DR. THOMAS MATTHEW BOETEL (NPI# 1043276645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043276645 |
| Entity Type | Individual |
| Full Name | DR. THOMAS MATTHEW BOETEL |
| Credential | D.O. |
| Practice Address |
1210 W 18th St Suite 100 Sioux Falls SD 57104-9890 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053128500 |
| Practice Fax Number | 6053128501 |
| Mailing Telephone | 6053281848 |
| Mailing Fax Number | 6053281898 |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2020-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 7154 | SD | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | OS013636 | PA | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
7154 | SD | Allopathic & Osteopathic Physicians |
| Street Address |
1210 W 18TH ST SUITE 100 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57104-9890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043216955 | John Elmer Forrette Jr. | Podiatrist | 1210 W 18th St, Sioux Falls, SD 57104-4647 | 2005-06-24 |
| 1437701570 | April E Labat | Nurse Practitioner | 1210 W 18th St, Sioux Falls, SD 57104-4647 | 2019-07-09 |
| 1245731728 | Jonathan Sorensen | Nurse Practitioner | 1210 W 18th St, Sioux Falls, SD 57104-4647 | 2018-02-21 |
| 1639610116 | Krystal Niesen | Physician Assistant | 1210 W 18th St, Suite G01, Sioux Falls, SD 57104-4647 | 2017-03-16 |
| 1811433709 | Marie Hansen | Physician Assistant | 1210 W 18th St, Suite G01, Sioux Falls, SD 57104-4647 | 2017-01-16 |
| 1952843054 | Megan Marie Weston | Nurse Practitioner | 1210 W 18th St, Suite 100, Sioux Falls, SD 57104-4647 | 2016-11-07 |
| 1497203780 | Stacy Eden | Nurse Practitioner | 1210 W 18th St, Sioux Falls, SD 57104-4647 | 2016-09-14 |
| 1689021537 | Christopher De Berg | Nurse Practitioner | 1210 W 18th St, Suite G01, Sioux Falls, SD 57104-4651 | 2016-05-20 |
| 1902285463 | Caleb Richard Blauwet | Physician Assistant | 1210 W 18th St, Suite G01, Sioux Falls, SD 57104-4647 | 2015-05-29 |
| 1144613803 | Joanne Gunderson | Nurse Practitioner | 1210 W 18th St, Ste 100, Sioux Falls, SD 57104-9890 | 2015-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1033637210 | Anna Peasley | Speech-Language Pathologist | 710 W 18th St, Sioux Falls, SD 57104 | 2017-09-07 |
| 1699204313 | Sioux Falls Primary Home Care Services LLC | In Home Supportive Care | 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 | 2017-06-06 |
| 1093258808 | Megan Regina Wexler | Social Worker | 4510 N Lewis Ave, Sioux Falls, SD 57104 | 2016-11-28 |
| 1831645498 | Ryan Ortiz | Specialist/Technologist | 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 | 2016-09-01 |
| 1881140622 | Kristine Carol Smith | Occupational Therapist | 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 | 2016-08-31 |
| 1215299292 | Jolene Mitchell | Preventive Medicine | 900 E 54th St N Ste 100, Sioux Falls, SD 57104 | 2012-06-14 |
| 1871874651 | Christine Marie Burg | Pharmacist | 2503 East 54th Street N., Medvantx Pharmacy Services, Sioux Falls, SD 57104 | 2011-09-07 |
| Find all providers in zip 57104 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063686186 | Christopher Janssen | Physical Medicine & Rehabilitation | 1210 W 18th St, Ste 100, Sioux Falls, SD 57104-9890 | 2008-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396851655 | American Pain Relief Institute Prof LLC | Physical Medicine & Rehabilitation | 1719 Broadway Ave Ste F, Yankton, SD 57078-3700 | 2006-08-21 |
| 1225655350 | Blake Story | Physical Medicine & Rehabilitation | 3012 E Aspen Blvd, Brandon, SD 57005-2202 | 2020-07-06 |
| 1407896301 | William Edward Cohen | Physical Medicine & Rehabilitation | 501 Summit St, Yankton, SD 57078 | 2006-06-08 |
| City | SIOUX FALLS |
| Zip Code | 57104 |
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| 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.