DR. ROGER STEVEN KNUTSEN (NPI# 1972573707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972573707 |
| Entity Type | Individual |
| Full Name | DR. ROGER STEVEN KNUTSEN |
| Credential | M.D. |
| Practice Address |
717 Meade St Suite 100 Rapid City SD 57701-5103 |
| Practice Telephone | 6053415910 |
| Practice Fax Number | 6053419052 |
| Mailing Telephone | 6053415910 |
| Mailing Fax Number | 6053419052 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2008-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 1796 | SD | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
1796 | SD | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
1796 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5900222 | 05 | |
| SD | BLUE CROSS BLUE SHIELD | 0009994 | 01 |
| Street Address |
717 MEADE ST SUITE 100 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073068474 | Wyley Wondercheck Dds PC | Dentist | 717 Meade St, Ste 200, Rapid City, SD 57701-5103 | 2016-08-16 |
| 1659696672 | Siri Shirene Knutsen Larson | Dermatology | 717 Meade St, Suite 100, Rapid City, SD 57701-5103 | 2010-04-01 |
| 1275754608 | David A Rempel, Dds P.C. | Dentist | 717 Meade St, Ste. 400, Rapid City, SD 57701-5103 | 2007-05-02 |
| 1013010974 | West River Dermatology, PC | Dermatology | 717 Meade St, Suite 100, Rapid City, SD 57701-5100 | 2006-09-06 |
| 1265460091 | David Alan Rempel | Dentist | 717 Meade St, Ste. 400, Rapid City, SD 57701-5103 | 2006-06-29 |
| 1003886839 | Karen Kay Zepp | Physician Assistant | 717 Meade St, Suite 100, Rapid City, SD 57701-5103 | 2006-01-24 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124210828 | Linda Jo Fromm | Dermatology | 4447 S Canyon Rd Ste 6, Rapid City, SD 57702-1889 | 2007-08-16 |
| 1235103060 | Marc E Boddicker | Dermatology | 710 Saint Anne St, Rapid City, SD 57701-4670 | 2006-02-16 |
| 1467426387 | Jonathan Dean Medeck | Dermatology | 710 Saint Anne Street, Rapid City, SD 57701-4670 | 2006-02-15 |
| 1750353389 | Vassilia D Young | Dermatology | 7236 Jordan Dr Ste 101, Rapid City, SD 57702-8740 | 2006-02-07 |
| 1659696672 | Siri Shirene Knutsen Larson | Dermatology | 717 Meade St, Suite 100, Rapid City, SD 57701-5103 | 2010-04-01 |
| 1861684748 | Robert Sage | Dermatology | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2007-08-14 |
| 1487853735 | Jason Noble | Dermatology | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2007-07-17 |
| 1942419759 | Melody Jean Eide | Dermatology | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2007-05-21 |
| 1346389178 | Advanced Dermatology Center, PC | Dermatology | 710 Saint Anne Street, Rapid City, SD 57701 | 2007-02-06 |
| 1619904067 | Lycia Thornburg | Dermatology | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2006-06-28 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
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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.