Center For Family Medicine | |
1115 E 20th St Sioux Falls SD 57105-1013 | |
(605) 339-1783 | |
(605) 367-7157 |
Full Name | Center For Family Medicine |
---|---|
Speciality | Family Medicine |
Location | 1115 E 20th St, Sioux Falls, South Dakota |
Authorized Official Name and Position | Rose Marie Fedt (BUSINESS OFFICE SUPERVISOR) |
Authorized Official Contact | 6055751608 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Family Medicine 1115 E 20th St Sioux Falls SD 57105-1013 Ph: (605) 339-1783 | Center For Family Medicine 1115 E 20th St Sioux Falls SD 57105-1013 Ph: (605) 339-1783 |
NPI Number | 1164493672 |
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Provider Enumeration Date | 02/01/2006 |
Last Update Date | 05/23/2023 |
Medicare PECOS PAC ID | 2769478429 |
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Medicare Enrollment ID | O20040420001759 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164493672 | NPI | - | NPPES |
5604900 | Medicaid | SD | |
150012100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Thomas J Huber |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982645594 PECOS PAC ID: 3678567369 Enrollment ID: I20040414000787 |
Provider Name | Charles W Shafer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720052228 PECOS PAC ID: 8224078225 Enrollment ID: I20050510000223 |
Provider Name | Jennifer A Schriever |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013912120 PECOS PAC ID: 0941221048 Enrollment ID: I20051216000505 |
Provider Name | Mark K Huntington |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326007469 PECOS PAC ID: 4082515069 Enrollment ID: I20061228000420 |
Provider Name | Mary G Schmitz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366402083 PECOS PAC ID: 3678543139 Enrollment ID: I20071023000760 |
Provider Name | Tara W Geis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689785529 PECOS PAC ID: 1355383571 Enrollment ID: I20080212000432 |
Provider Name | James R Wilde |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467424291 PECOS PAC ID: 6204915788 Enrollment ID: I20080508000655 |
Provider Name | Fredric Thanel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578537338 PECOS PAC ID: 2769557685 Enrollment ID: I20080812000501 |
Provider Name | Jean Heisler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972686467 PECOS PAC ID: 1355447533 Enrollment ID: I20090127000065 |
Provider Name | Mary E Watson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962474031 PECOS PAC ID: 3678628690 Enrollment ID: I20090827000188 |
Provider Name | Wesley J Nord |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376511014 PECOS PAC ID: 6305991761 Enrollment ID: I20090908000674 |
Provider Name | Joseph J Seurer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699932020 PECOS PAC ID: 7012186240 Enrollment ID: I20110804000489 |
Provider Name | Amy L Hogue |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811915093 PECOS PAC ID: 0840375879 Enrollment ID: I20140120000192 |
Provider Name | Carolyn E Gilbertson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679835979 PECOS PAC ID: 8729217013 Enrollment ID: I20151112003044 |
Provider Name | Bradley D Kamstra |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538151287 PECOS PAC ID: 3375612310 Enrollment ID: I20160719001392 |
Provider Name | Kathy M Geraets |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225472152 PECOS PAC ID: 4082843354 Enrollment ID: I20160922001393 |
Provider Name | Kate H Boos |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508087164 PECOS PAC ID: 1052492832 Enrollment ID: I20180425002130 |
Provider Name | Samuel M Zollicker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437507399 PECOS PAC ID: 3375887649 Enrollment ID: I20191210000672 |
Provider Name | Heather M Clouse |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659513596 PECOS PAC ID: 8921439381 Enrollment ID: I20200519001596 |
Provider Name | Marjorie J Heier |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730181280 PECOS PAC ID: 0648288647 Enrollment ID: I20200901001035 |
Provider Name | Leshea M Quade |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477118958 PECOS PAC ID: 4880071612 Enrollment ID: I20220517003116 |
Provider Name | Paige J Selvey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295298461 PECOS PAC ID: 3274913686 Enrollment ID: I20220701000941 |
Provider Name | Stacey L Leber |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912468091 PECOS PAC ID: 9032444716 Enrollment ID: I20220805000642 |
Provider Name | Gabriel Taff Harris |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477780849 PECOS PAC ID: 1850685561 Enrollment ID: I20231006000981 |
Provider Name | Abigail L Pira |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669098653 PECOS PAC ID: 8921421603 Enrollment ID: I20231121002476 |
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