KELLY VAUGHN-WHITLEY (NPI# 1760596928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760596928 |
| Entity Type | Individual |
| Full Name | KELLY VAUGHN-WHITLEY |
| Credential | M.D. |
| Practice Address |
343 Quincy St #104 Rapid City SD 57701-3700 |
| Practice Telephone | 6053411300 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
17679 | NE | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
3531 | SD | Allopathic & Osteopathic Physicians |
| Street Address |
343 QUINCY ST #104 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407835697 | Osteoporosis Screening Center | Specialist | 343 Quincy St, Suite 105, Rapid City, SD 57701-3797 | 2006-01-16 |
| 1154768364 | Robert James Kuyper | Chiropractor | 343 Quincy St, Suite 100, Rapid City, SD 57701-3797 | 2013-05-29 |
| 1760597116 | Crisman Dixon & Associates, P.C. | Clinic/Center | 343 Quincy St, Suite 100, Rapid City, SD 57701-3700 | 2006-08-19 |
| 1285748467 | Dakota Cardiovascular, P.C. | Internal Medicine | 343 Quincy St, #104, Rapid City, SD 57701-3700 | 2006-08-18 |
| 1164460192 | Determan Chiropractic Inc. | Chiropractor | 343 Quincy St, Suite 103, Rapid City, SD 57701-3797 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1356842629 | Rushmore Heart Clinic LLC | Internal Medicine | 520 Kansas City St Ste 300, Rapid City, SD 57701-5005 | 2018-02-22 |
| 1013963149 | Jorge E Sanmartin | Internal Medicine | 4150 5th St, Rapid City, SD 57701-6022 | 2006-05-26 |
| 1659344430 | K John Heilman IIi | Internal Medicine | 4150 5th Street, Rapid City, SD 57701 | 2006-02-10 |
| 1225379795 | John Gust Hatanelas | Internal Medicine | 4150 5th St, Rapid City, SD 57701-6022 | 2013-03-08 |
| 1982804969 | Bhaskar Purushottam | Internal Medicine | 4150 5th St, Rapid City, SD 57701-6022 | 2007-07-19 |
| 1912115841 | Rajesh Pradhan | Internal Medicine | 4150 5th St, Rapid City, SD 57701-6022 | 2007-05-21 |
| 1285748467 | Dakota Cardiovascular, P.C. | Internal Medicine | 343 Quincy St, #104, Rapid City, SD 57701-3700 | 2006-08-18 |
| 1134169238 | James S Walder | Internal Medicine | 4150 Fifth Street, Rapid City, SD 57701 | 2006-06-07 |
| 1174570105 | Cardiology Associates, P.C. | Internal Medicine | 4150 5th St, Rapid City, SD 57701-6022 | 2006-05-27 |
| 1922054048 | Alexander M A Schabauer | Internal Medicine | 4150 Fifth Street, Rapid City, SD 57701 | 2006-05-26 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on KELLY VAUGHN-WHITLEY.
| 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.