JEREMY S KUDERA (NPI# 1063433167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063433167 |
| Entity Type | Individual |
| Full Name | JEREMY S KUDERA |
| Credential | MD |
| Practice Address |
1104 W 8th St Yankton SD 57078-3306 |
| Mailing Address |
1104 W 8th St Po Box 706 Yankton SD 57078-3306 |
| Practice Telephone | 6056657841 |
| Mailing Telephone | 6056657841 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 7840 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ENROLLED | 05 | |
| MN | RAILROAD MEDICARE | P00617249 | 01 |
| MN | 896620000 | 05 |
| Street Address |
1104 W 8TH ST |
| City | YANKTON |
| State | SD |
| Zip Code | 57078-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009984 | James E Appelwick | Surgery | 1104 W 8th St, Yankton, SD 57078-3306 | 2005-08-02 |
| 1770184996 | Brandon Frick | Physician Assistant | 1104 W 8th St, Yankton, SD 57078-3306 | 2020-11-04 |
| 1023678075 | Elizabeth Ann Wortmann | Nurse Practitioner | 1104 W 8th St, Yankton, SD 57078-3306 | 2019-06-20 |
| 1518526599 | Thomas Allen Viereck | Nurse Practitioner | 1104 W 8th St, Yankton, SD 57078-3306 | 2019-06-12 |
| 1902330772 | Jordan Schild | Family Medicine | 1104 W 8th St, Yankton, SD 57078-3306 | 2017-04-18 |
| 1669912291 | Sarah Arens | Physician Assistant | 1104 W 8th St, Yankton, SD 57078-3306 | 2017-03-01 |
| 1336683150 | Chelsie Promes | Nurse Practitioner | 1104 W 8th St, Yankton, SD 57078-3306 | 2016-12-13 |
| 1447601141 | Martha Holstein | Internal Medicine | 1104 W 8th St, Yankton, SD 57078-3306 | 2016-06-24 |
| 1730561051 | Sara Pepper | Pediatrics | 1104 W 8th St, Yankton, SD 57078-3306 | 2015-06-23 |
| 1548656911 | Abigail Mary Reynolds | Family Medicine | 1104 W 8th St, Yankton, SD 57078 | 2015-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719661 | Jime Lynne Rivera | Psychiatry & Neurology | 708 E 21st Street, Yankton, SD 57078 | 2020-11-01 |
| 1043617210 | Kenneth Tomek | Dietitian, Registered | 2100 Broadway St, Yankton, SD 57078 | 2014-12-03 |
| 1932530276 | Jacqueline Ann Kelley | Nurse Practitioner | 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 | 2013-12-12 |
| 1124363130 | Susan Kay Taecker | Occupational Therapist | 1502 Jo Ln, Yankton, SD 57078 | 2012-12-02 |
| 1295865178 | Dr Jon C Baumann Dds PC | Dentist | 809 Belfast Street, Yankton, SD 57078 | 2007-03-07 |
| 1306989090 | Gregory Scott Erickson | Internal Medicine | 501 Summit, Yankton, SD 57078 | 2007-02-14 |
| 1104976356 | Pine Lane Estates LLC | Assisted Living Facility | 2905 Douglas Ave, Yankton, SD 57078 | 2007-01-11 |
| 1518029917 | Teresa M Henrickson | Counselor | 904 W 23rd St Ste 101, Heartland Psychological Services, Yankton, SD 57078 | 2006-12-14 |
| 1396805016 | Joseph G Blackinton | Psychologist | Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 | 2006-12-11 |
| 1942383468 | Deborah Jean Kachena | Social Worker | 610 W 23rd Street, Yankton, SD 57078 | 2006-10-21 |
| Find all providers in zip 57078 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457310229 | Douglas D Neilson | Orthopaedic Surgery | 2007 Locust St, Yankton, SD 57078-2030 | 2006-03-21 |
| 1881037265 | Jessica Reissig | Orthopaedic Surgery | 1104 W 8th St, Yankton, SD 57078-3306 | 2013-04-16 |
| 1205105657 | Sacred Heart Health Services | Orthopaedic Surgery | 501 Summit St, Yankton, SD 57078-3855 | 2011-12-14 |
| 1336432228 | Orthopedics International LLC | Orthopaedic Surgery | 2007 Locust St, Yankton, SD 57078-2030 | 2011-05-25 |
| 1821235219 | Don D. Swift II, Do, PC | Orthopaedic Surgery | 2007 Locust St, Yankton, SD 57078-2030 | 2009-01-07 |
| 1093930521 | Brent David Adams | Orthopaedic Surgery | 1104 W 8th St, Yankton, SD 57078-3306 | 2007-04-17 |
| 1609817584 | Yankton Bone Joint & Sports Medicine Center PC | Orthopaedic Surgery | 1000 W 4th St, Suite 1, Yankton, SD 57078-3730 | 2006-06-09 |
| 1164481883 | Don D Swift II | Orthopaedic Surgery | 2007 Locust St, Yankton, SD 57078-2030 | 2006-03-21 |
| 1558349720 | Marques E Rhoades | Orthopaedic Surgery | 1104 W 8th St, Yankton Medical Clinic, Yankton, SD 57078 | 2006-01-06 |
| 1578564167 | Stanford G Seibel | Orthopaedic Surgery | 1104 W 8th St, Yankton, SD 57078-3306 | 2005-08-03 |
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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.