FROMM DERMATOLOGY, P.C. (NPI# 1386062156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386062156 |
| Entity Type | Organization |
| Organization Name | FROMM DERMATOLOGY, P.C. |
| Practice Address |
4447 S Canyon Rd Ste 6 Rapid City SD 57702-1889 |
| Practice Telephone | 6057215550 |
| Practice Fax Number | 6057215515 |
| Mailing Telephone | 6057215550 |
| Mailing Fax Number | 6057215515 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2015-03-09 |
| Authorized Official Name | DR. LINDA JO FROMM (PRESIDENT/CEO) |
| Authorized Official Telephone | 6057215550 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
8292 | SD | Ambulatory Health Care Facilities |
| Street Address |
4447 S CANYON RD STE 6 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-1889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124210828 | Linda Jo Fromm | Dermatology | 4447 S Canyon Rd Ste 6, Rapid City, SD 57702-1889 | 2007-08-16 |
| 1548804990 | Chelsey Kristyn Watson | Nurse Practitioner | 4447 S Canyon Rd Ste 6, Rapid City, SD 57702-1889 | 2019-10-29 |
| 1437669595 | Colleen Marie Oman | Nurse Practitioner | 4447 S Canyon Rd Ste 6, Rapid City, SD 57702-1889 | 2017-10-03 |
| 1760831382 | Kevin Conboy | Physician Assistant | 4447 S Canyon Rd Ste 6, Rapid City, SD 57702-1889 | 2016-06-04 |
| 1154703817 | Ericka L. Privitt | Nurse Practitioner | 4447 S Canyon Rd Ste 6, Rapid City, SD 57702-1889 | 2015-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811366438 | Rapid City Regional Hospital Inc | Clinic/Center | 640 Flormann St, Rapid City, SD 57701-4679 | 2015-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740413152 | Midwest Pain and Rehabilitation Clinic Ltd. | Clinic/Center | 3934 S Western Ave, Sioux Falls, SD 57105-6513 | 2009-09-01 |
| 1831329374 | Dr. Tim A. Benning, Chiropractor | Clinic/Center | 22736 S Rochford Rd, Hill City, SD 57745-6006 | 2009-07-17 |
| 1780811778 | Sioux Falls Physical Medicine and Rehabilitation, PC | Clinic/Center | 101 W 69th Str., Ste 103, Sioux Falls, SD 57108-2440 | 2009-06-17 |
| 1447295423 | Regional Health Physicians Inc | Clinic/Center | 908 H Street, Edgemont, SD 57735-0687 | 2006-06-17 |
| 1972506939 | Dakota Surgical Ltd | Clinic/Center | 911 E 20th St, Ste 300, Sioux Falls, SD 57105-1045 | 2005-05-24 |
| 1558734061 | Regional Health Network Inc | Clinic/Center | 130 N 15th St, Hot Springs, SD 57747-1316 | 2015-11-05 |
| 1124464128 | Avera St. Mary's | Clinic/Center | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2013-05-16 |
| 1619229556 | Kent M. Patrick, M.d., P.C. | Clinic/Center | 2525 Fox Run Pkwy, Suite 200, Yankton, SD 57078-5370 | 2012-10-02 |
| 1467695767 | Avera Mckennan | Clinic/Center | 1000 E 23rd St, Suite 330, Sioux Falls, SD 57105-2113 | 2009-04-16 |
| 1588845267 | Sanford Medical Center | Clinic/Center | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-11-21 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
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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.