Jon Mathew Sovell, CRNA | |
305 S State St, Aberdeen, SD 57401-4527 | |
(605) 622-5000 | |
(605) 622-5255 |
Full Name | Jon Mathew Sovell |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 305 S State St, Aberdeen, 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 |
---|---|---|---|
1821225947 | NPI | - | NPPES |
CR000725 | Other | SD | CRNA CERTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R031957 (South Dakota) | Primary |
Entity Name | Johnson Memorial Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770697260 PECOS PAC ID: 5395653836 Enrollment ID: O20031223000327 |
Entity Name | Johnson Memorial Health Services |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1093745051 PECOS PAC ID: 5395653836 Enrollment ID: O20060504000935 |
Entity Name | Madison Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942246848 PECOS PAC ID: 9638080187 Enrollment ID: O20160809000563 |
Mailing Address | Practice Location Address |
---|---|
Jon Mathew Sovell, CRNA 430 Jackson Ave, Ortonville, MN 56278-1453 Ph: (605) 622-5000 | Jon Mathew Sovell, CRNA 305 S State St, Aberdeen, SD 57401-4527 Ph: (605) 622-5000 |
Thomas R Schuster, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2905 3rd Ave Se, Aberdeen, SD 57401 Phone: 605-626-4200 Fax: 605-626-4211 | |
Eloy P Malsom, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 701 8th Ave Nw, Aberdeen, SD 57401 Phone: 605-225-3300 | |
Anne Elizabeth Teachout, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5542 | |
David Fischer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5255 | |
Michael J Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5255 | |
Jennifer L Timm, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5255 | |
Richard James Bartl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5127 |