PLASTIC SURGICAL CENTER OF RAPID CITY, PROF. L.L.C. (NPI# 1760465207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760465207 |
| Entity Type | Organization |
| Organization Name | PLASTIC SURGICAL CENTER OF RAPID CITY, PROF. L.L.C. |
| Practice Address |
3615 5th St Suite 100 Rapid City SD 57701-6014 |
| Practice Telephone | 6053436714 |
| Practice Fax Number | 6053432130 |
| Mailing Telephone | 6053436714 |
| Mailing Fax Number | 6053432130 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2013-04-30 |
| Authorized Official Name | DR. ROBERT JAMES SCHUTZ (MD/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6053436714 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
11152 | SD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | WELLMARK BCBS # | 81014 | 01 |
| Street Address |
3615 5TH ST SUITE 100 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-6014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699215061 | Katie Mires | Pharmacist | 3615 5th St, Ste 109, Rapid City, SD 57701-6014 | 2017-03-03 |
| 1225497266 | Jody Cadotte | Nurse Practitioner | 3615 5th St, Suite, 101, Rapid City, SD 57701-6014 | 2016-02-18 |
| 1104290980 | Rapid City Medical Center LLP | Clinic/Center | 3615 5th St, Suite 107, Rapid City, SD 57701-6014 | 2015-11-17 |
| 1790066363 | J R Anesthesia Prof LLC | Nurse Anesthetist, Certified Registered | 3615 5th St, 100, Rapid City, SD 57701-6014 | 2011-09-08 |
| 1063729853 | Jennifer Faith Knowles | Nurse Practitioner | 3615 5th St, Suite 107, Rapid City, SD 57701-6014 | 2010-09-01 |
| 1972817286 | Rapid City Medical Center LLP | Surgery | 3615 5th St, Suite 101, Rapid City, SD 57701-6014 | 2010-07-28 |
| 1508178666 | Michele Plooster | Nurse Practitioner | 3615 5th St, Suite 101, Rapid City, SD 57701-6014 | 2010-07-06 |
| 1205954120 | Mary L Freidel | Specialist/Technologist, Other | 3615 5th St, Suite 101, Rapid City, SD 57701-6014 | 2007-03-27 |
| 1477683324 | Robert James Schutz | Plastic Surgery | 3615 5th St, Suite 101, Rapid City, SD 57701-6014 | 2007-03-07 |
| 1891888210 | Julie T Raymond | Surgery | 3615 5th St, Suite 107, Rapid City, SD 57701-6014 | 2006-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013968718 | Rushmore Ambulatory Surgery Center | Clinic/Center | 620 Sheridan Lake Rd, Suite 104, Rapid City, SD 57702-2406 | 2006-05-15 |
| 1659420727 | The Endoscopy Center, Inc. | Clinic/Center | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2007-01-09 |
| 1952325227 | Slingsby & Wright Eye Surgery & Laser Center, LLC | Clinic/Center | 240 Minnesota St, Rapid City, SD 57701-6200 | 2006-07-27 |
| 1346220183 | Black Hills Regional Eye Surgery Center, LLC | Clinic/Center | 2800 3rd St, Rapid City, SD 57701-7374 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518129576 | Usc Ambulatory Surgical Center Prof LLC | Clinic/Center | 201 West 69th Street, Sioux Falls, SD 57108-2424 | 2008-06-30 |
| 1184660151 | Innovative Procedural Center LLC | Clinic/Center | 1512 4th St Ne, Watertown, SD 57201-6824 | 2006-06-20 |
| 1427009034 | Prairie States Surgical Center LLC | Clinic/Center | 2908 E 26th St Ste B, Sioux Falls, SD 57103-4034 | 2006-05-16 |
| 1093792244 | Cj Elmwood Partners L P | Clinic/Center | 3801 S Elmwood Ave, Sioux Falls, SD 57105-6565 | 2005-12-29 |
| 1033195912 | Surgical Associates Endoscopy Clinic LLC | Clinic/Center | 310 S Pennsylvania St, Suite 201, Aberdeen, SD 57401-4553 | 2005-12-21 |
| 1871581876 | Ophthalmology Ltd Eye Surgery Center LLC | Clinic/Center | 6601 S. Minnesota Avenue, Suite 100, Sioux Falls, SD 57108-2564 | 2005-10-12 |
| 1831504711 | Avera St Lukes | Clinic/Center | 310 S Penn St, Ste 201, Aberdeen, SD 57401 | 2014-06-30 |
| 1205171295 | Vance Thompson Vision Surgery Center Prof LLC | Clinic/Center | 3101 W 57th St, Sioux Falls, SD 57108-3162 | 2012-12-03 |
| 1285936641 | Rivers Edge Aesthetic Surgery, LLC | Clinic/Center | 4201 South Minnesota Avenue, Ste. 111, Sioux Falls, SD 57105-6742 | 2010-11-17 |
| 1083859532 | Avera Mckennan | Clinic/Center | 100 Mac Ln, Pierre, SD 57501-3391 | 2008-12-12 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on PLASTIC SURGICAL CENTER OF RAPID CITY, PROF. L.L.C..
| 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.