JEAN CARLOS TEJADA PEREZ (NPI# 1821449414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821449414 |
| Entity Type | Individual |
| Full Name | JEAN CARLOS TEJADA PEREZ |
| Credential | MD |
| Practice Address |
2905 3rd Ave Se Aberdeen SD 57401-5420 |
| Mailing Address |
1400 Pelham Pkwy S Bronx NY 10461-1138 |
| Practice Telephone | 6056264200 |
| Mailing Telephone | 7189185700 |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 11612 | SD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 Pelham Pkwy S, Bronx, NY 104611138 | 7189185700 |
| Street Address |
2905 3RD AVE SE |
| City | ABERDEEN |
| State | SD |
| Zip Code | 57401-5420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295880060 | Shelly Kay Arthur Sinar | Physical Therapist | 2905 3rd Ave Se, Aberdeen, SD 57401-5420 | 2007-01-24 |
| 1225662455 | Kirsten Nash | Pharmacist | 2905 3rd Ave Se, Aberdeen, SD 57401-5420 | 2020-02-26 |
| 1174087605 | Annie L Jacobson | Nutritionist | 2905 3rd Ave Se, Aberdeen, SD 57401-5420 | 2019-01-29 |
| 1851805667 | Sanford Aberdeen Medical Center | Clinic/Center | 2905 3rd Ave Se, Aberdeen, SD 57401-5420 | 2017-12-01 |
| 1407392665 | Shannon Curtin | Prevention Professional | 2905 3rd Ave Se, Aberdeen, SD 57401-5420 | 2017-01-12 |
| 1093251258 | Joseph Burns | Prevention Professional | 2905 3rd Ave Se, Aberdeen, SD 57401-5420 | 2017-01-12 |
| 1841642212 | Jennifer Glynn | Nurse Practitioner | 2905 3rd Ave Se, Aberdeen, SD 57401-5420 | 2016-07-08 |
| 1164878104 | Kellie Alberts | Physical Therapist | 2905 3rd Ave Se, Aberdeen, SD 57401-5420 | 2016-05-09 |
| 1841644978 | Linda Bartl | Dietitian, Registered | 2905 3rd Ave Se, Aberdeen, SD 57401-5420 | 2016-04-14 |
| 1659735215 | Lisa Ann Kopecky | Dietitian, Registered | 2905 3rd Ave Se, Aberdeen, SD 57401 | 2016-04-11 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 57401 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861602500 | Clifford Matushin PC | Internal Medicine | 201 S Lloyd St Ste 140, Aberdeen, SD 57401-4519 | 2007-05-23 |
| 1942342928 | Stefan Anthony Eltgroth | Internal Medicine | 2105 Oakington Road Kirk Us Army Health Clinic, Aberdeen, MD 21005 | 2007-02-13 |
| 1083767271 | Aberdeen Health Clinic Inc | Internal Medicine | 501 Chestnut Street, Aberdeen, MS 39730 | 2007-01-19 |
| 1295886307 | Kathleen Van De Walle Do PC | Internal Medicine | 1314 N Main St, Aberdeen, SD 57401-2032 | 2007-01-15 |
| 1043373905 | Hany G Bashandy Md Ps | Internal Medicine | 1020 Anderson Dr Ste 205, Aberdeen, WA 98520-1055 | 2006-12-19 |
| 1952410185 | Kathleen Elaine Vandewalle I | Internal Medicine | 1314 North Main Street, Aberdeen, SD 57401-2700 | 2006-08-30 |
| 1548283617 | Philip Gibbs | Internal Medicine | 611 North F St, Aberdeen, WA 98520 | 2006-07-26 |
| 1811932080 | Thomas H Lineberger | Internal Medicine | 1902c North Sandhills Blvd, Aberdeen, NC 28315-2347 | 2006-06-19 |
| 1205870136 | John Robert Fritz | Internal Medicine | 1228 18th Ave Ne, Aberdeen, SD 57401-1535 | 2006-06-14 |
| 1346294873 | Nagy N Guirguis | Internal Medicine | 301 Church St, Aberdeen, NJ 07747-1554 | 2006-05-20 |
| Find all providers in ABERDEEN | ||||
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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.