Angela Dawn Liddell (NPI# 1063653103, PAC ID# 5395895528) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
Nation Provider ID (NPI) | 1063653103 |
PAC ID by PECOS | 5395895528 |
Professional Enrollment ID | I20131205001290 |
Full Name | Angela Dawn Liddell |
Organization Legal Name | AVERA MCKENNAN |
Address |
909 N Iowa Ave Dell Rapids SD 57022-1231 |
Phone Number | 6054285431 |
Gender | F |
Graduation Year | 2008 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Group Practice PAC ID | 0345157103 |
Number of Group Practice Members | 682 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
430095 | AVERA HEART HOSPITAL OF SOUTH DAKOTA |
Address | Phone | Organization |
---|---|---|
909 N Iowa Ave, Dell Rapids, SD 57022-1231 | 6054285431 | AVERA MCKENNAN |
1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | AVERA MCKENNAN | |
4500 W 69 St, Sioux Falls, SD 57108-8148 | 6059777000 | HEART HOSPITAL OF SOUTH DAKOTA LLC |
Organization Legal Name | AVERA MCKENNAN |
Physicians | 732 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alex J Linn | Neurology | Avera Mckennan | 1301 S Cliff Ave, Suite 610, Sioux Falls, SD 57105-1032 |
Kellie G Den Hartog | Physician Assistant | Avera Mckennan | 324 1st Ave N, Good Samaritan Society George, George, IA 51237-1029 |
Kimberly S Metzger | Nurse Practitioner | Avera Mckennan | 1100 S 10th Ave, 100 Avera Medical Group Rock Rapids, Rock Rapids, IA 51246-2020 |
Teresa A Jatczak | Nurse Practitioner | Avera Mckennan | 4500 N Lewis Ave, Avera Medical Group, Sioux Falls, SD 57104-7111 |
Renju Vechurettu Raj | Hematology/oncology | Avera Mckennan | 1000 E 23rd St, Suite 200, Sioux Falls, SD 57105-2122 |
Denise D Roemen-kramer | Nurse Practitioner | Avera Mckennan | 101 S Front St, Chamberlain, SD 57325-1612 |
Samantha M Van Gorp | Nurse Practitioner | Avera Mckennan | 600 9th Ave N, Osceola Community Hospital Cl, Sibley, IA 51249-1012 |
Stephanie M Nwala | Physician Assistant | Avera Mckennan | 820 2nd Ave N, Windom, MN 56101-1761 |
Christine Pocha | General Surgery | Avera Mckennan | 1315 S Cliff Ave, Suite 1100, Sioux Falls, SD 57105-1057 |
Holly Jensen | Nurse Practitioner | Avera Mckennan | 1200 1st Ave E, Spencer Municipal Hospital, Spencer, IA 51301-4330 |
Street Address |
909 N IOWA AVE |
City | DELL RAPIDS |
State | SD |
Zip | 57022-1231 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher M Bartek | Certified Registered Nurse Anesthetist (crna) | Avera Mckennan | 909 N Iowa Ave, Dell Rapids, SD 57022-1231 |
Austin A Huiskes | Certified Registered Nurse Anesthetist (crna) | Avera Mckennan | 909 N Iowa Ave, Dell Rapids, SD 57022-1231 |
Christopher M Hall | Certified Registered Nurse Anesthetist (crna) | Avera Mckennan | 909 N Iowa Ave, Dell Rapids, SD 57022-1231 |
Starr Lynn Fedders | Certified Registered Nurse Anesthetist (crna) | Avera Mckennan | 909 N Iowa Ave, Dell Rapids, SD 57022-1231 |
Daniel B Lewison | Certified Registered Nurse Anesthetist (crna) | Avera Mckennan | 909 N Iowa Ave, Dell Rapids, SD 57022-1231 |
Jon C Weber | Certified Registered Nurse Anesthetist (crna) | Avera Mckennan | 909 N Iowa Ave, Dell Rapids, SD 57022-1231 |
Alissa A Alberts | Certified Registered Nurse Anesthetist (crna) | Avera Mckennan | 909 N Iowa Ave, Dell Rapids, SD 57022-1231 |
Kara J Dougherty | Certified Registered Nurse Anesthetist (crna) | Avera Mckennan | 909 N Iowa Ave, Dell Rapids, SD 57022-1231 |
Mark Joseph Haffey | Certified Registered Nurse Anesthetist (crna) | Avera Mckennan | 909 N Iowa Ave, Dell Rapids, SD 57022-1231 |
Paul M Bommersbach | Certified Registered Nurse Anesthetist (crna) | Avera Mckennan | 909 N Iowa Ave, Dell Rapids, SD 57022-1231 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Jackie J Bau | Nurse Practitioner | Avera Mckennan | 111 10th St E, Dell Rapids, SD 57022-1217 |
Valerie Ann Larson | Family Medicine | Avera Mckennan | 111 10th St E, Dell Rapids, SD 57022-1217 |
Demetre Skliris | Family Medicine | Avera Mckennan | 111 10th St E, Dell Rapids, SD 57022-1217 |
Matt E Herber | Family Medicine | Avera Mckennan | 111 10th St E, Dell Rapids, SD 57022-1217 |
David J Cinco | Certified Registered Nurse Anesthetist (crna) | Avera Mckennan | 909 N Iowa Ave, Dell Rapids, SD 57022-1231 |
Cheryl L Hepp | Certified Registered Nurse Anesthetist (crna) | Avera Mckennan | 909 N Iowa Ave, Dell Rapids, SD 57022-1231 |
Kristi Kae Hauck | Certified Registered Nurse Anesthetist (crna) | Avera Mckennan | 909 N Iowa Ave, Dell Rapids, SD 57022-1231 |
Mark R Dahlquist | Certified Registered Nurse Anesthetist (crna) | Avera Mckennan | 909 N Iowa Ave, Dell Rapids, SD 57022-1231 |
Mark John Steinborn | Certified Registered Nurse Anesthetist (crna) | Avera Mckennan | 909 N Iowa Ave, Dell Rapids, SD 57022-1231 |
Jenna L Hale | Certified Registered Nurse Anesthetist (crna) | Avera Mckennan | 909 N Iowa Ave, Dell Rapids, SD 57022-1231 |
Find all physicians in zip 57022 |
City | DELL RAPIDS |
Zip Code | 57022 |
Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
City + Specialty | DELL RAPIDS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.