Elizabeth Dimitrievich (NPI# 1003834995, PAC ID# 2860382272) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
Nation Provider ID (NPI) | 1003834995 |
PAC ID by PECOS | 2860382272 |
Professional Enrollment ID | I20111128000321 |
Full Name | Elizabeth Dimitrievich |
Address |
625 W 18th St Sioux Falls SD 57105-0602 |
Gender | F |
Graduation Year | 1986 |
Primary Specialty | OBSTETRICS/GYNECOLOGY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
430014 | AVERA ST LUKES |
430027 | SANFORD USD MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
305 S State St, Aberdeen, SD 57401-4527 | AVERA ST LUKES | |
8 E Us Hwy 12, Groton, SD 57445-2176 | 6053974242 | AVERA ST LUKES |
625 W 18th St, Sioux Falls, SD 57105-0602 |
Street Address |
625 W 18TH ST |
City | SIOUX FALLS |
State | SD |
Zip | 57105-0602 |
Name | Specialty | Organization | Address |
---|---|---|---|
James L Richardson | Family Medicine | 625 W 18th St, Sioux Falls, SD 57105-0602 |
Name | Specialty | Organization | Address |
---|---|---|---|
Aaron D Mortensen | Certified Registered Nurse Anesthetist (crna) | Sanford Medical Center | 1305 W 18 St, Sioux Falls, SD 57105-0401 |
Glenn A Ridder | Family Medicine | Sanford Medical Center | 1301 W 18th St, Sanford Cardiovascular Institute, Sioux Falls, SD 57105-0401 |
Mark N Beard | Family Medicine | Sanford Medical Center | 1301 W 18th St, Sanford Cardiovascular Institute, Sioux Falls, SD 57105-0401 |
Christopher Brusseau | Certified Registered Nurse Anesthetist (crna) | Sanford Medical Center | 1305 W 18 St, Sioux Falls, SD 57105-0401 |
Jennifer A Schriever | Family Medicine | Sanford Medical Center | 1301 W 18th St, Sanford Cardiovascular Institute, Sioux Falls, SD 57105-0401 |
Arleigh Trainor | Emergency Medicine | Sanford Medical Center | 1301 W 18th St, Sanford Cardiovascular Institute, Sioux Falls, SD 57105-0401 |
Nicole M Devoe | Nurse Practitioner | Sanford Clinic | 1305 W 18 St, Sioux Falls, SD 57105-0401 |
Daniel J Warner | Certified Registered Nurse Anesthetist (crna) | Sanford Medical Center | 1305 W 18 St, Sioux Falls, SD 57105-0401 |
Jocelyn J Frohm | Dermatology | Sanford Medical Center | 1301 W 18th St, Sanford Cardiovascular Institute, Sioux Falls, SD 57105-0401 |
Jennifer S Senge | Nurse Practitioner | Sanford Medical Center | 1301 W 18th St, Sanford Cardiovascular Institute, Sioux Falls, SD 57105-0401 |
Find all physicians in zip 57105 |
City | SIOUX FALLS |
Zip Code | 57105 |
Specialty | OBSTETRICS/GYNECOLOGY |
City + Specialty | SIOUX FALLS + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Elizabeth Dimitrievich.
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.