DR. JASON LEWIS PICCONI (NPI# 1588871859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588871859 |
| Entity Type | Individual |
| Full Name | DR. JASON LEWIS PICCONI |
| Credential | M.D., PH.D. |
| Practice Address |
1417 S Cliff Ave Plaza 1, Suite 100 Sioux Falls SD 57105-1022 |
| Mailing Address |
Po Box 86370 Sioux Falls SD 57118-6370 |
| Practice Telephone | 6053228937 |
| Practice Fax Number | 6053228938 |
| Mailing Telephone | 6053227510 |
| Mailing Fax Number | 6053228938 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2018-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
38889 | IA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 38889 | IA | Allopathic & Osteopathic Physicians |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
38889 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
1417 S CLIFF AVE PLAZA 1, SUITE 100 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972783 | Christopher Michael Hurley | Internal Medicine | 1417 S Cliff Ave, Suite 300, Sioux Falls, SD 57105-1022 | 2005-06-16 |
| 1538533427 | Christina Jean Pekoske | Physician Assistant | 1417 S Cliff Ave, Suite 101, Sioux Falls, SD 57105-1022 | 2015-11-16 |
| 1386045862 | Tabitha Marie Ammann | Nurse Practitioner | 1417 S Cliff Ave, Suite #101a, Sioux Falls, SD 57105-1022 | 2014-09-15 |
| 1144635988 | Katelin Marie Soodsma | Nurse Practitioner | 1417 S Cliff Ave, Suite 101a, Sioux Falls, SD 57105-1063 | 2014-06-30 |
| 1568700631 | Kali Swift | Genetic Counselor, MS | 1417 S Cliff Ave, Suite 100, Sioux Falls, SD 57105-1022 | 2013-01-24 |
| 1376716647 | Annette Lee Siewert | Obstetrics & Gynecology | 1417 S Cliff Ave, Ste. 401, Sioux Falls, SD 57105-1022 | 2008-04-08 |
| 1770753246 | Avera Mckennan | Clinic/Center | 1417 S Cliff Ave, Suite 302, Sioux Falls, SD 57105-1062 | 2008-03-11 |
| 1619176328 | Amber Ray Saloum | Obstetrics & Gynecology | 1417 S Cliff Ave, Suite 401, Sioux Falls, SD 57105-1064 | 2007-07-12 |
| 1760691794 | Cristina Alison Hill Jensen | Internal Medicine | 1417 S Cliff Ave, Ste 300, Sioux Falls, SD 57105-1062 | 2007-05-22 |
| 1639240732 | Leslie N. Heddleston | Obstetrics & Gynecology | 1417 S Cliff Ave, Ste 100, Sioux Falls, SD 57105-1063 | 2006-11-11 |
| Find all providers in the same location | ||||
| 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 | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760739510 | Oscar Andres Viteri Molina | Obstetrics & Gynecology | 1417 S Cliff Ave Ste 100, Sioux Falls, SD 57105 | 2012-08-11 |
| 1639240732 | Leslie N. Heddleston | Obstetrics & Gynecology | 1417 S Cliff Ave, Ste 100, Sioux Falls, SD 57105-1063 | 2006-11-11 |
| 1205808748 | Avera Mckennan | Obstetrics & Gynecology | 1417 S. Cliff Ave., Ste. 100, Sioux Falls, SD 57105-1063 | 2006-02-07 |
| 1972575843 | Michael Mcnamara | Obstetrics & Gynecology | 1500 W 22nd St, Ste 401, Sioux Falls, SD 57105-7702 | 2006-02-06 |
| 1841296696 | Jeffrey G Boyle | Obstetrics & Gynecology | 1500 W 22nd St, Ste 401, Sioux Falls, SD 57105-1503 | 2005-06-27 |
| 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.