| Orthopedic Institute Pc | |
|
810 E 23rd St Sioux Falls SD 57105-2135 | |
| (605) 331-5890 | |
| (605) 336-3974 |
| Full Name | Orthopedic Institute Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 810 E 23rd St, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Matthew J Mckenzie (PRESIDENT) |
| Authorized Official Contact | 6053315890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthopedic Institute Pc Po Box 5116 Sioux Falls SD 57117-5116 Ph: (605) 331-5890 | Orthopedic Institute Pc 810 E 23rd St Sioux Falls SD 57105-2135 Ph: (605) 331-5890 |
| NPI Number | 1245263326 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 04/13/2009 |
| Medicare PECOS PAC ID | 1254223894 |
|---|---|
| Medicare Enrollment ID | O20040327000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245263326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 0051 (South Dakota) | Primary |
| Provider Name | Jeffrey Scott Kalo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982665253 PECOS PAC ID: 2769463348 Enrollment ID: I20040813001105 |
| Provider Name | Eric Watson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134154552 PECOS PAC ID: 2365422250 Enrollment ID: I20050519000045 |
| Provider Name | Gregory Franklin Alvine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861452500 PECOS PAC ID: 1951388602 Enrollment ID: I20070329000028 |
| Provider Name | Evan N Hermanson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316039589 PECOS PAC ID: 2769489814 Enrollment ID: I20080326000848 |
| Provider Name | Erik Douglas Peterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437123320 PECOS PAC ID: 6406956689 Enrollment ID: I20080814000258 |
| Provider Name | Pamela L Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730403411 PECOS PAC ID: 7214069798 Enrollment ID: I20100719000873 |
| Provider Name | Tammy J Crofutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417204967 PECOS PAC ID: 5799936217 Enrollment ID: I20121109000594 |
| Provider Name | Mary L Fiedler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093962706 PECOS PAC ID: 1951478593 Enrollment ID: I20180801002075 |
| Provider Name | Timothy Walker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275530644 PECOS PAC ID: 9830160084 Enrollment ID: I20221005003608 |
| Provider Name | Luke Rasmussen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497140578 PECOS PAC ID: 0446544787 Enrollment ID: I20221010001844 |
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