CENTER FOR FAMILY MEDICINE (NPI# 1164493672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164493672 |
| Entity Type | Organization |
| Organization Name | CENTER FOR FAMILY MEDICINE |
| Practice Address |
1115 E 20th St Sioux Falls SD 57105-1013 |
| Practice Telephone | 6053391783 |
| Practice Fax Number | 6053677157 |
| Mailing Telephone | 6053391783 |
| Mailing Fax Number | 6053677157 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2008-06-11 |
| Authorized Official Name | NANCY A OLSON (BUSINESS OFFICE SUPERVISOR) |
| Authorized Official Telephone | 6055751616 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 150012100 | 05 | |
| SD | 5604900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518924877 | Center for Family Medicine | Physician Assistant | 111 N Pine St, Trenton, GA 30752-2503 | 2006-04-28 |
| 1093771032 | Center for Family Medicine | Internal Medicine | 111 N Pine St, Trenton, GA 30752-2503 | 2006-04-26 |
| 1821058017 | Center for Family Medicine | Family Medicine | 55 Holly Springs Park Dr, Franklin, NC 28734-0719 | 2006-03-23 |
| Street Address |
1115 E 20TH ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932183753 | Lee Maitland Mabee Jr. | Obstetrics & Gynecology | 1115 E 20th St, Sioux Falls, SD 57105-1013 | 2005-12-05 |
| 1326661513 | Charissa Raymond | Student in an Organized Health Care Education/Training Program | 1115 E 20th St, Sioux Falls, SD 57105-1013 | 2020-05-21 |
| 1316569783 | Clara Rose Strunk | Student in an Organized Health Care Education/Training Program | 1115 E 20th St, Sioux Falls, SD 57105-1013 | 2020-05-08 |
| 1477174837 | Emily Ruth Penning | Student in an Organized Health Care Education/Training Program | 1115 E 20th St, Sioux Falls, SD 57105-1013 | 2020-04-27 |
| 1386265734 | Travis Dennis Rath | Student in an Organized Health Care Education/Training Program | 1115 E 20th St, Sioux Falls, SD 57105-1013 | 2020-04-27 |
| 1467072082 | Jamie Kathryn Baden | Student in an Organized Health Care Education/Training Program | 1115 E 20th St, Sioux Falls, SD 57105-1013 | 2020-04-23 |
| 1063032779 | Mitchell Lloyd Raymond | Student in an Organized Health Care Education/Training Program | 1115 E 20th St, Sioux Falls, SD 57105-1013 | 2020-04-22 |
| 1346860467 | Victor Craig Strasburg | Student in an Organized Health Care Education/Training Program | 1115 E 20th St, Sioux Falls, SD 57105-1013 | 2020-04-18 |
| 1164041208 | Austin Eggers | Student in an Organized Health Care Education/Training Program | 1115 E 20th St, Sioux Falls, SD 57105-1013 | 2020-04-09 |
| 1407475528 | Rebecca Cooper | Student in an Organized Health Care Education/Training Program | 1115 E 20th St, Sioux Falls, SD 57105-1013 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1023524741 | Quick Health Urgent Care LLC | Family Medicine | 7600 S Louise Ave Ste 150, Sioux Falls, SD 57108-5999 | 2017-12-18 |
| 1104246297 | Kayla Norenberg | Family Medicine | 6110 S. Minnesota Avenue, Sioux Falls, SD 57108-2571 | 2014-04-16 |
| 1427492206 | Nelly O Boyt | Family Medicine | 3524 S Spencer Blvd, Sioux Falls, SD 57103-4653 | 2013-04-23 |
| 1346512266 | Avera Mckennan | Family Medicine | 1035 South Highline Place, Sioux Falls, SD 57110-1000 | 2012-02-08 |
| 1699005074 | Avera Mckennan | Family Medicine | 930 E 6th St, Sioux Falls, SD 57103-1306 | 2010-01-06 |
| 1508196981 | Avera Mckennan | Family Medicine | 1200 E 3rd St, Sioux Falls, SD 57103-0901 | 2010-01-06 |
| 1912153578 | Avera Mckennan | Family Medicine | 501 N Sycamore Ave, Sioux Falls, SD 57110-5752 | 2008-08-14 |
| 1538315353 | Michael P. Crandell | Family Medicine | 300 Cherapa Pl, Suite 201, Sioux Falls, SD 57103-2269 | 2008-08-12 |
| 1225293996 | Jerry Leroi Walton | Family Medicine | 4310 S Minnesota Ave, Sioux Falls, SD 57105-6747 | 2008-07-22 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.