DR. VICTORIA L. KNUDSEN (NPI# 1174574800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174574800 |
Entity Type | Individual |
Full Name | DR. VICTORIA L. KNUDSEN |
Other Name | VICTORIA MORRISON |
Credential | M.D. |
Practice Address |
1301 S Cliff Ave Suite 220 Sioux Falls SD 57105-1023 |
Mailing Address |
Po Box 86370 Sioux Falls SD 57118-6370 |
Practice Telephone | 6053223790 |
Practice Fax Number | 6053223791 |
Mailing Telephone | 6053227510 |
Mailing Fax Number | 6053226475 |
Enumeration Date | 2006-05-15 |
Last Update Date | 2018-02-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | 6051574-1205 | UT | Allopathic & Osteopathic Physicians |
N | 207W00000X | Ophthalmology | 8041 | SD | Allopathic & Osteopathic Physicians |
N | 207W00000X | Ophthalmology | A78941 | CA | Allopathic & Osteopathic Physicians |
Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
6051574-1205 | UT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE SHIELD | 00A789410 | 01 | |
SD | S104992 | 05 | |
CHAMPUS | F899 | 01 | |
SD | 6300730 | 05 |
Street Address |
1301 S CLIFF AVE SUITE 220 |
City | SIOUX FALLS |
State | SD |
Zip Code | 57105-1023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194723924 | Henry Travers | Pathology | 1301 S Cliff Ave, Suite 700, Sioux Falls, SD 57105-1019 | 2005-07-14 |
1245864693 | Rachel Wolkow | Nurse Practitioner | 1301 S Cliff Ave, Sioux Falls, SD 57105-1005 | 2020-02-25 |
1942723838 | Holly M Bonnichsen | Audiologist | 1301 S Cliff Ave, Sioux Falls, SD 57105-1005 | 2017-07-21 |
1194276956 | Nicole Rae Nelson | Nurse Practitioner | 1301 S Cliff Ave, #610, Sioux Falls, SD 57105-1005 | 2016-10-17 |
1780134023 | Andrew Jacob Murtha | Nurse Practitioner | 1301 S Cliff Ave, Sioux Falls, SD 57105-1005 | 2016-10-11 |
1003269176 | Paul Stamp | Nurse Practitioner | 1301 S Cliff Ave, Suite 610, Sioux Falls, SD 57105-1005 | 2016-07-13 |
1639535198 | Avera Mckennan | Durable Medical Equipment & Medical Supplies | 1301 S Cliff Ave, Ste. 220, Sioux Falls, SD 57105-1005 | 2016-01-13 |
1801274626 | Melissa Mathiowetz | Physical Therapist | 1301 S Cliff Ave, Suite 402, Sioux Falls, SD 57105-1005 | 2015-05-13 |
1831590447 | Rebecca Gayle Hruby | Nurse Practitioner | 1301 S Cliff Ave, Suite 506, Sioux Falls, SD 57105-1005 | 2014-09-15 |
1427463371 | Elizabeth Cecilia Stauss | Nurse Practitioner | 1301 S Cliff Ave, Plaza 2 Suite 401, Sioux Falls, SD 57105-1005 | 2014-06-29 |
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 | 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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063492940 | Prema Abraham | Ophthalmology | 2800 3rd St, Rapid City, SD 57701-7374 | 2006-01-18 |
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.