| Careconnectmd South Dakota PC | |
|
101 S Reid St Sioux Falls SD 57103-7030 | |
| (888) 789-9585 | |
| Not Available |
| Full Name | Careconnectmd South Dakota PC |
|---|---|
| Speciality | General Practice |
| Location | 101 S Reid St, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Hyong Kim (OWNER) |
| Authorized Official Contact | 8887899585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnectmd South Dakota PC 3090 Bristol St Ste 200 Costa Mesa CA 92626-3061 | Careconnectmd South Dakota PC 101 S Reid St Sioux Falls SD 57103-7030 Ph: (888) 789-9585 |
| NPI Number | 1306527866 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Medicare PECOS PAC ID | 7618317132 |
|---|---|
| Medicare Enrollment ID | O20240501002760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306527866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Jeanie M Lembke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922054279 PECOS PAC ID: 8325189715 Enrollment ID: I20100107000339 |
| Provider Name | Andrea J Hansen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154634673 PECOS PAC ID: 5092900084 Enrollment ID: I20110513000033 |
| Provider Name | Danielle Shafer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033488614 PECOS PAC ID: 5092944801 Enrollment ID: I20140127000624 |
| Provider Name | Brenda Vandewater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669847067 PECOS PAC ID: 7315236775 Enrollment ID: I20160525001313 |
| Provider Name | Ashley E Brunmaier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336684372 PECOS PAC ID: 3173807401 Enrollment ID: I20170303001167 |
| Provider Name | Drew Moss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003234097 PECOS PAC ID: 6901194133 Enrollment ID: I20171003004709 |
| Provider Name | Jared C Shippee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871637033 PECOS PAC ID: 3678664364 Enrollment ID: I20171219001827 |
| Provider Name | Travis Ptacek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477819944 PECOS PAC ID: 5092087486 Enrollment ID: I20200915002674 |
| Provider Name | Patrick D Flanigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083245393 PECOS PAC ID: 9133557572 Enrollment ID: I20210112002807 |
| Provider Name | Kristina D Jurgensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376240739 PECOS PAC ID: 7012377187 Enrollment ID: I20230720002756 |
| Provider Name | Amanda Michelle Shafer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700344926 PECOS PAC ID: 9931569951 Enrollment ID: I20230721000923 |
| Provider Name | Mckaela K Aghbashian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407534332 PECOS PAC ID: 3971950304 Enrollment ID: I20231107002512 |
| Provider Name | Hyong Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396792677 PECOS PAC ID: 7719998251 Enrollment ID: I20240515000336 |
| Provider Name | Ling Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396988416 PECOS PAC ID: 7214185826 Enrollment ID: I20241106004196 |
| Provider Name | Matthew Chandler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215261771 PECOS PAC ID: 1456539378 Enrollment ID: I20250402000831 |
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