DR. PREMA ABRAHAM (NPI# 1063492940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063492940 |
| Entity Type | Individual |
| Full Name | DR. PREMA ABRAHAM |
| Credential | MD |
| Practice Address |
2800 3rd St Rapid City SD 57701-7374 |
| Practice Telephone | 6053412000 |
| Practice Fax Number | 6057193211 |
| Mailing Telephone | 6053412000 |
| Mailing Fax Number | 6057193211 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2017-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
3996 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6301392 | 05 |
| Street Address |
2800 3RD ST |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-7374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093129256 | Jess Moser | Optometrist | 2800 3rd St, Rapid City, SD 57701-7374 | 2014-06-16 |
| 1366700460 | Adam Jorgensen | Ophthalmology | 2800 3rd St, Rapid City, SD 57701 | 2012-04-26 |
| 1104114487 | Black Hills Regional Eye Institute Refractive Surgery Center, LLC | Clinic/Center | 2800 3rd St, Rapid City, SD 57701-7374 | 2011-07-20 |
| 1518139070 | Stephen S Khachikian | Ophthalmology | 2800 3rd St, Rapid City, SD 57701-7374 | 2008-03-25 |
| 1558575498 | Scott Schirber | Optometrist | 2800 3rd St, Rapid City, SD 57701-7374 | 2007-05-10 |
| 1174654081 | Black Hills Regional Eye Surgery Center, LLC | Nurse Anesthetist, Certified Registered | 2800 3rd St, Rapid City, SD 57701-7374 | 2007-03-09 |
| 1912073834 | Black Hills Regional Eye Institute | Optometrist | 2800 3rd St, Rapid City, SD 57701-7374 | 2006-11-24 |
| 1710051602 | Bert C Corwin | Optometrist | 2800 3rd St, Rapid City, SD 57701-7374 | 2006-11-20 |
| 1679653240 | Ryan Leo Scarborough | Optometrist | 2800 3rd St, Rapid City, SD 57701 | 2006-10-17 |
| 1689687683 | Optical Works Inc | Technician/Technologist | 2800 3rd St, Rapid City, SD 57701-7374 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on DR. PREMA ABRAHAM.
| 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.