RUSSELL C PIETZ


Address: 305 S State St, Aberdeen, SD 57401-4527
Phone: 6056225100

RUSSELL C PIETZ (NPI# 1790789543) 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) 1790789543
Entity Type Individual
Full Name RUSSELL C PIETZ
Credential MD
Practice Address 305 S State St
Aberdeen
SD 57401-4527
Practice Telephone 6056225100
Practice Fax Number 6056224030
Mailing Telephone 6056225100
Mailing Fax Number 6056224030
Enumeration Date 2005-06-09
Last Update Date 2016-09-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 4105 SD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SD 6003203 05
SD 6003202 05
ND 11631 05

Office Location

Street Address 305 S STATE ST
City ABERDEEN
State SD
Zip Code 57401-4527

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942824701 Stacy Lynn Anderson Pharmacist 305 S State St, Aberdeen, SD 57401-4527 2020-06-07
1124502646 Avera St Luke's Emergency Medicine 305 S State St, Aberdeen, SD 57401-4527 2018-09-20
1689150252 Kim Susanne Kram Specialist/Technologist 305 S State St, Aberdeen, SD 57401-4527 2018-07-17
1144769522 Gerhard Marx Social Worker 305 S State St, Aberdeen, SD 57401-4527 2017-02-17
1851771133 Susan Gutenkauf Occupational Therapist 305 S State St, Aberdeen, SD 57401-4527 2015-06-02
1538548649 Melanie C Erickson Occupational Therapist 305 S State St, Aberdeen, SD 57401-4527 2015-05-21
1639557184 Carrie Ann Werth Occupational Therapist 305 S State St, Aberdeen, SD 57401-4527 2015-05-15
1861870404 Buckley D Norris Occupational Therapist 305 S State St, Aberdeen, SD 57401-4527 2015-05-15
1285012005 Jason Stolp Physical Therapist 305 S State St, Aberdeen, SD 57401-4527 2015-05-13
1528446341 Derrick Houdek Physical Therapist 305 S State St, Aberdeen, SD 57401-4527 2015-05-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679002950 Brenda Lee Pence Registered Nurse 305 S. State St., Aberdeen, SD 57401 2017-06-08
1104366475 Jordan Shangreaux Specialist/Technologist 2200 S Roosevelt St, Aberdeen, SD 57401 2017-03-06
1205387545 Midwest Medical Transport Company, LLC-aberdeen, Sd Ambulance 2919 Industrial Avenue, Aberdeen, SD 57401 2016-10-21
1356752471 Cameron Eichler Enterprises Hearing Aid Equipment 110 6th Ave Se Ste 106, Aberdeen, SD 57401 2014-05-12
1184059412 Richard Allen Ward IIi Hearing Instrument Specialist 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 2013-09-05
1427395540 Matthew William Svensen Physical Therapist 1109 S Jay St, Aberdeen, SD 57401 2013-01-09
1750655940 Robert Ashly Froke Audiologist 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 2012-03-06
1457504862 Rodney S Johnson Counselor 14 S Main St Ste 1e, Aberdeen, SD 57401 2008-10-29
1518115005 Dakota Chiropractic of Aberdeen, PC Chiropractor 520 Moccasin Drive, Aberdeen, SD 57401 2008-09-09
1558554626 Tiffany Zimmerman Hoeft Speech-Language Pathologist 39515 Pintail Ave, Aberdeen, SD 57401 2007-08-22
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851883540 Modern Day Health Care Prof LLC Family Medicine 125 Railroad Ave Se, Aberdeen, SD 57401-4202 2018-05-30
1639597370 Jason Li Family Medicine 17 Beacon Ln, Aberdeen, NJ 07747-2301 2014-03-31
1154695344 Urgent Cares of America North Carolina Inc. Family Medicine 1800 N Sandhills Blvd, Aberdeen, NC 28315-2336 2012-03-06
1184919151 Oluwakemi Ajide Family Medicine 1013 Beards Hill Rd, Suite 103, Aberdeen, MD 21001-2293 2011-06-17
1316237092 Rose Mary Hatem Bonsack Family Medicine 205 Hemlock La., Aberdeen, MD 21001 2011-04-14
1013143296 Avera St. Luke's Family Medicine 105 S State St Ste 113, Aberdeen, SD 57401-4502 2009-06-02
1205992153 Woodie Darnell Herron Family Medicine 200 East Commerce Street, Aberdeen, MS 39730 2006-12-28
1891855847 Hope Family Center PC Family Medicine 210 Magnolia Square Ct, Aberdeen, NC 28315 2006-12-11
1992732168 Charles D Adams Family Medicine 1813 Sumner St, Aberdeen, WA 98520 2006-06-26
1154364636 Kevin Curtis Hayes Family Medicine 504 S Chestnut St, Aberdeen, MS 39730-3337 2006-06-13
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City ABERDEEN
Zip Code 57401

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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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