SACRED HEART HEALTH SERVICES (NPI# 1508093147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508093147 |
| Entity Type | Organization |
| Organization Name | SACRED HEART HEALTH SERVICES |
| Other Organization Name | AVERA MEDICAL GROUP PODIATRY YANKTON |
| Practice Address |
409 Summit St Ste 2600 Yankton SD 57078-3746 |
| Mailing Address |
1000 W 4th St Ste 8 Yankton SD 57078-3700 |
| Practice Telephone | 6056551200 |
| Practice Fax Number | 6056551210 |
| Mailing Telephone | 6056551414 |
| Mailing Fax Number | 6056551420 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2020-03-31 |
| Authorized Official Name | DOUGLAS EKEREN (PRESIDENT/CEO) |
| Authorized Official Telephone | 6056688321 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025775000 | 05 |
| Other Name | Type Code |
|---|---|
| Avera Medical Group Podiatry Yankton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740783463 | Sacred Heart Health Services | Family Medicine | 409 Summit St Ste 3400, Yankton, SD 57078-3735 | 2018-03-09 |
| 1578004883 | Sacred Heart Health Services | Family Medicine | 2525 Fox Run Pkwy Ste 200, Yankton, SD 57078-5371 | 2017-03-20 |
| 1275872707 | Sacred Heart Health Services | Psychologist | 409 Summit St Ste 3300, Yankton, SD 57078-3735 | 2013-02-04 |
| 1730448671 | Sacred Heart Health Services | Family Medicine | 25410 Park Ave Apt E, Niobrara, NE 68760-7044 | 2012-05-13 |
| 1255657888 | Sacred Heart Health Services | Otolaryngology | 409 Summit St Ste 3200, Yankton, SD 57078-3736 | 2010-04-07 |
| 1952535536 | Sacred Heart Health Services | Radiology | 501 Summit St Ste 8, Yankton, SD 57078-3855 | 2009-05-11 |
| 1912072141 | Sacred Heart Health Services | Skilled Nursing Facility | 2111 W 11th St, Yankton, SD 57078-6865 | 2006-11-22 |
| 1912562752 | Sacred Heart Health Services | Internal Medicine | 1000 W 4th St Ste 8, Yankton, SD 57078-3700 | 2019-05-07 |
| 1194228817 | Sacred Heart Health Services | Preventive Medicine | 409 Summit St Ste 2500, Yankton, SD 57078-3739 | 2018-03-09 |
| 1053838508 | Sacred Heart Health Services | Physical Therapist | 2525 Fox Run Pkwy Ste 100, Yankton, SD 57078-5371 | 2017-08-25 |
| Street Address |
409 SUMMIT ST STE 2600 |
| City | YANKTON |
| State | SD |
| Zip Code | 57078-3746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417273509 | Christy Wiarda | Podiatrist | 409 Summit St Ste 2600, Yankton, SD 57078-3746 | 2010-04-14 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235213513 | Terence Scott Pedersen | Podiatrist | 1000 W 4th St, Ste 2, Yankton, SD 57078-3700 | 2006-10-24 |
| 1962584037 | Sacred Heart Rural Health Clinics | Podiatrist | 1000 W 4th St, Ste 2, Yankton, SD 57078-3700 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013256106 | S F Foot Specialist, Pllc | Podiatrist | 3900 W 41st Street, Sioux Falls, SD 57106-0715 | 2013-02-08 |
| 1699900308 | Mid Dakota Podiatry | Podiatrist | 2410 N Main St # 1149, Mitchell, SD 57301-5037 | 2009-05-26 |
| 1912973603 | Todd N Smith | Podiatrist | Pine Ridge Ihs Hospital, Pine Ridge, SD 57770-1201 | 2006-02-23 |
| 1558342766 | Gabriel Rodriguez | Podiatrist | 3900 W 41st St, Sioux Falls, SD 57106-0715 | 2005-11-07 |
| 1033113832 | Dan P Conrad | Podiatrist | 3641 Sturgis Rd, Rapid City, SD 57702-0321 | 2005-06-09 |
| 1841651825 | Tyler Richard Harrell | Podiatrist | 400 22nd Ave, Brookings, SD 57006-2450 | 2016-03-17 |
| 1861874075 | Darrel Richards | Podiatrist | 1210 W 18th St Ste G01, Sioux Falls, SD 57104-4651 | 2015-06-24 |
| 1205230414 | Eric L. Woolley | Podiatrist | 506 1st Ave Se, Watertown, SD 57201 | 2014-10-17 |
| 1124437595 | Ruth Ranum Moen | Podiatrist | 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6029 | 2014-08-10 |
| 1285074997 | David Rettedal | Podiatrist | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2013-06-26 |
| Find all providers with the same taxonomy | ||||
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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.