Miranda M Pray Dede (NPI# 1174668107, PAC ID# 5193828853) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1174668107 |
| PAC ID by PECOS | 5193828853 |
| Professional Enrollment ID | I20090824000676 |
| Full Name | Miranda M Pray Dede |
| Organization Legal Name | SANFORD CLINIC |
| Address |
401 9th Ave Nw Vascular Associates Watertown SD 57201-1548 |
| Phone Number | 6053283350 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 0244143824 |
| Number of Group Practice Members | 345 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241347 | SANFORD CANBY MEDICAL CENTER |
| 430005 | PRAIRIE LAKES HEALTHCARE SYSTEM, INC |
| Address | Phone | Organization |
|---|---|---|
| 112 Saint Olaf Ave S, Sanford Canby Medical Center, Canby, MN 56220-1433 | 5072237221 | SANFORD HEALTH NETWORK |
| 112 Saint Olaf Ave S, Canby, MN 56220-1433 | SANFORD CLINIC | |
| 112 Saint Olaf Ave S, Canby, MN 56220-1433 | SANFORD HEALTH NETWORK | |
| 112 Saint Olaf S Ave, Canby, MN 56220-1433 | 5072237221 | SANFORD CLINIC |
| 112 St Olaf St, Sanford Canby Medical Center, Canby, MN 56220-1433 | 5072237277 | SANFORD HEALTH NETWORK |
| 112 St Olaf St, Canby, MN 56220-1433 | 5072237277 | SANFORD HEALTH NETWORK |
| 305 Hospital Dr, Estelline, Estelline, SD 57234-0196 | 6058732222 | SANFORD CLINIC |
| 401 9th Ave Nw, Vascular Associates, Watertown, SD 57201-1548 | 6053283350 | SANFORD CLINIC |
| 901 4th St Nw, Watertown, SD 57201-1558 | 6058868471 | SANFORD CLINIC |
| Organization Legal Name | SANFORD CLINIC |
| Physicians | 392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mackenzie M Mertz | Psychiatry | Sanford Clinic | 2400 W 49th St, Psych Clinic, Sioux Falls, SD 57105-6581 |
| Andrew J Erie | Diagnostic Radiology | Sanford Clinic | 1210 W 18th St, Suite Ll03, Sioux Falls, SD 57104-4654 |
| Evan M Wiersma | Physical Therapy | Sanford Clinic | 104 Buncombe Dr, Rock Rapids, IA 51246-1003 |
| Shauna M Jacobs | Nurse Practitioner | Sanford Clinic | 1309 W 17 St, Radiation Oncology, Sioux Falls, SD 57104-4663 |
| Kylee B Whitney | Nurse Practitioner | Sanford Clinic | 1508 W 22nd St, Suite 101, Sioux Falls, SD 57105-1506 |
| Rachel M Lynde | Nurse Practitioner | Sanford Clinic | 922 22nd Ave S, Brookings, SD 57006-2830 |
| Lori L Thom | Clinical Social Worker | Sanford Clinic | 308 8th N St, Mountain Lake, MN 56159-1568 |
| Kimberly Haines | Nurse Practitioner | Sanford Clinic | 640 E Sioux Ave, 2 Child Spec Clin, Pierre, SD 57501-3300 |
| Cari A Folkens | Nurse Practitioner | Sanford Clinic | 600 W Cedar St, Beresford, SD 57004-1125 |
| Nichole R Krier | Nurse Practitioner | Sanford Clinic | 900 E 54th N St, Suite 100, Sioux Falls, SD 57104-0681 |
| Street Address |
401 9TH AVE NW VASCULAR ASSOCIATES |
| City | WATERTOWN |
| State | SD |
| Zip | 57201-1548 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacklyn Ann Karli | Nurse Practitioner | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Salem Maaliki | Cardiovascular Disease (cardiology) | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Elliott W Filler | Emergency Medicine | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Jeffrey Bergsbaken | Anesthesiology | Watertown Anesthesia PC | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Mark E Schulz | Certified Registered Nurse Anesthetist (crna) | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Austin H Dale | Certified Registered Nurse Anesthetist (crna) | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Keith A Wanner | Certified Registered Nurse Anesthetist (crna) | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Jeffrey Ralph Smith | Dermatology | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Gregory S Erickson | Emergency Medicine | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Kari Jo E Fleming | Physician Assistant | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne E Snyder | Ophthalmology | 1225 4th St Ne, Snyder Eye Clinic, Watertown, SD 57201-1204 | |
| Beth A Kunkel | Optometry | Kunkel-snyder Optometric, P.c | 1225 4th St Ne, Watertown, SD 57201-1204 |
| Matthew C Kunkel | Optometry | Kunkel-snyder Optometric, P.c | 1225 4th St Ne, Watertown, SD 57201-1204 |
| Bradley J Fishman | Certified Registered Nurse Anesthetist (crna) | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Jeffrey Alan Dorrity | Otolaryngology | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Nicole M Hirsch | Certified Registered Nurse Anesthetist (crna) | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Edward L Wegner | Pathology | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Tina G Melanson | Nephrology | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Ragheb Harb | Hospitalist | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Svien A Senne | Pulmonary Disease | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Find all physicians in zip 57201 | |||
| City | WATERTOWN |
| Zip Code | 57201 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | WATERTOWN + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Miranda M Pray Dede.
| 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.