DR. JIM L MINDER (NPI# 1740254614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740254614 |
| Entity Type | Individual |
| Full Name | DR. JIM L MINDER |
| Credential | MD |
| Practice Address |
100 Mac Lane Avera Medical Group Pierre Pierre SD 57501 |
| Practice Telephone | 6059455201 |
| Practice Fax Number | 6059455094 |
| Mailing Telephone | 6059455201 |
| Mailing Fax Number | 6059455094 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2012-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | SD3713 | SD | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 3713 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6200712 | 05 |
| Street Address |
100 MAC LANE AVERA MEDICAL GROUP PIERRE |
| City | PIERRE |
| State | SD |
| Zip Code | 57501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600276 | Cindy D. Erwin | Physician Assistant | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2005-06-22 |
| 1609955939 | Medical Associates Clinic Surgery Center | Clinic/Center | 100 Mac Lane, Pierre, SD 57501-0758 | 2006-11-06 |
| 1972618924 | Jeffrey J Liudahl | Otolaryngology | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2006-08-20 |
| 1568473247 | Vicki Blake-nafus | Physician Assistant | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2006-08-10 |
| 1942245071 | Christopher Miller | Nurse Anesthetist, Certified Registered | 100 Mac Lane, Medical Associates LLP, Pierre, SD 57501 | 2006-06-20 |
| 1851335905 | Jon Vander Maten | Physician Assistant | 100 Mac Lane, Pierre, SD 57501-0758 | 2006-06-16 |
| 1124062823 | Darcy J Mcclelland | Physician Assistant | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2006-06-15 |
| 1518900125 | Medical Associates Clinic LLP | Clinic/Center | 100 Mac Lane, Pierre, SD 57501 | 2006-06-13 |
| 1659314367 | Barb J Joy | Physician Assistant | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2006-06-13 |
| 1972546596 | Jayne L Novotny | Physician Assistant | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2006-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518420694 | Shawna K Fullerton | Social Worker | 1309 E Wells Ave, Pierre, SD 57501 | 2019-04-07 |
| 1841779758 | Joanne Sarringar | Physical Therapist | 801 E. Sioux Avenue, Pierre, SD 57501 | 2018-08-10 |
| 1003234832 | Katherine Bonnichsen | Dermatology | Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave, Pierre, SD 57501 | 2014-03-29 |
| 1417232166 | Louis J Van Roekel | Pharmacist | 100 E Sioux, Pierre, SD 57501 | 2011-10-13 |
| 1508164401 | Bechtold Thompson Dental Clinic | Dentist | 640 E. Sioux Ave, Pierre, SD 57501 | 2011-03-02 |
| 1417180969 | Dentistry At The St. Charles LLC | Dentist | 207 E. Capitol Ave. Ste 201, Pierre, SD 57501 | 2009-09-01 |
| 1063663995 | Buron O. Lindbloom | Family Medicine | 3200 E. Hwy 34, S.d. Womens Prison, Pierre, SD 57501 | 2008-10-09 |
| 1831221522 | Curt C Kuehl | Chiropractor | 430 W Sioux Ave, Pierre, SD 57501 | 2007-03-09 |
| 1376603092 | Tim Wald | Physical Therapist | 1012 Woodview Dr #20, Pierre, SD 57501 | 2006-12-11 |
| 1184702540 | Tami Lynn Hogie-lorenzen | Nurse Practitioner | 1714 Abbey Road, Pierre, SD 57501 | 2006-11-02 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518118314 | Jessica Sue Rasmussen | Obstetrics & Gynecology | 100 Mac Ln, Avera Medical Associates Clinic, Pierre, SD 57501-3391 | 2008-10-10 |
| 1639145550 | Shelley L Nielson | Obstetrics & Gynecology | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2006-02-28 |
| 1700851011 | Brent J. Lindbloom | Obstetrics & Gynecology | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434721 | Black Hills Obstetrics & Gynecology LLC | Obstetrics & Gynecology | 6015 Mount Rushmore Rd, Rapid City, SD 57701-8962 | 2020-07-09 |
| 1023378726 | Rachel Leigh Rodel | Obstetrics & Gynecology | 1500 W 22nd St Ste 401, Sioux Falls, SD 57105-1503 | 2012-05-29 |
| 1003188269 | Avera Mckennan | Obstetrics & Gynecology | 6100 S Louise Ave Ste 1110, Sioux Falls, SD 57108-6021 | 2012-02-03 |
| 1346556156 | Emily June Winterton | Obstetrics & Gynecology | 1417 S Cliff Ave Ste 401, Sioux Falls, SD 57105-1064 | 2010-08-31 |
| 1245401603 | Ob-gyn Assoc of Aberdeen | Obstetrics & Gynecology | 310 South Penn St, Suite 204, Aberdeen, SD 57401-4553 | 2008-03-13 |
| 1568652873 | Wcos, PC | Obstetrics & Gynecology | 130 Yankee St, Spearfish, SD 57783-2948 | 2007-08-01 |
| 1194929927 | Sara Holzbauer De Castellanos | Obstetrics & Gynecology | 142 3rd St Se Ste 2, Huron, SD 57350-2502 | 2007-06-14 |
| 1538285739 | Dakota Women's Clinic, Michael R. Krause, Do, PC | Obstetrics & Gynecology | 625 N Foster St # 108, Mitchell, SD 57301-2969 | 2007-03-21 |
| 1780758417 | Scott Harrison Berry | Obstetrics & Gynecology | 310 So Penn St, Suite 204, Aberdeen, SD 57401 | 2006-11-17 |
| 1285738997 | Sanford Clinic | Obstetrics & Gynecology | 1201 S Euclid Ave Ste 201, Sioux Falls, SD 57105-0434 | 2006-09-12 |
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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.