JUSTIN PERSSON (NPI# 1538402037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538402037 |
| Entity Type | Individual |
| Full Name | JUSTIN PERSSON |
| Credential | MD |
| Practice Address |
1301 S Cliff Ave Ste 506 Sioux Falls SD 57105 |
| Mailing Address |
Po Box 110429 Aurora CO 80042-0429 |
| Practice Telephone | 6053350844 |
| Mailing Telephone | 3034937000 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2018-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
DR.0058702 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
10700 | SD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13001 E. 17th Place, University of Colorado School of Med, Aurora, CO 800452581 | 3037244330 | |
| 12605 E 16th Ave, Aurora, CO 800452545 | 7208480000 |
| Street Address |
1301 S CLIFF AVE STE 506 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285993253 | Andrew John Ridder | Psychiatry & Neurology | 1301 S Cliff Ave Ste 506, Sioux Falls, SD 57105 | 2012-05-11 |
| 1962028282 | Allison Christensen | Nurse Practitioner | 1301 S Cliff Ave Ste 506, Sioux Falls, SD 57105-1023 | 2020-06-23 |
| 1306312848 | Jamie Busch | Nurse Practitioner | 1301 S Cliff Ave Ste 506, Sioux Falls, SD 57105-1023 | 2018-10-23 |
| 1942741277 | Maddie Jans | Physician Assistant | 1301 S Cliff Ave Ste 506, Sioux Falls, SD 57105-1023 | 2017-03-20 |
| 1932659968 | Leslie J Wilson | Nurse Practitioner | 1301 S Cliff Ave Ste 506, Sioux Falls, SD 57105-1023 | 2016-10-14 |
| 1306194030 | Elizabeth S Kruse | Nurse Practitioner | 1301 S Cliff Ave Ste 506, Sioux Falls, SD 57105-1023 | 2012-08-28 |
| 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 Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.