| |
357 W Tower Rd Dakota Dunes SD 57049-5018 | |
(712) 255-7746 | |
(712) 255-0829 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 357 W Tower Rd, Dakota Dunes, South Dakota |
Authorized Official Name and Position | Teri A Harris (ADMINISTRATOR) |
Authorized Official Contact | 7122557746 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
357 West Tower Road Dakota Dunes SD 57049 Ph: (712) 255-7746 | 357 W Tower Rd Dakota Dunes SD 57049-5018 Ph: (712) 255-7746 |
NPI Number | 1386065662 |
---|---|
Provider Enumeration Date | 01/03/2014 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 7618886789 |
---|---|
Medicare Enrollment ID | O20140417000904 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386065662 | NPI | - | NPPES |
1821044884 | Other | IA | NPI |
Provider Name | Ashar Luqman |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1275742090 PECOS PAC ID: 0749458685 Enrollment ID: I20140415000890 |
Provider Name | Jerold Clancy Erlandson |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1558571497 PECOS PAC ID: 5092986869 Enrollment ID: I20151202000449 |
Provider Name | Syed Ali |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1679544704 PECOS PAC ID: 5597796656 Enrollment ID: I20170620000923 |
Provider Name | Marwan Farhan Jarmakani |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1972572386 PECOS PAC ID: 4688754377 Enrollment ID: I20210419002741 |
Provider Name | Makenzie K Kreber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508496134 PECOS PAC ID: 1355762204 Enrollment ID: I20230215001335 |
Provider Name | Kimberly A Hokinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316652043 PECOS PAC ID: 9234594615 Enrollment ID: I20230622000057 |
Provider Name | Euclid J St Hill |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1740703990 PECOS PAC ID: 2365805249 Enrollment ID: I20230824002615 |
Provider Name | Aura Cambara-ochoa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558126706 PECOS PAC ID: 9537508684 Enrollment ID: I20240618003981 |
Specialty Clinic Of Sioux City, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Bayhill Cir, Dakota Dunes, SD 57049 Phone: 605-553-6458 | |
Siouxland Gastroenterology P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Tower Road, Suite105, Dakota Dunes, SD 57049 Phone: 605-217-4300 | |