BRADLEY KEVIN COOTS (NPI# 1972611481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972611481 |
| Entity Type | Individual |
| Full Name | BRADLEY KEVIN COOTS |
| Credential | MD |
| Practice Address |
1500 W 22nd St Ste 101 Sioux Falls SD 57105-1503 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053280000 |
| Practice Fax Number | 6053280001 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2015-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 9162 | SD | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
27081 | NE | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
39703 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
1500 W 22ND ST STE 101 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588083414 | Steven Ovadia | Surgery | 1500 W 22nd St Ste 101, Sioux Falls, SD 57105-1503 | 2014-04-08 |
| 1447675640 | Colleen Schmidt | Nurse Practitioner | 1500 W 22nd St Ste 101, Sioux Falls, SD 57105-1503 | 2014-02-25 |
| 1962667154 | Hoang M. Lawrence Nguyen | Plastic Surgery | 1500 W 22nd St Ste 101, Sioux Falls, SD 57105-1503 | 2008-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568442895 | Richard James Howard | Plastic Surgery | 6301 S Minnesota Ave, Suite 300, Sioux Falls, SD 57108-2528 | 2006-01-20 |
| 1962667154 | Hoang M. Lawrence Nguyen | Plastic Surgery | 1500 W 22nd St Ste 101, Sioux Falls, SD 57105-1503 | 2008-07-28 |
| 1457389199 | Plastic Surgery Associates of South Dakota, Ltd | Plastic Surgery | 4201 South Minnesota Avenue, Ste. 112, Sioux Falls, SD 57105-6706 | 2006-06-29 |
| 1124071048 | Rifat Hussain | Plastic Surgery | 1500 W 22nd St, Ste 104, Sioux Falls, SD 57105 | 2006-05-19 |
| 1841258225 | Barry Don Martin | Plastic Surgery | 6215 S Cliff Ave, Suite 110, Sioux Falls, SD 57108-8596 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659441491 | Richard Frederick Carver | Plastic Surgery | 7236 Jordan Drive, Suite 100a, Rapid City, SD 57701-8734 | 2006-11-09 |
| 1063805604 | Cosmetic and Plastic Surgery Specialists, PC | Plastic Surgery | 201 S Lloyd St, W230, Aberdeen, SD 57401-4552 | 2015-03-06 |
| 1992989487 | Hunter Reid Moyer | Plastic Surgery | 2805 5th St, Rapid City, SD 57701-7306 | 2007-12-20 |
| 1780893370 | Mary C. Snyder, Md, PC | Plastic Surgery | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2007-05-21 |
| 1508999822 | Associates In Plastic & Reconstructive Surgery Inc | Plastic Surgery | 7236 Jordan Dr, Suite 100a, Rapid City, SD 57702-8734 | 2007-03-14 |
| 1073516308 | Paula Jean Formosa | Plastic Surgery | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2005-05-31 |
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.