Katherine D Bonnichsen (NPI# 1003234832, PAC ID# 1658598289) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1003234832 |
| PAC ID by PECOS | 1658598289 |
| Professional Enrollment ID | I20180919000099 |
| Full Name | Katherine D Bonnichsen |
| Organization Legal Name | AVERA ST MARYS |
| Address |
801 E Sioux Ave Pierre SD 57501-3323 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0143134965 |
| Number of Group Practice Members | 74 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430015 | AVERA ST MARY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 801 E Sioux Ave, Pierre, SD 57501-3323 | AVERA ST MARYS |
| Organization Legal Name | AVERA ST MARYS |
| Physicians | 77 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad J Carda | Family Medicine | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Darrell W Plumage | Internal Medicine | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Eldon R Becker | General Surgery | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Daniel R Rasmussen | Physical Medicine and Rehabilitation | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Kevin Daniel Roark | Certified Registered Nurse Anesthetist (crna) | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Natalie S Hutton | Pediatric Medicine | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Mark P Shashikant | Plastic and Reconstructive Surgery | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Julie A Cox | Nurse Practitioner | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Ericka L Wiebusch | Nurse Practitioner | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Ali M Smith | Nurse Practitioner | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Street Address |
801 E SIOUX AVE |
| City | PIERRE |
| State | SD |
| Zip | 57501-3323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad J Carda | Family Medicine | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Darrell W Plumage | Internal Medicine | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Eldon R Becker | General Surgery | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Daniel R Rasmussen | Physical Medicine and Rehabilitation | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Kevin Daniel Roark | Certified Registered Nurse Anesthetist (crna) | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Natalie S Hutton | Pediatric Medicine | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Mark P Shashikant | Plastic and Reconstructive Surgery | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Julie A Cox | Nurse Practitioner | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Ericka L Wiebusch | Nurse Practitioner | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Ali M Smith | Nurse Practitioner | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shon A Weaver | Optometry | Beemer and Bartlett Eye Clinic, LLC | 100 W Capitol Ave, Pierre, SD 57501-2036 |
| Michael Bartlett | Optometry | Beemer and Bartlett Eye Clinic, LLC | 100 W Capitol Ave, Pierre, SD 57501-2036 |
| Douglas C Beemer | Optometry | Beemer and Bartlett Eye Clinic, LLC | 100 W Capitol Ave, Pierre, SD 57501-2036 |
| Anthony R Blake | Chiropractic | 1205 N Harrison Ave, 203 Oahe Chiropractic and Wellness, Pierre, SD 57501-2397 | |
| Mark A Steiner | Chiropractic | Steiner Chiropractic, P.C. | 110 W Dakota Ave, Pierre, SD 57501-2413 |
| Laura E Prunty | Chiropractic | Prunty Chiropractic P.C. | 420 W Sioux Ave, 1 Prunty Chiropractic, Pierre, SD 57501-2481 |
| Shane V Prunty | Chiropractic | Prunty Chiropractic P.C. | 420 W Sioux Ave, 1 Prunty Chiropractic, Pierre, SD 57501-2481 |
| Ryan R Bales | Chiropractic | Bales Chiropractic | 200 E Dakota, Suite 3, Pierre, SD 57501-3199 |
| Kimberly Haines | Nurse Practitioner | Sanford Clinic | 640 E Sioux Ave, 2 Child Spec Clin, Pierre, SD 57501-3300 |
| Denette K Eisnach | Optometry | Central Dakota Eyecare LLP | 640 E Sioux Ave, Suite 3, Pierre, SD 57501-3300 |
| Find all physicians in zip 57501 | |||
| City | PIERRE |
| Zip Code | 57501 |
| Specialty | DERMATOLOGY |
| City + Specialty | PIERRE + DERMATOLOGY |
Please comment or provide details below to improve the information on Katherine D Bonnichsen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.