JEFFREY J LIUDAHL (NPI# 1972618924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972618924 |
| Entity Type | Individual |
| Full Name | JEFFREY J LIUDAHL |
| Credential | MD |
| Practice Address |
100 Mac Lane Avera Medical Group Pierre Pierre SD 57501 |
| Mailing Address |
100 Mac Lane Avera Medical Group Pierre Pierres SD 57501 |
| Practice Telephone | 6059455202 |
| Practice Fax Number | 6059455294 |
| Mailing Telephone | 6059455202 |
| Mailing Fax Number | 6059455294 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2012-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 1242 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6520324 | 05 | |
| SD | 6520325 | 05 |
| Street Address |
100 MAC LANE AVERA MEDICAL GROUP PIERRE |
| City | PIERRE |
| State | SD |
| Zip Code | 57501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600276 | Cindy D. Erwin | Physician Assistant | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2005-06-22 |
| 1609955939 | Medical Associates Clinic Surgery Center | Clinic/Center | 100 Mac Lane, Pierre, SD 57501-0758 | 2006-11-06 |
| 1568473247 | Vicki Blake-nafus | Physician Assistant | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2006-08-10 |
| 1942245071 | Christopher Miller | Nurse Anesthetist, Certified Registered | 100 Mac Lane, Medical Associates LLP, Pierre, SD 57501 | 2006-06-20 |
| 1851335905 | Jon Vander Maten | Physician Assistant | 100 Mac Lane, Pierre, SD 57501-0758 | 2006-06-16 |
| 1124062823 | Darcy J Mcclelland | Physician Assistant | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2006-06-15 |
| 1518900125 | Medical Associates Clinic LLP | Clinic/Center | 100 Mac Lane, Pierre, SD 57501 | 2006-06-13 |
| 1659314367 | Barb J Joy | Physician Assistant | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2006-06-13 |
| 1972546596 | Jayne L Novotny | Physician Assistant | 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | 2006-06-13 |
| 1598705063 | Roger D Southmayd | Nurse Anesthetist, Certified Registered | 100 Mac Lane, Pierre, SD 57501-0758 | 2006-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518420694 | Shawna K Fullerton | Social Worker | 1309 E Wells Ave, Pierre, SD 57501 | 2019-04-07 |
| 1841779758 | Joanne Sarringar | Physical Therapist | 801 E. Sioux Avenue, Pierre, SD 57501 | 2018-08-10 |
| 1003234832 | Katherine Bonnichsen | Dermatology | Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave, Pierre, SD 57501 | 2014-03-29 |
| 1417232166 | Louis J Van Roekel | Pharmacist | 100 E Sioux, Pierre, SD 57501 | 2011-10-13 |
| 1508164401 | Bechtold Thompson Dental Clinic | Dentist | 640 E. Sioux Ave, Pierre, SD 57501 | 2011-03-02 |
| 1417180969 | Dentistry At The St. Charles LLC | Dentist | 207 E. Capitol Ave. Ste 201, Pierre, SD 57501 | 2009-09-01 |
| 1063663995 | Buron O. Lindbloom | Family Medicine | 3200 E. Hwy 34, S.d. Womens Prison, Pierre, SD 57501 | 2008-10-09 |
| 1831221522 | Curt C Kuehl | Chiropractor | 430 W Sioux Ave, Pierre, SD 57501 | 2007-03-09 |
| 1376603092 | Tim Wald | Physical Therapist | 1012 Woodview Dr #20, Pierre, SD 57501 | 2006-12-11 |
| 1184702540 | Tami Lynn Hogie-lorenzen | Nurse Practitioner | 1714 Abbey Road, Pierre, SD 57501 | 2006-11-02 |
| Find all providers in zip 57501 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255657888 | Sacred Heart Health Services | Otolaryngology | 409 Summit St Ste 3200, Yankton, SD 57078-3736 | 2010-04-07 |
| 1669616496 | Sacred Heart Rural Health Clinics | Otolaryngology | 409 Summit St, Suite 2800, Yankton, SD 57078-3734 | 2009-04-23 |
| 1124269162 | Micah Marshall Likness | Otolaryngology | 2525 Fox Run Parkway, Suite 101, Yankton, SD 57078-5371 | 2009-03-22 |
| 1265511406 | John Rhodes Oliphant | Otolaryngology | 5024 S Bur Oak Place, Suite 114, Sioux Falls, SD 57108-2237 | 2006-11-06 |
| 1801901863 | Yankton Ear Nose and Throat PC | Otolaryngology | 409 Summit St Ste 2800, Yankton, SD 57078-3735 | 2006-08-20 |
| 1881651958 | Reuben C Setliff IIi | Otolaryngology | 2709 E 26th St, Sioux Falls, SD 57103-4016 | 2006-05-01 |
| 1083680458 | Jonathan W Mellema | Otolaryngology | 310 22nd Ave, Brookings, SD 57006-2474 | 2006-02-27 |
| 1528039765 | Robert A Cihak | Otolaryngology | 820 1st Ave Se Ste 100, Aberdeen, SD 57401-4604 | 2006-01-27 |
| 1376520049 | Vaughan Richard Bowen | Otolaryngology | 4940 5th St Ste 2b, Rapid City, SD 57701-6026 | 2005-12-23 |
| 1871590547 | Daniel Warren Todd | Otolaryngology | 2315 W 57th St, Sioux Falls, SD 57108-5046 | 2005-07-07 |
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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.