NPIMap

Individual provider Active NPI

Wayne Plooster, DO

  • Family Medicine Physician
  • Rapid City, SD
National Provider Identifier
1013101054
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7273 Issued in SD
Practice address
717 Saint Francis St
Rapid City, SD 57701-4677
Phone
(605) 342-2880
NPI assigned
Sep 4, 2007
Last updated
Dec 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7273 SD Primary

Addresses

Primary practice location

717 Saint Francis St
Rapid City, SD 57701-4677

Mailing address

PO Box 6020
Rapid City, SD 57709-6020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000032 SD Practitioner - Family PracticePractitioner - General PracticePractitioner - Geriatric MedicinePractitioner - Addiction Medicine 1052472503

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine, General Practice, Geriatric Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

353 Fairmont Blvd
Rapid City, SD 57701-1400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid City Medical Center, LLP Current Accepting new patients

Locations

2820 Mount Rushmore Rd
Rapid City, SD 57701
Phone (605) 721-8121

2820 Mount Rushmore Rd
#0
Rapid City, SD 57701

717 Saint Francis St
Rapid City, SD 57701
Phone (605) 342-2880

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFJBBA
  • Direct secure messaging: wayne.plooster@rcmc.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1013101054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6020",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577096020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 SAINT FRANCIS ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014677",
            "telephone_number": "605-342-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOOSTER",
        "first_name": "WAYNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "7273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.