Dr Adam S Gorra, MD | |
1600 W 22nd St, Sioux Falls, SD 57105-1521 | |
(605) 312-1000 | |
Not Available |
Full Name | Dr Adam S Gorra |
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Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 1600 W 22nd St, Sioux Falls, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730260803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | EC-05-100 (Maine) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | 01077484 (Indiana) | Primary |
Entity Name | Sanford Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396764254 PECOS PAC ID: 0244143824 Enrollment ID: O20031110000532 |
Entity Name | Sanford Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790721280 PECOS PAC ID: 6800707100 Enrollment ID: O20031111000266 |
Entity Name | Sanford Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821017880 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388 |
Mailing Address | Practice Location Address |
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Dr Adam S Gorra, MD 3926 New Vision Dr, Bldg H, Fort Wayne, IN 46845-1712 Ph: (260) 266-8213 | Dr Adam S Gorra, MD 1600 W 22nd St, Sioux Falls, SD 57105-1521 Ph: (605) 312-1000 |
Mark Shashikant, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6215 South Cliff Avenue, Sioux Falls, SD 57108 Phone: 605-322-4130 Fax: 605-322-4131 | |
Dennis Glatt, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1201 S Euclid Ave, Ste 104, Sioux Falls, SD 57105 Phone: 605-328-3840 Fax: 605-328-3841 | |
Bradley Clark Thaemert, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 911 E 20th St, Ste 700, Sioux Falls, SD 57105 Phone: 605-334-0393 Fax: 605-334-6028 | |
Dr. Patrick Wayne Kelly, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3801 S Elmwood Ave, Sioux Falls, SD 57105 Phone: 605-306-6140 Fax: 605-306-6500 | |
Kirke Wheeler, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1201 S Euclid Ave, Ste 104, Sioux Falls, SD 57105 Phone: 605-328-3840 Fax: 605-328-3841 | |
Dr. Scott James Keckler, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1600 W 22nd St, Sioux Falls, SD 57105 Phone: 605-312-1000 Fax: 605-312-1001 | |
Gregory Kent Nissen, Surgery Medicare: Accepting Medicare Assignments Practice Location: 3801 S Elmwood Ave, Sioux Falls, SD 57105 Phone: 605-306-6140 Fax: 605-306-6500 |