ANDREW HOLMSTROM (NPI# 1962983981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962983981 |
| Entity Type | Individual |
| Full Name | ANDREW HOLMSTROM |
| Credential | PA-C |
| Practice Address |
810 E 23rd St Sioux Falls SD 57105-2135 |
| Practice Telephone | 6057777801 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
1158 | SD | Allopathic & Osteopathic Physicians |
| Street Address |
810 E 23RD ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073508131 | James T Brunz | Anesthesiology | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2005-09-14 |
| 1447864855 | Jordan William Whitsell | Specialist/Technologist | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2020-09-02 |
| 1790307205 | Gina Fritz | Specialist/Technologist | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2020-05-07 |
| 1861022543 | Manus, LLC | Orthopaedic Surgery | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2020-01-22 |
| 1629616164 | Amanda Kaye Pospischil | Nurse Practitioner | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2019-12-16 |
| 1164060950 | John Dylan Shape | Specialist/Technologist | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2019-12-12 |
| 1124664065 | Jaymee Benson | Physician Assistant | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2019-11-26 |
| 1700430543 | Jena Rae Haigh | Physical Medicine & Rehabilitation | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2019-07-30 |
| 1861907537 | Melissa Ann Weinandt | Physician Assistant | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2017-12-04 |
| 1821502881 | Amanda Kay Jacobsen | Occupational Therapist | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2017-11-28 |
| Find all providers in the same location | ||||
| 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 | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932769718 | Ssd Care of Sd, LLC | Orthopaedic Surgery | 519 W 22nd St Ste 100, Sioux Falls, SD 57105-1745 | 2019-06-14 |
| 1861452500 | Gregory Franklin Alvine | Orthopaedic Surgery | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831353242 | Reconstructive Spinal Surgery & Orthopedic Surgery PC | Orthopaedic Surgery | 2007 Locust St, Yankton, SD 57078-2030 | 2008-07-15 |
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.