Bongi A Rudder (NPI# 1255531430, PAC ID# 8820230089) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY.
| Nation Provider ID (NPI) | 1255531430 |
| PAC ID by PECOS | 8820230089 |
| Professional Enrollment ID | I20130819000090 |
| Full Name | Bongi A Rudder |
| Organization Legal Name | SANFORD CLINIC |
| Address |
1309 W 17th St Suite 101 Sioux Falls SD 57104-8805 |
| Phone Number | 6053288000 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | HEMATOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0244143824 |
| Number of Group Practice Members | 345 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241353 | CUYUNA REGIONAL MEDICAL CENTER |
| 430027 | SANFORD USD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 320 E Main St, Crosby, MN 56441-1645 | 2185467000 | CUYUNA REGIONAL MEDICAL CENTER |
| 1309 W 17th St, Suite 101, Sioux Falls, SD 57104-8805 | 6053288000 | 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 |
1309 W 17TH ST SUITE 101 |
| City | SIOUX FALLS |
| State | SD |
| Zip | 57104-8805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather M Casper-mclay | Nurse Practitioner | Sanford Clinic | 1309 W 17th St, Suite 101, Sioux Falls, SD 57104-8805 |
| Maria C Bell | Gynecological Oncology | Sanford Medical Center | 1309 W 17th St, Suite 102, Sioux Falls, SD 57104-4663 |
| Avigayil East | Nurse Practitioner | Sanford Clinic | 1309 W 17th St, Suite 101, Sioux Falls, SD 57104-8805 |
| Keely M Hack | Hematology/oncology | Sanford Clinic | 1309 W 17th St, Suite 101, Sioux Falls, SD 57104-8805 |
| Jacqueline R Kelley | Nurse Practitioner | Sanford Clinic | 1309 W 17th St, Suite 101, Sioux Falls, SD 57104-8805 |
| Ryan K Nowak | Radiation Oncology | Sanford Clinic | 1309 W 17th St, Suite 101, Sioux Falls, SD 57104-8805 |
| Susan J Halbritter | Nurse Practitioner | Sanford Clinic | 1309 W 17th St, G01 Sc Breast Health In, Sioux Falls, SD 57104-4663 |
| Lili W Wilson | Nurse Practitioner | Sanford Clinic | 1309 W 17th St, Suite 101, Sioux Falls, SD 57104-8805 |
| Steven C Mcgraw | Radiation Oncology | Sanford Clinic | 1309 W 17th St, Suite 101, Sioux Falls, SD 57104-8805 |
| Miroslaw A Mazurczak | Medical Oncology | Sanford Clinic | 1309 W 17th St, Suite 101, Sioux Falls, SD 57104-8805 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Reinschmidt | Diagnostic Radiology | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| Khalil A Yousef | Diagnostic Radiology | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| Adam H Nichols | Podiatry | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| Edward J Czarnecki | Diagnostic Radiology | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| Mohammad Qamar | Nephrology | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| David A Swanson | Nuclear Medicine | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| Christina E Lankhorst | Nephrology | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| Muhammad S Mustafa | Neurology | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| Anthony J Rupp | Nephrology | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| Aaron D Berg | Diagnostic Radiology | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| Find all physicians in zip 57104 | |||
| City | SIOUX FALLS |
| Zip Code | 57104 |
| Specialty | HEMATOLOGY |
| City + Specialty | SIOUX FALLS + HEMATOLOGY |
Please comment or provide details below to improve the information on Bongi A Rudder.
| 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.