Taylor M Kapsch (NPI# 1114378916, PAC ID# 4486947231) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114378916 |
| PAC ID by PECOS | 4486947231 |
| Professional Enrollment ID | I20190821001955 |
| Full Name | Taylor M Kapsch |
| Organization Legal Name | CREEKSIDE MEDICAL CLINIC PROF LLC |
| Address |
2822 Jackson Blvd Suite 101 Rapid City SD 57702-3497 |
| Phone Number | 6053411208 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2062693799 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430077 | REGIONAL HEALTH RAPID CITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2822 Jackson Blvd, Suite 101, Rapid City, SD 57702-3497 | 6053411208 | CREEKSIDE MEDICAL CLINIC PROF LLC |
| Organization Legal Name | CREEKSIDE MEDICAL CLINIC PROF LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle J Larson | Family Medicine | Creekside Medical Clinic Prof LLC | 2822 Jackson Blvd, Suite 101, Rapid City, SD 57702-3497 |
| Steven D Sachs | Physician Assistant | Creekside Medical Clinic Prof LLC | 2822 Jackson Blvd, Suite 101, Rapid City, SD 57702-3497 |
| Carson C Phillips | Family Medicine | Creekside Medical Clinic Prof LLC | 2822 Jackson Blvd, Suite 101, Rapid City, SD 57702-3497 |
| Ann P Hibbs | Family Medicine | Creekside Medical Clinic Prof LLC | 2822 Jackson Blvd, Suite 101, Rapid City, SD 57702-3497 |
| Jenna M Dormann | Physician Assistant | Creekside Medical Clinic Prof LLC | 2822 Jackson Blvd, Suite 101, Rapid City, SD 57702-3497 |
| Nancy E Babbitt | Family Medicine | Creekside Medical Clinic Prof LLC | 2822 Jackson Blvd, Suite 101, Rapid City, SD 57702-3497 |
| Jon M Wingert | Family Medicine | Creekside Medical Clinic Prof LLC | 2822 Jackson Blvd, Suite 101, Rapid City, SD 57702-3497 |
| Street Address |
2822 JACKSON BLVD SUITE 101 |
| City | RAPID CITY |
| State | SD |
| Zip | 57702-3497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sonya D Anderson | Physical Therapy | About You Physical Therapy, Inc | 2822 Jackson Blvd, Suite 202, Rapid City, SD 57702-3497 |
| Kyle J Larson | Family Medicine | Creekside Medical Clinic Prof LLC | 2822 Jackson Blvd, Suite 101, Rapid City, SD 57702-3497 |
| Steven D Sachs | Physician Assistant | Creekside Medical Clinic Prof LLC | 2822 Jackson Blvd, Suite 101, Rapid City, SD 57702-3497 |
| Carson C Phillips | Family Medicine | Creekside Medical Clinic Prof LLC | 2822 Jackson Blvd, Suite 101, Rapid City, SD 57702-3497 |
| Ann P Hibbs | Family Medicine | Creekside Medical Clinic Prof LLC | 2822 Jackson Blvd, Suite 101, Rapid City, SD 57702-3497 |
| Matthew S Dormann | Physical Therapy | About You Physical Therapy, Inc | 2822 Jackson Blvd, Suite 202, Rapid City, SD 57702-3497 |
| Jenna M Dormann | Physician Assistant | Creekside Medical Clinic Prof LLC | 2822 Jackson Blvd, Suite 101, Rapid City, SD 57702-3497 |
| Nancy E Babbitt | Family Medicine | Creekside Medical Clinic Prof LLC | 2822 Jackson Blvd, Suite 101, Rapid City, SD 57702-3497 |
| Jamie S Mcmurtrey | Physical Therapy | About You Physical Therapy, Inc | 2822 Jackson Blvd, Suite 202, Rapid City, SD 57702-3497 |
| Traci L Hay | Nurse Practitioner | 2822 Jackson Blvd, Suite 103, Rapid City, SD 57702-3497 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pauline S S Weichler | Optometry | 3645 Sturgis Rd, Suite 500, Rapid City, SD 57702-0321 | |
| Dan P Conrad | Podiatry | 3641 Sturgis Rd, Rapid City, SD 57702-0321 | |
| Michael J Huxford | Psychologist, Clinical | Black Hills Works Inc | 3650 Range Rd, Rapid City, SD 57702-0627 |
| Justine L Ashokar | Psychologist, Clinical | Black Hills Works Inc | 3650 Range Rd, Rapid City, SD 57702-0627 |
| Alexa L Martel | Occupational Therapy | Black Hills Works Inc | 3650 Range Rd, Rapid City, SD 57702-0627 |
| Alan Juel | Chiropractic | 3202 W Main D, Rapid City, SD 57702-1706 | |
| Colleen Marie Oman | Nurse Practitioner | Koch Medicine LLC | 4447 S Canyon Rd, 6 Dakota Primary Care, Rapid City, SD 57702-1883 |
| Sherri D Koch | Family Medicine | Koch Medicine LLC | 4447 S Canyon Rd, 6 Dakota Primary Care, Rapid City, SD 57702-1883 |
| Julia C Skelton | Nurse Practitioner | Koch Medicine LLC | 4447 S Canyon Rd, 6 Dakota Primary Care, Rapid City, SD 57702-1883 |
| Linda J Fromm | Dermatology | 4447 S Canyon Rd, Suite 6, Rapid City, SD 57702-1889 | |
| Find all physicians in zip 57702 | |||
| City | RAPID CITY |
| Zip Code | 57702 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RAPID CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Taylor M Kapsch.
| 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.