FAMILY MEDICINE CLINIC OF YANKTON PROFESSIONAL LLC (NPI# 1811088727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811088727 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICINE CLINIC OF YANKTON PROFESSIONAL LLC |
| Practice Address |
1000 West 4th Street Suite 15 Family Medicine Clinic of Yankton Prof LLC Yankton SD 57078 |
| Practice Telephone | 6056650555 |
| Practice Fax Number | 6056654498 |
| Mailing Telephone | 6056650555 |
| Mailing Fax Number | 6056654498 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2013-04-05 |
| Authorized Official Name | DR. KELLY R RAFFERTY (SOLE MEMBER) |
| Authorized Official Telephone | 6056650555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4270 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5610162 | 05 |
| Street Address |
1000 WEST 4TH STREET SUITE 15 FAMILY MEDICINE CLINIC OF YANKTON PROF LLC |
| City | YANKTON |
| State | SD |
| Zip Code | 57078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719661 | Jime Lynne Rivera | Psychiatry & Neurology | 708 E 21st Street, Yankton, SD 57078 | 2020-11-01 |
| 1043617210 | Kenneth Tomek | Dietitian, Registered | 2100 Broadway St, Yankton, SD 57078 | 2014-12-03 |
| 1932530276 | Jacqueline Ann Kelley | Nurse Practitioner | 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 | 2013-12-12 |
| 1124363130 | Susan Kay Taecker | Occupational Therapist | 1502 Jo Ln, Yankton, SD 57078 | 2012-12-02 |
| 1295865178 | Dr Jon C Baumann Dds PC | Dentist | 809 Belfast Street, Yankton, SD 57078 | 2007-03-07 |
| 1306989090 | Gregory Scott Erickson | Internal Medicine | 501 Summit, Yankton, SD 57078 | 2007-02-14 |
| 1104976356 | Pine Lane Estates LLC | Assisted Living Facility | 2905 Douglas Ave, Yankton, SD 57078 | 2007-01-11 |
| 1518029917 | Teresa M Henrickson | Counselor | 904 W 23rd St Ste 101, Heartland Psychological Services, Yankton, SD 57078 | 2006-12-14 |
| 1396805016 | Joseph G Blackinton | Psychologist | Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 | 2006-12-11 |
| 1942383468 | Deborah Jean Kachena | Social Worker | 610 W 23rd Street, Yankton, SD 57078 | 2006-10-21 |
| Find all providers in zip 57078 | ||||
| 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 |
|---|---|---|---|---|
| 1578004883 | Sacred Heart Health Services | Family Medicine | 2525 Fox Run Pkwy Ste 200, Yankton, SD 57078-5371 | 2017-03-20 |
| 1750360202 | Jeffrey A Johnson | Family Medicine | 2525 Fox Run Pkwy, Ste 200, Yankton, SD 57078-5370 | 2006-01-12 |
| 1164414843 | Kevin John Post | Family Medicine | 501 Summit St, Yankton, SD 57078-3855 | 2005-08-18 |
| 1902330772 | Jordan Schild | Family Medicine | 1104 W 8th St, Yankton, SD 57078-3306 | 2017-04-18 |
| 1548656911 | Abigail Mary Reynolds | Family Medicine | 1104 W 8th St, Yankton, SD 57078 | 2015-04-12 |
| 1144546045 | Carrissa M Pietz | Family Medicine | 1104 W 8th St, Yankton, SD 57078-3306 | 2010-04-16 |
| 1609911098 | Kelly R Rafferty | Family Medicine | 1000 W 4th St, Suite 15, Yankton, SD 57078-3730 | 2007-02-21 |
| 1215951397 | Mckenzie E Hanson | Family Medicine | 1104 W 8th St, Yankton, SD 57078-3306 | 2006-07-26 |
| 1871594465 | Scott A Weber | Family Medicine | 1104 W 8th St, Yankton, SD 57078-3306 | 2005-08-03 |
| 1366443236 | David C Krohn | Family Medicine | 1104 W 8th St, Yankton, SD 57078-3306 | 2005-08-02 |
| Find all providers in YANKTON | ||||
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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.