KATHERINE BONNICHSEN


Address: Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave, Pierre, SD 57501
Phone: 6059455217

KATHERINE BONNICHSEN (NPI# 1003234832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003234832
Entity Type Individual
Full Name KATHERINE BONNICHSEN
Credential MD
Practice Address Avera Medical Group Pierre - Helmsley Center
801 E Sioux Ave
Pierre
SD 57501
Practice Telephone 6059455217
Mailing Telephone 6059455217
Enumeration Date 2014-03-29
Last Update Date 2018-12-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 10974 SD Allopathic & Osteopathic Physicians

Office Location

Street Address AVERA MEDICAL GROUP PIERRE - HELMSLEY CENTER
801 E SIOUX AVE
City PIERRE
State SD
Zip Code 57501

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518420694 Shawna K Fullerton Social Worker 1309 E Wells Ave, Pierre, SD 57501 2019-04-07
1841779758 Joanne Sarringar Physical Therapist 801 E. Sioux Avenue, Pierre, SD 57501 2018-08-10
1417232166 Louis J Van Roekel Pharmacist 100 E Sioux, Pierre, SD 57501 2011-10-13
1508164401 Bechtold Thompson Dental Clinic Dentist 640 E. Sioux Ave, Pierre, SD 57501 2011-03-02
1417180969 Dentistry At The St. Charles LLC Dentist 207 E. Capitol Ave. Ste 201, Pierre, SD 57501 2009-09-01
1063663995 Buron O. Lindbloom Family Medicine 3200 E. Hwy 34, S.d. Womens Prison, Pierre, SD 57501 2008-10-09
1831221522 Curt C Kuehl Chiropractor 430 W Sioux Ave, Pierre, SD 57501 2007-03-09
1376603092 Tim Wald Physical Therapist 1012 Woodview Dr #20, Pierre, SD 57501 2006-12-11
1184702540 Tami Lynn Hogie-lorenzen Nurse Practitioner 1714 Abbey Road, Pierre, SD 57501 2006-11-02
1962596098 Brent A Swenson Dentist 433 S Central Ave, Pierre, SD 57501 2006-10-03
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528327798 Joyce Wesley Fletcher Dermatology 100 Mac Ln, Pierre, SD 57501-3391 2012-05-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720441496 Kathleen Engeln Dermatology 105 S State St # 202, Aberdeen, SD 57401-4501 2016-03-31
1972790160 Christopher Gasbarre Dermatology 550 East Colorado Blvd, Spearfish, SD 57783-2776 2007-10-02
1124210828 Linda Jo Fromm Dermatology 4447 S Canyon Rd Ste 6, Rapid City, SD 57702-1889 2007-08-16
1992996771 Valerie Flynn Dermatology 6701 S. Minnesota Ave, Sioux Falls, SD 57108-2591 2007-08-06
1558373845 Rapid City Medical Center LLP Dermatology 130 N 15th St, Hot Springs, SD 57747-1316 2006-08-13
1215981907 Ian Andrew Whitcroft Dermatology 200 E Highland Blvd, Watertown, SD 57201 2006-05-19
1346216074 Avera Mckennan Dermatology 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 2006-02-23
1669448387 Dennis D Knutson Dermatology 116 W. 69th St., Ste. 100, Sioux Falls, SD 57108 2006-02-23
1235103060 Marc E Boddicker Dermatology 710 Saint Anne St, Rapid City, SD 57701-4670 2006-02-16
1467426387 Jonathan Dean Medeck Dermatology 710 Saint Anne Street, Rapid City, SD 57701-4670 2006-02-15
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City PIERRE
Zip Code 57501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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