DR. OCTAVIO ENRIQUE PAJARO (NPI# 1629065677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629065677 |
| Entity Type | Individual |
| Full Name | DR. OCTAVIO ENRIQUE PAJARO |
| Credential | M.D. |
| Practice Address |
1301 W 18th St Sioux Falls SD 57105-0401 |
| Mailing Address |
5777 E Mayo Blvd Phoenix AZ 85054-4502 |
| Practice Telephone | 6053122100 |
| Mailing Telephone | 4803018000 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2019-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 42551 | MN | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 43721 | AZ | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME78124 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 1st St Sw, Rochester, MN 559054502 | 5072842511 | |
| 4500 San Pablo Rd S, Jacksonville, FL 322241865 | 9049532000 |
| Street Address |
1301 W 18TH ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-0401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013075 | Lloyd E Solberg | Internal Medicine | 1301 W 18th St, Sioux Falls, SD 57105-0401 | 2005-06-16 |
| 1811598527 | Kari Lyn Westenkirchner | Nurse Practitioner | 1301 W 18th St, Sioux Falls, SD 57105-0401 | 2020-11-08 |
| 1003413683 | Mariah Schurman | Nurse Practitioner | 1301 W 18th St, Sioux Falls, SD 57105-0401 | 2020-10-06 |
| 1437761012 | Kristopher L Johnson | Nurse Practitioner | 1301 W 18th St, Sioux Falls, SD 57105-0401 | 2020-08-17 |
| 1235778507 | Aneta Mergen | Nurse Practitioner | 1301 W 18th St, Sioux Falls, SD 57105-0401 | 2020-01-03 |
| 1235770231 | Christopher Gacke | Nurse Practitioner | 1301 W 18th St, Sioux Falls, SD 57105-0401 | 2019-10-01 |
| 1346899846 | Kyle Randall Bruscher | Family Medicine | 1301 W 18th St, Sioux Falls, SD 57105-0401 | 2019-09-06 |
| 1548817380 | Brianna Marie Davis | Physician Assistant | 1301 W 18th St, Sioux Falls, SD 57105-0401 | 2019-08-26 |
| 1063997583 | Jaime Eleanor Johnson | Physician Assistant | 1301 W 18th St, Sioux Falls, SD 57105-0401 | 2018-10-01 |
| 1487139374 | Mallory Rae Hogan | Nurse Practitioner | 1301 W 18th St, Sioux Falls, SD 57105-0401 | 2018-09-26 |
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932615747 | Luyando Kalembo | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4709 S Oxbow Ave, 120, Sioux Falls, SD 57106-5710 | 2017-12-18 |
| 1285974592 | Leycester Nmn Owens Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 700 E Ridge Rd, Sioux Falls, SD 57105-5043 | 2013-02-22 |
| 1609808906 | Sanford Clinic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1301 W. 18th Street, Sioux Falls, SD 57105-0401 | 2006-07-07 |
| 1659358182 | Mark J Schechter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 E 10th St, #400, Sioux Falls, SD 57104-6361 | 2005-12-27 |
| 1972640498 | Keung Ung | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1301 W 18th St, Sioux Falls, SD 57105 | 2007-01-31 |
| 1346289618 | Tommy R Reynolds | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2006-06-05 |
| 1134174865 | Paul E Meyer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2006-05-23 |
| 1184678211 | James R Reynolds | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2006-05-22 |
| 1447203047 | Lewis C Ofstein | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2006-05-18 |
| 1811985211 | Peter A Andreone | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4520 W 69th St, Sioux Falls, SD 57108 | 2005-10-10 |
| Find all providers in SIOUX FALLS | ||||
| 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.