DR. MARY DEKKER NETTLEMAN (NPI# 1699702613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699702613 |
| Entity Type | Individual |
| Full Name | DR. MARY DEKKER NETTLEMAN |
| Credential | M.D. |
| Practice Address |
1205 S Grange Ave Ste 407 Sioux Falls SD 57105-0410 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053288900 |
| Practice Fax Number | 6053288901 |
| Mailing Telephone | 6053286585 |
| Mailing Fax Number | 6053286512 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 8349 | SD | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
8349 | SD | Allopathic & Osteopathic Physicians |
| Street Address |
1205 S GRANGE AVE STE 407 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-0410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170676 | Kyle Christian Anderson | Nurse Practitioner | 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105-0410 | 2018-10-19 |
| 1639664014 | Melissa Faye Lehr | Nurse Practitioner | 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105-0410 | 2018-06-27 |
| 1942562293 | Ahmad El Khatib | Internal Medicine | 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105-0410 | 2012-06-12 |
| 1184871618 | Michelle Biehl | Internal Medicine | 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105-0410 | 2008-08-27 |
| 1619173945 | Scott Benjamin Helberg | Internal Medicine | 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105-0410 | 2007-06-24 |
| 1366528838 | Ross Noel Bacon | Internal Medicine | 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105-0410 | 2006-10-27 |
| 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518151562 | Jeremy Storm | Internal Medicine | 7600 S Minnesota Ave Ste 201, Sioux Falls, SD 57108-2988 | 2007-09-04 |
| 1770538084 | Infectious Disease Specialists PC | Internal Medicine | 6709 S Minnesota Ave, Suite 102, Sioux Falls, SD 57108-2592 | 2006-05-24 |
| 1083670343 | Bertha S. Ayi | Internal Medicine | 1205 S Grange Ave Ste 401, Sioux Falls, SD 57105-0410 | 2006-04-25 |
| 1972579118 | Jawad Nazir | Internal Medicine | 6709 S Minnesota Ave Ste 102, Sioux Falls, SD 57108-2593 | 2006-02-27 |
| 1508387820 | Avera Mckennan | Internal Medicine | 6709 S Minnesota Ave Ste 102, Sioux Falls, SD 57108-2593 | 2017-06-28 |
| 1790225266 | Storm Clinic, Prof. LLC | Internal Medicine | 7600 S Minnesota Ave Ste 201, Sioux Falls, SD 57108-2988 | 2017-03-03 |
| 1447697693 | Dayana Del Carmen Maita Coronel | Internal Medicine | 6709 S Minnesota Ave Ste 102, Sioux Falls, SD 57108-2593 | 2013-05-29 |
| 1700172855 | Asma S Syed | Internal Medicine | 6709 S Minnesota Ave Ste 102, Sioux Falls, SD 57108-2593 | 2011-06-27 |
| 1790923100 | Srividya Srinivasan | Internal Medicine | 1205 S Grange Ave, Ste 401, Sioux Falls, SD 57105-0410 | 2009-01-23 |
| 1093909756 | Brian Sabado Pepito | Internal Medicine | 6709 S Minnesota Ave, Suite 102, Sioux Falls, SD 57108-2592 | 2007-09-05 |
| 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.