MARY WIPF (NPI# 1861894651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861894651 |
| Entity Type | Individual |
| Full Name | MARY WIPF |
| Practice Address |
4011 W Benson Rd Sioux Falls SD 57107-0104 |
| Mailing Address |
1200 S 7th Ave Sioux Falls SD 57105-0900 |
| Practice Telephone | 6053221500 |
| Practice Fax Number | 6053221510 |
| Mailing Telephone | 6053362140 |
| Mailing Fax Number | 6053361677 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0946 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4011 W BENSON RD |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57107-0104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194797423 | Dawn M Peterson | Physician Assistant | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2006-02-02 |
| 1710249248 | Muna Ashraf | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2012-06-11 |
| 1457648149 | Avera Mckennan | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2011-07-01 |
| 1770719122 | Kirsten H Stotz | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2009-05-29 |
| 1447441647 | Demetre P Skliris | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2007-08-05 |
| 1063480390 | Shawn R Culey | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2006-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962991232 | Danae Lynn Mutchelknaus | Counselor | 57107, Sioux Falls, SD 57107 | 2018-05-02 |
| 1588819783 | Brookings Family Planning | Clinic/Center | 1440 N Campus Dr, Wellness Center, Brookings, SD 57107-0001 | 2008-12-02 |
| 1730624297 | Nicole Adams | Spec/Tech, Cardiovascular | 6308 W 10th St, Sioux Falls, SD 57107-0404 | 2016-12-19 |
| 1386044980 | Animal Health International, Inc. | Pharmacy | 4305 N Westport Ave, Sioux Falls, SD 57107-0711 | 2014-09-02 |
| 1578649612 | Laurie Ann Tidemann | Pharmacist | 2707 S Carolyn Ave, Sioux Falls, SD 57107-0736 | 2006-10-31 |
| 1437566189 | Kjk Vision LLC | Optometrist | 5824 W Pineridge Dr, Sioux Falls, SD 57107-0960 | 2014-07-15 |
| 1184242612 | Turner David Serr | Specialist/Technologist | 5808 W Oakcrest Dr, Sioux Falls, SD 57107-0997 | 2020-07-10 |
| 1083886428 | Jenny Holmes | Speech-Language Pathologist | 5816 W Oakcrest Dr, Sioux Falls, SD 57107-0997 | 2008-03-26 |
| 1538619598 | Barbara Milbauer | Occupational Therapist | 400 N Valley View Rd, Sioux Falls, SD 57107-1022 | 2016-10-13 |
| 1508103243 | City of Sioux Falls | Clinic/Center | 410 N Valley View Rd, Sioux Falls, SD 57107-1022 | 2013-01-15 |
| Find all providers in zip 57107 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627898 | Mikaela Theobald | Physician Assistant | 6101 E Quartzite Dr, Sioux Falls, SD 57110-3988 | 2020-10-22 |
| 1467064097 | Kara Rae Koth | Physician Assistant | 4913 E 42nd St, Sioux Falls, SD 57110-4409 | 2020-08-17 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1326608910 | Ashley Pommer | Physician Assistant | 8232 W 51st St, Sioux Falls, SD 57106-7861 | 2019-06-17 |
| 1225550908 | Almir Krdzalic | Physician Assistant | 110 W Honors St, Sioux Falls, SD 57108-8174 | 2017-07-13 |
| 1598160335 | Heidi Jo Vogel | Physician Assistant | 1417 S Cliff Avenue, Suite 200, Sioux Falls, SD 57105 | 2014-10-22 |
| 1639507882 | Kelsey Isaacson | Physician Assistant | 4201 S Minnesota Ave, Suite 112, Sioux Falls, SD 57105-6705 | 2013-10-25 |
| 1033551114 | Karissa G Zimmer | Physician Assistant | 2315 W. 57th Street, Suite 300, Sioux Falls, SD 57108 | 2013-07-18 |
| 1740623065 | Nicolette Schmuck | Physician Assistant | 1500 W 22nd St Ste 302, Sioux Falls, SD 57105-1599 | 2013-04-17 |
| 1023389392 | Leah Ayn Mergen | Physician Assistant | 521 N Main Ave Ste 100, Sioux Falls, SD 57104-5947 | 2012-01-19 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57107 |
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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.