KIMBERLY A THOME


Address: 4141 5th St, Rapid City, SD 57701-6021
Phone: 6053412424

KIMBERLY A THOME (NPI# 1902935752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902935752
Entity Type Individual
Full Name KIMBERLY A THOME
Credential P.A.C.
Practice Address 4141 5th St
Rapid City
SD 57701-6021
Mailing Address 8826 Valley View Dr
Sturgis
SD 57785-2804
Practice Telephone 6053412424
Mailing Telephone 6057205678
Enumeration Date 2007-03-05
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0422 SD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4141 5TH ST
City RAPID CITY
State SD
Zip Code 57701-6021

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033188594 Stuart Glen Rice Neurological Surgery 4141 5th St, Rapid City, SD 57701-6021 2006-03-16
1336774934 Abbie M Palmer Physical Therapist 4141 5th St, Rapid City, SD 57701-6021 2020-03-04
1356831275 Agelia Mercades Stout Audiologist 4141 5th St, Rapid City, SD 57701-6021 2018-05-16
1982123725 Jacob Lewis Hemenway Physician Assistant 4141 5th St, Rapid City, SD 57701-6021 2017-09-13
1497139323 Amber Victoria Staedtler Nurse Practitioner 4141 5th St, Rapid City, SD 57701-6021 2015-07-09
1396124178 Ian Thomas Kopriva Physical Therapist 4141 5th St, Rapid City, SD 57701-6021 2015-05-26
1427393933 Kyle L. Scharles Physical Therapist 4141 5th St, Rapid City, SD 57701-6021 2012-12-10
1154634673 Andrea Juhl Hansen Physician Assistant 4141 5th St, Rapid City, SD 57701-6021 2010-07-26
1609023209 Dawn M Ellis Physical Therapist 4141 5th St, Rapid City, SD 57701-6021 2008-08-26
1619138518 Kevin S Sobolik Physical Therapist 4141 5th St, Rapid City, SD 57701-6021 2008-06-23
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891147450 Jason Becker Physician Assistant 7220 Mount Rushmore Rd, Rapid City, SD 57702-8754 2016-07-07
1780009340 Ashley Anziano Physician Assistant 2805 5th St, Rapid City, SD 57701-7306 2014-02-19
1235480005 Stacey Kerr Physician Assistant 2201 Jackson Blvd, 100, Rapid City, SD 57702-4386 2012-09-19
1922157197 Zita Elizabeth Kwartek Physician Assistant 2929 5th Street, 240, Rapid City, SD 57701 2007-01-09
1699838920 Jenna M Dormann Physician Assistant 2822 Jackson Blvd, Suite 101, Rapid City, SD 57702-3497 2006-12-18
1427111749 Steven D Sachs Physician Assistant 2822 Jackson Blvd, Suite 101, Rapid City, SD 57702-3497 2006-12-18
1376657288 Jade Lynn Whitesell Physician Assistant 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 2006-08-18
1003886839 Karen Kay Zepp Physician Assistant 717 Meade St, Suite 100, Rapid City, SD 57701-5103 2006-01-24
1194726182 Laura Ann Parsons Physician Assistant 2805 5th St, 220, Rapid City, SD 57701-6003 2005-08-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831595545 Kayla Weisbeck Physician Assistant 200 E Havens Ave, Mitchell, SD 57301-0432 2014-11-06
1306269287 Prairie Community Health Inc. Physician Assistant 223 A Street, Dupree, SD 57623-9999 2014-01-28
1528392941 Marilyn Margaret Roberts Physician Assistant Crhc, 24276 166th St, Airport Rd, Eagle Butte, SD 57625-1012 2009-10-01
1255516324 Harding County Healthcare LLC Physician Assistant 209 Ramsland Street, Buffalo, SD 57720-0182 2008-01-08
1790972719 Angela Blane Chambers Physician Assistant 161 S Main St., Mission, SD 57555 2007-10-03
1649348590 Richard Dunn Physician Assistant Pine Ridge Hospital East Highway 18, Pine Ridge, SD 57770-1201 2006-11-30
1649368960 Gary Neil Wurgler Physician Assistant 47226 S Rhonda Ave, Sioux Falls, SD 57108 2006-10-11
1558464446 Douglas County Memorial Hospital Physician Assistant 301 Main Street, Stickney, SD 57375-0014 2006-09-06
1760493811 Renette Lynne Kroupa Physician Assistant Hwy 34/47, Fort Thompson, SD 57339 2006-08-11
1356375992 Ruth M Thomas Physician Assistant Soldier Creek Road,box 400, Rosebud Indian Health Service Hospital, Rosebud, SD 57570-0400 2006-07-10
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Competitor

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City RAPID CITY
Zip Code 57701

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Dataset Information

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.

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