PATRICIA J BUNGER (NPI# 1770555245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770555245 |
Entity Type | Individual |
Full Name | PATRICIA J BUNGER |
Credential | M.D. |
Practice Address |
1001 E 21st St Ste. 200 Sioux Falls SD 57105-1033 |
Mailing Address |
Po Box 86370 Sioux Falls SD 57118-6370 |
Practice Telephone | 6053225700 |
Practice Fax Number | 6053225704 |
Mailing Telephone | 6053227510 |
Mailing Fax Number | 6053226475 |
Enumeration Date | 2006-02-07 |
Last Update Date | 2008-02-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
2161 | SD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | DAKOTACARE | 2161 | 01 |
NE | 46022474352 | 05 | |
SD | WPS TRICARE | 57108C005 | 01 |
SD | HEALTHPARTNERS | HP37125 | 01 |
ND | 12200 | 05 | |
MN | UCARE | 127702 | 01 |
IA | 1525162 | 05 | |
SD | SANFORD HEALTH PLAN | 25273 | 01 |
SD | PREFERRED ONE | 412991028071 | 01 |
MT | 0040494 | 05 | |
SD | BLUE CROSS | 0040476 | 01 |
MN | CC SYSTEMS/ BLUE PLUS | 140M3BU | 01 |
SD | MIDLANDS CHOICE | 16311 | 01 |
SD | 7101262 | 05 | |
SD | ARAZ/ AMERICA'S PPO | 766208 | 01 |
Street Address |
1001 E 21ST ST STE. 200 |
City | SIOUX FALLS |
State | SD |
Zip Code | 57105-1033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134191869 | Kozhikode Veetil Narayanan Menon | Internal Medicine | 1001 E 21st St, Suite 303, Sioux Falls, SD 57105-1033 | 2006-02-06 |
1154552412 | Trisha H Justice | Nurse Practitioner | 1001 E 21st St, Ste 010, Sioux Falls, SD 57105-1033 | 2009-08-05 |
1114957818 | Pediatric Surgical Associates PC | Surgery | 1001 E 21st St, Ste # 012, Sioux Falls, SD 57105-1033 | 2006-07-05 |
1295782613 | Stephen R Karl | Surgery | 1001 E 21st St, Ste # 012, Sioux Falls, SD 57105-1033 | 2006-05-30 |
1437125119 | Tina M Melanson | Internal Medicine | 1001 E 21st St, Ste. 300, Sioux Falls, SD 57105-1033 | 2006-02-23 |
1548233885 | Avera Mckennan | Radiologic Technologist | 1001 E 21st St, Ste. 403, Sioux Falls, SD 57105-1033 | 2006-02-08 |
1619949153 | Mary K Kunde | Psychologist | 1001 E 21st St, Ste. 100, Sioux Falls, SD 57105-1033 | 2006-02-07 |
1356313928 | Paula K. Pardy | Obstetrics & Gynecology | 1001 E 21st St, Sioux Falls, SD 57105-1017 | 2006-02-07 |
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 | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487621579 | S Patrick Weber | Pediatrics | Phs Hospital East Highway 18, Pine Ridge, SD 57770 | 2006-03-07 |
1689874745 | David W Mueller | Pediatrics | 2905 5th St, Rapid City, SD 57701-7316 | 2007-07-18 |
City | SIOUX FALLS |
Zip Code | 57105 |
Please comment or provide details below to improve the information on PATRICIA J BUNGER.
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.