BLACK HILLS PODIATRY NPI 1275663213

NPI Information

NPI: 1275663213
Provider Name: BLACK HILLS PODIATRY
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
904 QUINCY ST
RAPID CITY, SD
ZIP 57701
Phone: (605) 343-3511
Get Directions

BLACK HILLS PODIATRY is a foot and ankle surgery podiatrist in Rapid City, SD. BLACK HILLS PODIATRY NPI is 1275663213. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

904 QUINCY ST
RAPID CITY, SD
ZIP 57701-608
Phone: (605) 343-3511
Fax: (605) 343-4449

The provider's authorized official is Neil Skea .
The authorized official title is Owner and has the following contact phone number (605) 343-3511.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 10/24/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	96-SD	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	40450	MEDICARE ID-TYPE UNSPECIFIED	SOUTH DAKOTA	DR. RYDER MCR #
2	6800060	MEDICAID	SOUTH DAKOTA
3	0927150001	MEDICARE NSC	SOUTH DAKOTA
4	U90971	MEDICARE UPIN	SOUTH DAKOTA
5	T66693	MEDICARE UPIN	SOUTH DAKOTA
6	66019	MEDICARE ID-TYPE UNSPECIFIED	SOUTH DAKOTA	DR. SKEA'S MCR NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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