LEWIS & CLARK UROLOGY, LTD. (NPI# 1467749523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467749523 |
| Entity Type | Organization |
| Organization Name | LEWIS & CLARK UROLOGY, LTD. |
| Practice Address |
2525 Fox Run Pkwy Ste. 204 Yankton SD 57078-5370 |
| Practice Telephone | 6052600182 |
| Practice Fax Number | 6056680371 |
| Mailing Telephone | 6052600182 |
| Mailing Fax Number | 6056680371 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2012-07-24 |
| Authorized Official Name | DR. CHRISTOPHER A HATHAWAY (PRESIDENT) |
| Authorized Official Telephone | 31933132195 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 7809 | SD | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598045866 | Lewis & Clark Urology, Ltd. | Urology | 301 N 27th St, Ste10, Norfolk, NE 68701-4401 | 2011-08-18 |
| Street Address |
2525 FOX RUN PKWY STE. 204 |
| City | YANKTON |
| State | SD |
| Zip Code | 57078-5370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750360202 | Jeffrey A Johnson | Family Medicine | 2525 Fox Run Pkwy, Ste 200, Yankton, SD 57078-5370 | 2006-01-12 |
| 1114374485 | Brock Bills | Physical Therapist | 2525 Fox Run Pkwy, Yankton, SD 57078-5370 | 2016-05-17 |
| 1497115216 | Jacklyn Logue | Nurse Practitioner | 2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5370 | 2016-03-07 |
| 1619229556 | Kent M. Patrick, M.d., P.C. | Clinic/Center | 2525 Fox Run Pkwy, Suite 200, Yankton, SD 57078-5370 | 2012-10-02 |
| 1538456686 | Erica J Garvey | Physical Therapist | 2525 Fox Run Pkwy, Suite 100, Yankton, SD 57078-5370 | 2011-07-08 |
| 1295742310 | Scott Lee Shindler | Podiatrist | 2525 Fox Run Pkwy, Suite 202, Yankton, SD 57078-5371 | 2006-08-02 |
| 1447278650 | Beth Johanna Beeman | Audiologist-Hearing Aid Fitter | 2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5371 | 2006-07-17 |
| 1881612091 | Todd Alan Farnham | Audiologist-Hearing Aid Fitter | 2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5371 | 2006-07-17 |
| 1689605016 | Ear Nose and Throat Associates PC | Otolaryngology | 2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5371 | 2006-07-05 |
| 1932136173 | David Joel Abbott | Otolaryngology | 2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5371 | 2006-06-26 |
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| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386197499 | Annette Haberman | Specialist | 208 W 21st St, Yankton, SD 57078-1753 | 2016-07-26 |
| 1639418494 | Stephanie M Fuller | Specialist | 3515 Broadway Ave., Yankton, SD 57078-7600 | 2013-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211179 | Barbara Samson | Specialist | 1807 William Street, Sturgis, SD 57785 | 2016-09-01 |
| 1144776345 | Mary Wood-fossen | Specialist | 1807 Williams, Sturgis, SD 57785 | 2016-08-28 |
| 1407204175 | Melissa Krogman | Specialist | 1451 Mcclellan Dr, Huron, SD 57350-3860 | 2016-06-02 |
| 1558716621 | Sharon Buseman Egan | Specialist | 409 E 41st St, Sioux Falls, SD 57105-5837 | 2016-04-26 |
| 1518375906 | Angela Schrader | Specialist | 2708 S Sandstone Cir, Sioux Falls, SD 57103-6511 | 2014-07-29 |
| 1952647760 | Klancy Tindall | Specialist | 1311 Vander Horck Avenue, Britton, SD 57430-0939 | 2012-12-26 |
| 1184996696 | Robert Eugene Polcyn | Specialist | 617 S 15th Street, Hot Springs, SD 57747-5127 | 2012-01-30 |
| 1013149681 | Ann M Host | Specialist | 404 Jackson Ave, Murdo, SD 57559 | 2009-08-17 |
| 1427213602 | Peggy Flynn Settle-kenefick | Specialist | 521 6th St Ste 102, Brookings, SD 57006-1461 | 2008-07-27 |
| 1366610339 | Judy Ann Zimbelman | Specialist | 7500 E Pine Lake Dr, Sioux Falls, SD 57110-6241 | 2008-02-13 |
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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.