| Midwest Family Care | |
|
716 E 19th St Sioux Falls SD 57105-0904 | |
| (605) 444-8650 | |
| (605) 444-8651 |
| Full Name | Midwest Family Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 716 E 19th St, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Richard Blake Curd (CEO) |
| Authorized Official Contact | 6053346730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Family Care 910 E 20th St Sioux Falls SD 57105-1012 Ph: (605) 334-6730 | Midwest Family Care 716 E 19th St Sioux Falls SD 57105-0904 Ph: (605) 444-8650 |
| NPI Number | 1245516780 |
|---|---|
| Provider Enumeration Date | 10/28/2011 |
| Last Update Date | 02/11/2019 |
| Medicare PECOS PAC ID | 3173510898 |
|---|---|
| Medicare Enrollment ID | O20121015000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245516780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 284300000X | Special Hospital | 10583 (South Dakota) | Secondary |
| Provider Name | Kim E Wieking |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063435733 PECOS PAC ID: 2365423670 Enrollment ID: I20040526000784 |
| Provider Name | David A Englert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669408308 PECOS PAC ID: 8921093998 Enrollment ID: I20041008001097 |
| Provider Name | Jessica E Masselink |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972577203 PECOS PAC ID: 2264458769 Enrollment ID: I20051024000095 |
| Provider Name | David R Hemmer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235152497 PECOS PAC ID: 7315061819 Enrollment ID: I20100907000480 |
| Provider Name | Syed Asif R Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275514218 PECOS PAC ID: 9931192333 Enrollment ID: I20120215000258 |
| Provider Name | Sherry A Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316279532 PECOS PAC ID: 8123155108 Enrollment ID: I20120815000180 |
| Provider Name | Tammy J Crofutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417204967 PECOS PAC ID: 5799936217 Enrollment ID: I20121119000555 |
| Provider Name | Amanda Benson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740450980 PECOS PAC ID: 4486716032 Enrollment ID: I20140924002641 |
| Provider Name | Casey L Buller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457656589 PECOS PAC ID: 5395929590 Enrollment ID: I20150928002303 |
| Provider Name | Sarah B Fodness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366812976 PECOS PAC ID: 2163731928 Enrollment ID: I20151016001281 |
| Provider Name | Katherine A Robinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598298606 PECOS PAC ID: 2365729837 Enrollment ID: I20170510001894 |
| Provider Name | Travis J Behrens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104357482 PECOS PAC ID: 8224305974 Enrollment ID: I20170530002482 |
| Provider Name | Krystina R Doohen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659720126 PECOS PAC ID: 9436441797 Enrollment ID: I20180808001240 |
| Provider Name | Melinda R Brosh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740856053 PECOS PAC ID: 2961802749 Enrollment ID: I20220930002180 |
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