DR. AVERY LYNE SIDES (NPI# 1629360342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629360342 |
| Entity Type | Individual |
| Full Name | DR. AVERY LYNE SIDES |
| Other Name | AVERY L SHAW |
| Credential | M.D. |
| Practice Address |
1201 Highway 71 S Fall River Health Services Hot Springs SD 57747-8800 |
| Practice Telephone | 6057458910 |
| Mailing Telephone | 6057458910 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2015-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1481 | SD | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 6455 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
1201 HIGHWAY 71 S FALL RIVER HEALTH SERVICES |
| City | HOT SPRINGS |
| State | SD |
| Zip Code | 57747-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164943098 | Jamie Paul Slettedahl | Nurse Practitioner | 1201 Highway 71 S, Hot Springs, SD 57747-8800 | 2017-06-30 |
| 1740700723 | Andrew Yantes | Nurse Practitioner | 1201 Highway 71 S, Hot Springs, SD 57747-8800 | 2017-06-21 |
| 1184177966 | Toshifumi Araki | Occupational Therapist | 1201 Highway 71 S, Hot Springs, SD 57747 | 2016-07-28 |
| 1396298220 | Lisa Thompson | Physical Therapist | 1201 Highway 71 S, Hot Springs, SD 57747-8800 | 2016-07-27 |
| 1669847067 | Brenda Lynn Vandewater | Nurse Practitioner | 1201 Highway 71 S, Hot Springs, SD 57747-8800 | 2015-12-10 |
| 1992133623 | Bonnie Annette Rickenbach | Nurse Practitioner | 1201 Highway 71 S, Hot Springs, SD 57747-8800 | 2013-10-15 |
| 1902230170 | Tanna Jean White | Registered Nurse | 1201 Highway 71 S, Hot Springs, SD 57747-8800 | 2013-08-24 |
| 1740532258 | James E Williams | Registered Nurse | 1201 Highway 71 S, Hot Springs, SD 57747-8800 | 2012-10-08 |
| 1619279528 | Andrea Michelle Sterkel | Registered Nurse | 1201 Highway 71 S, Hot Springs, SD 57747-8800 | 2010-11-29 |
| 1437463916 | Christopher James Robbins | Family Medicine | 1201 Highway 71 S, Hot Springs, SD 57747-8800 | 2010-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013548775 | Jo Ella S. Russell | Social Worker | 500 N, 5th Street, Hot Springs, SD 57747 | 2020-01-31 |
| 1558910596 | Mary Terrones | Technician | 2205 Albany Ave, Hot Springs, SD 57747 | 2019-09-11 |
| 1619539467 | Brittany Allison Fuchs | Counselor | 504 N 5th St, Hot Springs, SD 57747 | 2019-07-02 |
| 1245896273 | Robert Lyons | Social Worker | Hot Springs Vamc, Hot Springs, SD 57747 | 2019-05-15 |
| 1326547308 | Lynette A. Roberts | Case Manager/Care Coordinator | 3 Canyon View Circle Dr., Hot Springs, SD 57747 | 2018-02-06 |
| 1205054772 | Robert Wayne Holwell | Chiropractor | 238 N Garden Street, Hot Springs, SD 57747 | 2007-04-23 |
| 1801934989 | Neuromusculoskeletal Rehabilitation and Pain Clinic, P.C. | Clinic/Center | 646 Jennings Ave., Ste #2, Hot Springs, SD 57747 | 2007-02-02 |
| 1902972417 | Hot Springs Ambulance Service | Ambulance | 709 S Us Hwy 385, Hot Springs, SD 57747 | 2006-11-27 |
| 1275615783 | Hot Springs Veterans Administration | Substance Abuse Rehabilitation Facility | 500 North Fifth St, Va Hot Springs, Hot Springs, SD 57747 | 2006-10-20 |
| 1609961051 | Leslie Susan Young | Psychologist | 500 N. 5th Street, Hot Springs, SD 57747 | 2006-10-03 |
| Find all providers in zip 57747 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699762 | Quapaw Md Pllc | Family Medicine | 815 Quapaw Ave, Hot Springs, AR 71901-3913 | 2019-06-25 |
| 1669938049 | Norinda Harrison | Family Medicine | 300 Northgate St, Hot Springs, AR 71913-9220 | 2019-02-11 |
| 1164738944 | Lawrence Glenn Walker | Family Medicine | 231 Sparling Rd., Hot Springs, AR 71913 | 2010-08-31 |
| 1366648511 | Priscilla Alice Wacaster | Family Medicine | 105 Reserve Avenue, Hot Springs, AR 71902 | 2007-06-25 |
| 1437296985 | Daniel M. Freed, Pllc | Family Medicine | 3292 Sam Snead H, Drawer 1070, Hot Springs, VA 24445-1070 | 2007-01-31 |
| 1235281296 | Roy L Puen | Family Medicine | 295 Section Line Road, Hot Springs, AR 71913 | 2007-01-18 |
| 1649323213 | Physician Medical Services, Inc. | Family Medicine | 295 Section Line Rd Ste B, Hot Springs, AR 71913-6433 | 2007-01-18 |
| 1952460412 | Family Health Clinic of The Southern Hills, P.C. | Family Medicine | 105 N River St, Hot Springs, SD 57747-1654 | 2006-12-08 |
| 1821049453 | Richard Ross Finch | Family Medicine | 4517 Park Ave, Hot Springs, AR 71901-9476 | 2006-05-16 |
| 1699733741 | Steven M. Erwin | Family Medicine | 129 Pointer Pl, Hot Springs, AR 71901-7372 | 2006-05-01 |
| Find all providers in HOT SPRINGS | ||||
| City | HOT SPRINGS |
| Zip Code | 57747 |
Please comment or provide details below to improve the information on DR. AVERY LYNE SIDES.
| 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.