SIMON GEORGE KOVALIK (NPI# 1427140037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427140037 |
| Entity Type | Individual |
| Full Name | SIMON GEORGE KOVALIK |
| Credential | MD |
| Practice Address |
113 Comanche Rd Fort Meade SD 57741-1002 |
| Practice Telephone | 6057207000 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2086S0129X |
Surgery Specialization: Vascular Surgery |
35.046207 | OH | Allopathic & Osteopathic Physicians |
| X | 2086S0129X |
Surgery Specialization: Vascular Surgery |
4301039466 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
113 COMANCHE RD |
| City | FORT MEADE |
| State | SD |
| Zip Code | 57741-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003893819 | Andrew J. Cottingham IIi | Anesthesiology | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2005-12-22 |
| 1306463203 | Emily Adrienne Benson | Audiologist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-06-26 |
| 1942836093 | Jason William Chipman | Counselor | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-03-20 |
| 1114553799 | Talona Gonzalez | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-03-16 |
| 1497396618 | Jenna Pruitt | Occupational Therapist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-09-30 |
| 1972159101 | Harrison Charles Johnson | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-13 |
| 1992351423 | Carly Renae Wilson | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-12 |
| 1578119988 | Lindsay Heimann | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-12 |
| 1093367369 | Megan Czmowski | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-07-16 |
| 1033761044 | Amber Rose Jones | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912424243 | Lisa Yvette Henderson | Nurse Practitioner | Va Black Hills Health Care System, 113 Comanche Rd, Fort Meade, SD 57741 | 2017-08-28 |
| 1588754626 | Rama K.t Varma | Urology | Veterans Administration Medical Center - Fort Meade, 113 Comanche Rd, Fort Meade, SD 57741 | 2006-10-12 |
| 1720171580 | Bruce Harris Allen | Surgery | 113 Comanche Rd., Fort Meade, SD 57741 | 2006-10-02 |
| 1497976955 | Phillip Victor Thompson | Pharmacist | 113 Comanche Road, Sturgis, SD 57741 | 2007-05-01 |
| 1396831301 | Mary Clearing-sky | Psychologist | 113 Comanche Road, Fort Meade, SD 57741 | 2006-10-05 |
| 1811955206 | Susan Renae Morris | Physician Assistant | 113 Comanche Road, Fort Meade, SD 57741-1002 | 2006-05-03 |
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588156657 | Sage Medical Prof LLC | Surgery | 345 W Steamboat Dr Ste 701, Dakota Dunes, SD 57049-5287 | 2018-06-04 |
| 1215007778 | Mitchell Surgical Prof. L.L.C. | Surgery | 2200 N Kimball St Ste 200, Mitchell, SD 57301-1122 | 2006-11-09 |
| 1598008724 | Benjamin Jorgensen | Surgery | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2013-04-06 |
| 1174813729 | Gregory Kent Nissen | Surgery | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2011-04-17 |
| 1861628059 | Angelo Noel Santos | Surgery | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2009-06-02 |
| 1649385451 | Steven J. Feldhaus | Surgery | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2006-08-20 |
| 1306893482 | Paul M Orecchia | Surgery | 4150 Fifth Street, Rapid City, SD 57701 | 2006-05-27 |
| 1881640241 | Greg A Schultz | Surgery | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2006-05-26 |
| City | FORT MEADE |
| Zip Code | 57741 |
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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.