DR. DAVID R. LONBAKEN (NPI# 1760458202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760458202 |
| Entity Type | Individual |
| Full Name | DR. DAVID R. LONBAKEN |
| Credential | DPM |
| Practice Address |
100 Mac Lane Avera Medical Group Pierre Pierre SD 57501 |
| Practice Telephone | 6052247070 |
| Practice Fax Number | 6052242514 |
| Mailing Telephone | 6052247070 |
| Mailing Fax Number | 6052242514 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2012-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SD131 | SD | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 131 | SD | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6800190 | 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 |
| Find all providers in zip 57501 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518580471 | Jessica Shaw, Dpm, Pllc | Podiatrist | 3801 S Western Ave Ste 105, Sioux Falls, SD 57105-6570 | 2020-05-26 |
| 1417211772 | Sanders Podiatry Pllc | Podiatrist | 909 13th Ave Nw, Watertown, SD 57201-1069 | 2012-07-01 |
| 1518193093 | Lorri A. Riley, Dpm PC | Podiatrist | 1410 North Ave #1, Spearfish, SD 57783 | 2009-06-10 |
| 1740345057 | Bayside Podiatry Pa | Podiatrist | 927 E Colorado Blvd, Spearfish, SD 57783-2783 | 2006-12-27 |
| 1154433787 | Dana Robert Ray | Podiatrist | 5013 S Bur Oak Pl, Sioux Falls, SD 57108-2228 | 2006-08-31 |
| 1093732711 | Lorri A Riley | Podiatrist | 1410 North Ave, Ste 1, Spearfish, SD 57783-3029 | 2006-07-17 |
| 1396793931 | Mark B Bradley | Podiatrist | 1602 W 26th St, Sioux Falls, SD 57105-2610 | 2006-05-05 |
| 1942207253 | Jason Andrew Weiland | Podiatrist | 24237 474th Ave, Dell Rapids, SD 57022-6120 | 2005-06-30 |
| 1043216955 | John Elmer Forrette Jr. | Podiatrist | 1210 W 18th St, Sioux Falls, SD 57104-4647 | 2005-06-24 |
| 1598769457 | Jeffrey R Schmidt | Podiatrist | 501 S Ohlman St, Mitchell, SD 57301-3108 | 2005-06-09 |
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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.