| Storm Clinic, Prof. Llc | |
|
7000 S Lyncrest Pl Sioux Falls SD 57108-2599 | |
| (605) 271-5441 | |
| (605) 271-5277 |
| Full Name | Storm Clinic, Prof. Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7000 S Lyncrest Pl, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Jeremy C. Storm (PRESIDENT) |
| Authorized Official Contact | 6052715441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Storm Clinic, Prof. Llc 7000 S Lyncrest Pl Sioux Falls SD 57108-2599 Ph: (605) 271-5441 | Storm Clinic, Prof. Llc 7000 S Lyncrest Pl Sioux Falls SD 57108-2599 Ph: (605) 271-5441 |
| NPI Number | 1790225266 |
|---|---|
| Provider Enumeration Date | 03/03/2017 |
| Last Update Date | 03/31/2023 |
| Medicare PECOS PAC ID | 6406133974 |
|---|---|
| Medicare Enrollment ID | O20170510002177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790225266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Francine L Mousseau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770777120 PECOS PAC ID: 4486839206 Enrollment ID: I20110420000819 |
| Provider Name | Jeremy C Storm |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518151562 PECOS PAC ID: 1456522382 Enrollment ID: I20110926000011 |
| Provider Name | Steven Meek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093005639 PECOS PAC ID: 6709013766 Enrollment ID: I20150121000876 |
| Provider Name | Tammy Jo Vande Kamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427417898 PECOS PAC ID: 4981947595 Enrollment ID: I20190523000726 |
| Provider Name | Aaron Haynes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821271677 PECOS PAC ID: 2466636188 Enrollment ID: I20200228002356 |
| Provider Name | Zachary J Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609224575 PECOS PAC ID: 1456780584 Enrollment ID: I20200529003001 |
| Provider Name | Kenneth Maina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669993341 PECOS PAC ID: 3870910847 Enrollment ID: I20200907000049 |
| Provider Name | Samantha L Konechne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053920421 PECOS PAC ID: 0648698555 Enrollment ID: I20200909001666 |
| Provider Name | Adam David Glanzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932763141 PECOS PAC ID: 4385055441 Enrollment ID: I20201120000324 |
| Provider Name | Jodi L Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033710736 PECOS PAC ID: 9436562097 Enrollment ID: I20201229001286 |
| Provider Name | Goutham Kolli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720366818 PECOS PAC ID: 4183856818 Enrollment ID: I20210512000996 |
| Provider Name | Zachariah Jon Jensen |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1184128175 PECOS PAC ID: 9234534322 Enrollment ID: I20210827001665 |
| Provider Name | Thomas J Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790439511 PECOS PAC ID: 6709270796 Enrollment ID: I20220309000477 |
| Provider Name | David Heaton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932303344 PECOS PAC ID: 0941518658 Enrollment ID: I20220527001639 |
| Provider Name | Dustin Allan Boes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629853536 PECOS PAC ID: 5294189395 Enrollment ID: I20230922002377 |
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