Heather R Moline (NPI# 1437568185, PAC ID# 3678825585) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1437568185 |
| PAC ID by PECOS | 3678825585 |
| Professional Enrollment ID | I20181003003705 |
| Full Name | Heather R Moline |
| Organization Legal Name | BLACK HILLS OBSTETRICS AND GYNECOLOGY LLP |
| Address |
677 Cathedral Dr Rapid City SD 57701-6018 |
| Phone Number | 6053439224 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 2264428788 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 6053423280 | RAPID CITY MEDICAL CENTER LLP |
| 677 Cathedral Dr, Rapid City, SD 57701-6018 | 6053439224 | BLACK HILLS OBSTETRICS AND GYNECOLOGY LLP |
| Organization Legal Name | BLACK HILLS OBSTETRICS AND GYNECOLOGY LLP |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony S Diehl | Obstetrics/gynecology | Black Hills Obstetrics and Gynecology LLP | 677 Cathedral Dr, Rapid City, SD 57701-6018 |
| Michelle L Krohn | Obstetrics/gynecology | Black Hills Obstetrics and Gynecology LLP | 677 Cathedral Dr, Rapid City, SD 57701-6018 |
| Elizabeth A Hahn | Obstetrics/gynecology | Black Hills Obstetrics and Gynecology LLP | 677 Cathedral Dr, Rapid City, SD 57701-6018 |
| Michele R Plooster | Nurse Practitioner | Black Hills Obstetrics and Gynecology LLP | 677 Cathedral Dr, Rapid City, SD 57701-6018 |
| Marvin E Buehner | Obstetrics/gynecology | Black Hills Obstetrics and Gynecology LLP | 677 Cathedral Dr, Rapid City, SD 57701-6018 |
| Street Address |
677 CATHEDRAL DR |
| City | RAPID CITY |
| State | SD |
| Zip | 57701-6018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony S Diehl | Obstetrics/gynecology | Black Hills Obstetrics and Gynecology LLP | 677 Cathedral Dr, Rapid City, SD 57701-6018 |
| Michelle L Krohn | Obstetrics/gynecology | Black Hills Obstetrics and Gynecology LLP | 677 Cathedral Dr, Rapid City, SD 57701-6018 |
| Elizabeth A Hahn | Obstetrics/gynecology | Black Hills Obstetrics and Gynecology LLP | 677 Cathedral Dr, Rapid City, SD 57701-6018 |
| Michele R Plooster | Nurse Practitioner | Black Hills Obstetrics and Gynecology LLP | 677 Cathedral Dr, Rapid City, SD 57701-6018 |
| Marvin E Buehner | Obstetrics/gynecology | Black Hills Obstetrics and Gynecology LLP | 677 Cathedral Dr, Rapid City, SD 57701-6018 |
| Michael F Mcnamara | Undefined Physician Type (specify) | Sanford Clinic | 677 Cathedral Dr, Suite 200, Rapid City, SD 57701-7389 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberta A Kramlich | Psychologist, Clinical | R. P. Renka, M.d.,p.c. | 528 Qunicy St, Rapid City, SD 57701 |
| Ericka L Privitt | Nurse Practitioner | Black Hills Dermatology PC | 7236 Jordan Dr, Suite 101, Rapid City, SD 57701 |
| Julie A Krein | Nurse Practitioner | Black Hills Dermatology PC | 7236 Jordan Dr, Suite 101, Rapid City, SD 57701 |
| Vassilia D Young | Dermatology | Black Hills Dermatology PC | 7236 Jordan Dr, Suite 101, Rapid City, SD 57701 |
| Richard P Renka | Psychiatry | R. P. Renka, M.d.,p.c. | 528 Qunicy St, Rapid City, SD 57701 |
| Danielle L Shafer | Physician Assistant | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Christine M Zambon | Physician Assistant | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Kenneth B Peterson | Family Medicine | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Cheryl L Reagan | Nurse Practitioner | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| David K Custis | Physician Assistant | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Find all physicians in zip 57701 | |||
| City | RAPID CITY |
| Zip Code | 57701 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | RAPID CITY + OBSTETRICS/GYNECOLOGY |
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| 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.