Dr John H Shelso, MD | |
1600 W 22nd St, Sioux Falls, SD 57105-1521 | |
(605) 312-1000 | |
(605) 312-1001 |
Full Name | Dr John H Shelso |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Endocrinology |
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 |
---|---|---|---|
1164425740 | NPI | - | NPPES |
5440119 | Medicaid | TN | |
694544897A | Medicaid | GA | |
Q36354 | Medicaid | SC | |
0082960 | Medicaid | MT | |
009992005 | Medicaid | AL | |
02604722-03 | Medicaid | NY | |
0587857 | Medicaid | IA | |
05086744 | Medicaid | MS | |
64081276 | Medicaid | KY | |
200031050A | Medicaid | OK | |
200513750A | Medicaid | IN | |
209076900 | Medicaid | MO | |
82736863 | Medicaid | NM | |
977465 | Medicaid | AZ | |
422400000 | Medicaid | ME | |
7614234 | Medicaid | NC | |
1470945 | Medicaid | LA | |
154141001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0205X | Pediatrics - Pediatric Endocrinology | 36353 (Tennessee) | Secondary |
2080P0205X | Pediatrics - Pediatric Endocrinology | 3920 (South Dakota) | Primary |
Entity Name | Sanford Clinic |
---|---|
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 |
---|---|
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 |
---|---|
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 |
---|---|
Dr John H Shelso, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Dr John H Shelso, MD 1600 W 22nd St, Sioux Falls, SD 57105-1521 Ph: (605) 312-1000 |
Dr. Shari L Eich, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 S Marion Rd, Sioux Falls, SD 57106 Phone: 605-322-1010 Fax: 605-322-1011 | |
Michael Elliott, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 S 7th Ave, Ste 2, Sioux Falls, SD 57105 Phone: 605-336-2140 | |
Brock J Doubledee, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 W 22nd, Sioux Falls, SD 57105 Phone: 605-312-1000 Fax: 605-312-1001 | |
Katherine Wang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1325 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-322-4425 Fax: 605-322-4499 | |
Kayelyn J. Wagner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 W 22nd St, Sioux Falls, SD 57105 Phone: 605-312-1000 Fax: 605-312-1001 | |
Gulsah Olgun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 S Grange Ave Ste 307, Sioux Falls, SD 57105 Phone: 605-328-7800 Fax: 605-328-7899 | |
Mrs. Katie Elizabeth Larson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 S Grange Ave, Suite 307, Sioux Falls, SD 57105 Phone: 605-328-7800 Fax: 605-328-7899 |