Fatima Z Kidwai (NPI# 1255530713, PAC ID# 7315131984) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1255530713 |
| PAC ID by PECOS | 7315131984 |
| Professional Enrollment ID | I20101028000462 |
| Full Name | Fatima Z Kidwai |
| Organization Legal Name | AVERA ST LUKES |
| Address |
8 E Us Hwy 12 Groton SD 57445-2176 |
| Phone Number | 6053974242 |
| Gender | F |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6406764927 |
| Number of Group Practice Members | 132 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430014 | AVERA ST LUKES |
| 430016 | AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER |
| 431325 | MOBRIDGE REGIONAL HOSPITAL - CAH |
| 431316 | COMMUNITY MEMORIAL HOSPITAL |
| 431318 | BOWDLE HOSPITAL - CAH |
| Address | Phone | Organization |
|---|---|---|
| 8 E Us Hwy 12, Groton, SD 57445-2176 | 6053974242 | AVERA ST LUKES |
| Organization Legal Name | AVERA ST LUKES |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Mary Martinez | Family Medicine | Avera St Lukes | 305 S State St, Aberdeen, SD 57401-4527 |
| Racheal Tushabe | Internal Medicine | Avera St Lukes | 815 1st Se Ave, Avera Med Grp Pain Mngmt, Aberdeen, SD 57401-4602 |
| Michael N Murphy | Nephrology | Avera St Lukes | 310 S Penn St, Suite 203, Aberdeen, SD 57401-4553 |
| Dalita L Meyer | Occupational Therapy | Avera St Lukes | 805 1st Se Ave, Avera St Lukes Therapy Group, Aberdeen, SD 57401-4611 |
| Jason D Gauer | Physical Therapy | Avera St Lukes | 701 8th Ave Nw, Avera Med Grp Ortho Surgery, Aberdeen, SD 57401-1865 |
| Xiaolin Deng | Psychiatry | Avera St Lukes | 201 S Lloyd St, E201 Avera Medical Group Psychiatric, Aberdeen, SD 57401-4509 |
| Sharon E Simon | Nurse Practitioner | Avera St Lukes | 8 E Us Hwy 12, Groton, SD 57445-2176 |
| Nancy A Rude | Physician Assistant | Avera St Lukes | 615 6th Ave Se, Avera Quick, Aberdeen, SD 57401-4538 |
| Lyle W Biegler | Family Medicine | Avera St Lukes | 105 S State St, 113 Avera Aberdeen Family Phys, Aberdeen, SD 57401-4502 |
| Gregg W Carlson | Obstetrics/gynecology | Avera St Lukes | 310 S Pennsylvania St, 204 Avera Medical Group Ob/gyn, Aberdeen, SD 57401-4553 |
| Street Address |
8 E US HWY 12 |
| City | GROTON |
| State | SD |
| Zip | 57445-2176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon E Simon | Nurse Practitioner | Avera St Lukes | 8 E Us Hwy 12, Groton, SD 57445-2176 |
| Stephen R Peters | Diagnostic Radiology | Avera St Lukes | 8 E Us Hwy 12, Groton, SD 57445-2176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol J Mcfarland Kutter | Chiropractic | 1205 N 1st St, Groton, SD 57445-2329 |
| City | GROTON |
| Zip Code | 57445 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GROTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Fatima Z Kidwai.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.