689672248 Harvey H Baker Nurse Practitioner 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2005-07-08
1275143315 Kayley Perkins Pharmacist 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2020-08-04
1518575174 Lindsay Dawn Peterson Nurse Practitioner 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2020-07-20
1629692868 Patricia Nicole Roth Counselor 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2020-06-03
1306487475 Leah Lorena Federico Rumans Registered Nurse 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2019-09-30
1437718616 Sherrie Renae Lee Registered Nurse 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2019-06-11
1942770078 Jennifer Elizabeth Hanson Nurse Practitioner 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2018-12-02
1376037721 Jaimi Lynn Pochant Nurse Practitioner 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2018-06-19
1790274074 Ferdinand Ekwutosi Enudu Nurse Practitioner 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2018-05-02
1881102010 Jasmine Shanae Hypolite Registered Nurse 100 Lake Traverse Dr, Sisseton, SD 57262 2018-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780149864 Lewis Family Drug, LLC Pharmacy 925 Sd Hwy 10, Sisseton, SD 57262 2019-02-04
1346734696 Sisseton-wahpeton Oyate Private Vehicle 12554 Bia Hwy 711, Agency Village, SD 57262 2018-06-20
1902106925 Deborah Pauline Francis Pharmacist 1712 Sd Hwy 12, Pamida Pharmacy, Sisseton, SD 57262 2010-10-25
1508001322 Trina Marie Cleveland Registered Nurse 44942 125th Street, Sisseton, SD 57262 2008-12-08
1467427625 John Thomas Zimmer Dentist 100 Lake Traverse Drive, Sisseton, SD 57262 2006-02-21
1720634132 Leah Adele Weiss Pharmacist 100 Lake Traverse Drive, Attn: Pharmacy, Sisseton, SD 57262 2019-08-12
1568906808 Joshua S Satlak Pharmacist 100 Lake Traverse Drive, Sisseton, SD 57262 2016-12-06
1205278579 Katie Elaine Bragg Registered Nurse 100 Lake Traverse Drive, Wwkmhcc Indian Health Service, Sisseton, SD 57262 2013-07-26
1497070080 James Brian Moeller Spec/Tech, Pathology 100 Lake Traverse Drive, Sisseton, SD 57262 2010-04-07
1619063757 Valinda Jeanne Redwing White Nutritionist 100 Lake Traverse Drive, Sisseton, SD 57262 2006-10-05
Find all providers in zip 57262

Taxonomy Information

Taxonomy Code 247100000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist

Taxonomy Definition

An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851726376 Jennifer Marie Fuhr Radiologic Technologist 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2013-09-04
1326273707 Brenda Ann Jackson Radiologic Technologist 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2009-05-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992024137 Jackalyn Spry Radiologic Technologist 4500 E Hwy 18, Pine Ridge, SD 57770 2010-05-27
1205096682 Patrick Mcfarland Radiologic Technologist 420 4th St Ne Ste 122, Watertown, SD 57201-2658 2008-06-10
1770513475 Mitchell Diagnostic Radiologic Technologist 2250 N Kimball St Ste 600, Mitchell, SD 57301-5335 2006-07-05
1508263690 Monica Hanson Radiologic Technologist 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 2014-12-04
1447577580 Kami H Wolf Radiologic Technologist 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 2010-04-29
1831416973 Debra M Meyers Radiologic Technologist 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 2010-04-29
1871810911 Sherry L Langstaff Radiologic Technologist 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 2010-04-29
1154581536 Daniel Berg Radiologic Technologist 420 4th St Ne Ste 122, Watertown, SD 57201-2658 2008-06-10
1043470420 Craig Pulling Radiologic Technologist 420 4th St Ne Ste 122, Watertown, SD 57201-2658 2008-06-10
1295940385 David Dean Stimpson Radiologic Technologist 111 Washington Ave Nw, Wagner, SD 57380 2007-05-11
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Competitor

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City SISSETON
Zip Code 57262

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Dataset Information

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.

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