YANKTON MEDICAL CLINIC PC (NPI# 1174502561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174502561 |
| Entity Type | Organization |
| Organization Name | YANKTON MEDICAL CLINIC PC |
| Practice Address |
1104 W 8th St Yankton SD 57078 |
| Mailing Address |
1104 W 8th St Yankton SD 57078-3306 |
| Practice Telephone | 6056657841 |
| Practice Fax Number | 6056650546 |
| Mailing Telephone | 6056657841 |
| Mailing Fax Number | 6056650546 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2018-05-21 |
| Authorized Official Name | CHARLES A AMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6056657841 |
| Is Organization Subpart | Y |
| Parent Organization Name | YANKTON MEDICAL CLINIC PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities | ||
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
11145 | SD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5490090 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306962162 | Yankton Medical Clinic PC | General Practice | 101 S Plum St, Vermillion, SD 57069-3306 | 2007-03-22 |
| 1811003866 | Yankton Medical Clinic PC | Pharmacy | 1104 W 8th St, Yankton, SD 57078-3306 | 2006-08-22 |
| 1194704502 | Yankton Medical Clinic PC | Clinical Medical Laboratory | 1104 W 8th St, Yankton, SD 57078-3306 | 2006-01-13 |
| 1447251350 | Yankton Medical Clinic PC | Clinic/Center | 1104 W 8th St, Yankton, SD 57078-3306 | 2005-08-02 |
| Street Address |
1104 W 8TH ST |
| City | YANKTON |
| State | SD |
| Zip Code | 57078 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518129576 | Usc Ambulatory Surgical Center Prof LLC | Clinic/Center | 201 West 69th Street, Sioux Falls, SD 57108-2424 | 2008-06-30 |
| 1184660151 | Innovative Procedural Center LLC | Clinic/Center | 1512 4th St Ne, Watertown, SD 57201-6824 | 2006-06-20 |
| 1427009034 | Prairie States Surgical Center LLC | Clinic/Center | 2908 E 26th St Ste B, Sioux Falls, SD 57103-4034 | 2006-05-16 |
| 1013968718 | Rushmore Ambulatory Surgery Center | Clinic/Center | 620 Sheridan Lake Rd, Suite 104, Rapid City, SD 57702-2406 | 2006-05-15 |
| 1093792244 | Cj Elmwood Partners L P | Clinic/Center | 3801 S Elmwood Ave, Sioux Falls, SD 57105-6565 | 2005-12-29 |
| 1033195912 | Surgical Associates Endoscopy Clinic LLC | Clinic/Center | 310 S Pennsylvania St, Suite 201, Aberdeen, SD 57401-4553 | 2005-12-21 |
| 1760465207 | Plastic Surgical Center of Rapid City, Prof. L.L.C. | Clinic/Center | 3615 5th St, Suite 100, Rapid City, SD 57701-6014 | 2005-11-29 |
| 1871581876 | Ophthalmology Ltd Eye Surgery Center LLC | Clinic/Center | 6601 S. Minnesota Avenue, Suite 100, Sioux Falls, SD 57108-2564 | 2005-10-12 |
| 1831504711 | Avera St Lukes | Clinic/Center | 310 S Penn St, Ste 201, Aberdeen, SD 57401 | 2014-06-30 |
| 1205171295 | Vance Thompson Vision Surgery Center Prof LLC | Clinic/Center | 3101 W 57th St, Sioux Falls, SD 57108-3162 | 2012-12-03 |
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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.