BENJAMIN JORGENSEN (NPI# 1598008724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598008724 |
| Entity Type | Individual |
| Full Name | BENJAMIN JORGENSEN |
| Practice Address |
1305 W 18th St Sioux Falls SD 57105-0401 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053127300 |
| Enumeration Date | 2013-04-06 |
| Last Update Date | 2020-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
11157 | SD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962915777 | Benjamin L Jorgensen | Specialist/Technologist | 611 N Beaufort Ave Apt B, Lubbock, TX 79416-2818 | 2017-11-15 |
| 1932630290 | Benjamin Jorgensen | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2017-03-27 |
| 1134420227 | Benjamin Jorgensen | Nurse Anesthetist, Certified Registered | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2010-11-05 |
| Street Address |
1305 W 18TH ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-0401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366500 | Scott Pham | Internal Medicine | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2005-06-16 |
| 1295336279 | Lindsey Marie Palmer | Registered Nurse | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-11-05 |
| 1437757622 | Gregory P Studer | Nurse Practitioner | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-10-11 |
| 1992316772 | Kyle Garrett Wescott | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-08-13 |
| 1205445871 | Elizabeth Halverson | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-07-29 |
| 1174149710 | Kyle Mamer | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-06-19 |
| 1750906186 | Gabriel Steinborn | Anesthesiology | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-06-11 |
| 1972128692 | Carrie Jane Anderson | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-06-09 |
| 1437772134 | Laura Anne Taylor | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-05-28 |
| 1215550991 | Ana Beatriz Nevarez Gilbert | Student in an Organized Health Care Education/Training Program | 1305 W 18th St, Sioux Falls, SD 57105 | 2020-05-28 |
| 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 | 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 |
|---|---|---|---|---|
| 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 |
| 1881640241 | Greg A Schultz | Surgery | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2006-05-26 |
| 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 |
| 1427140037 | Simon George Kovalik | Surgery | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2006-09-29 |
| 1306893482 | Paul M Orecchia | Surgery | 4150 Fifth Street, Rapid City, SD 57701 | 2006-05-27 |
| 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.