DR. ROSS NOEL BACON


Address: 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105-0410
Phone: 6053288900

DR. ROSS NOEL BACON (NPI# 1366528838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366528838
Entity Type Individual
Full Name DR. ROSS NOEL BACON
Credential M.D.
Practice Address 1205 S Grange Ave Ste 407
Sioux Falls
SD 57105-0410
Mailing Address Po Box 5074
Sioux Falls
SD 57117-5074
Practice Telephone 6053288900
Practice Fax Number 6053288901
Mailing Telephone 6053286585
Mailing Fax Number 6053286512
Enumeration Date 2006-10-27
Last Update Date 2013-08-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 28247 IA Allopathic & Osteopathic Physicians
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
28247 IA Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
4302 SD Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
28247 IA Allopathic & Osteopathic Physicians
N 207RS0012X Internal Medicine
Specialization: Sleep Medicine
28247 IA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SD BLUE CROSS BLUE SHIELD 4992607 01
IA BLUE CROSS BLUE SHIELD 71249 01
NE MEDICAID 10025572500 01

Office Location

Street Address 1205 S GRANGE AVE STE 407
City SIOUX FALLS
State SD
Zip Code 57105-0410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699702613 Mary Dekker Nettleman Internal Medicine 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105-0410 2006-06-26
1982170676 Kyle Christian Anderson Nurse Practitioner 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105-0410 2018-10-19
1639664014 Melissa Faye Lehr Nurse Practitioner 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105-0410 2018-06-27
1942562293 Ahmad El Khatib Internal Medicine 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105-0410 2012-06-12
1184871618 Michelle Biehl Internal Medicine 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105-0410 2008-08-27
1619173945 Scott Benjamin Helberg Internal Medicine 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105-0410 2007-06-24

Providers in the same zip code

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 Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386610004 Avera Mckennan Internal Medicine 1301 S. Cliff Ave., Ste. 601, Sioux Falls, SD 57105-1032 2006-02-23
1942483797 Debbie Anne Chiu Qua Internal Medicine 1205 S Grange Ave, Ste 407, Sioux Falls, SD 57105-0407 2007-12-14
1205018363 Noel Dexter Luis Tiangco Internal Medicine 1301 S Cliff Ave, Ste 601, Sioux Falls, SD 57105-1032 2007-11-30
1265457964 Sanford Clinic Internal Medicine 1205 S Grange Ave, Ste 407, Sioux Falls, SD 57105-0410 2006-07-13
1932150968 Rizan A Hajal Internal Medicine 6709 S. Minnesota Avenue, Pulmonary & Sleep Consultants, P.C. Suite 205, Sioux Falls, SD 57108-2593 2006-05-15
1912973785 Fady Ghassan Jamous Internal Medicine 1301 S. Cliff Ave., Ste. 601, Sioux Falls, SD 57105-1032 2006-02-23
1700852480 Brian T Hurley Internal Medicine 1301 S. Cliff Ave, Ste 601, Sioux Falls, SD 57105-1032 2006-02-23
1508850785 Rodney Parry Internal Medicine 1310 W 22nd St, Sioux Falls, SD 57105-1501 2005-09-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932203015 Avera St Lukes Internal Medicine 201 S Lloyd St Ste W240, Aberdeen, SD 57401-4530 2006-09-11
1912265489 Avera St. Luke's Internal Medicine 310 S Penn St, Ste 203, Aberdeen, SD 57401 2012-05-02
1639327885 Mohammad Hassan Alsumrain Internal Medicine 640 Flormann St, Rapid City, SD 57701-4679 2008-08-29
1336201953 Javier E Bogarin Internal Medicine 353 Fairmont Blvd, Rapid City, SD 57701-7375 2006-12-14
1972530442 Elmo J Rosario Internal Medicine 2805 5th St, Suite 100, Rapid City, SD 57701 2006-06-28
1821025552 Thomas Shull Lemire Internal Medicine 353 Fairmont Blvd., Rapid City, SD 57701 2006-06-27
1295770568 Daniel Y Rawson Internal Medicine 640 Flormann St, Rapid City, SD 57701-4679 2006-06-19
1407895113 James D Mccafferty Internal Medicine 640 Flormann St, Rapid City, SD 57701-4679 2006-06-06
1720031610 Siouxland Pulmonary Critical Care & Sleep PC Internal Medicine 101 Tower Road, Suite 200, Dakota Dunes, SD 57049-5098 2006-05-19
1053389130 Masaru Chiba Internal Medicine 2805 5th St, Suite 100, Rapid City, SD 57701 2006-03-14
Find all providers with the same taxonomy

Competitor

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City SIOUX FALLS
Zip Code 57105

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Dataset Information

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.

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