NPIMap

Individual provider Active NPI

Douglas D Everson, MD

  • Family Medicine Physician
  • Belle Fourche, SD
National Provider Identifier
1043216484
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4250 Issued in SD
Practice address
2200 13TH Ave
Belle Fourche, SD 57717
Phone
(605) 892-2701
Fax
(605) 644-4197
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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 4250 SD Primary

Addresses

Primary practice location

2200 13TH Ave
Belle Fourche, SD 57717

Mailing address

353 Fairmont Blvd
Atten Medical Staff Services
Rapid City, SD 57701-6000

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
I20081223000597 SD Practitioner - Family Practice 6204899065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monument Health Rapid City Hospital IncGroup PAC ID 6002729506, 560 clinicians

Practice addresses (Care Compare)

1303 N Lacrosse St
Rapid City, SD 57701-6956
Phone (605) 755-6600

2116 Jackson Blvd
Rapid City, SD 57702-3495
Phone (605) 755-3900

2526 Elderberry Blvd
Rapid City, SD 57703-6589
Phone (605) 755-2273

353 Fairmont Blvd
Rapid City, SD 57701-7375

375 Berky Dr
Box Elder, SD 57719-8060
Phone (605) 755-2273

Hospital & facility affiliations

  • Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077
  • Hans P Peterson Memorial Hospital - Cah Hospital, Philip, SD, CCN 431319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4250SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital Inc CurrentSince Jun 15, 2015 Accepting new patients
Monument Health Network, Inc. CurrentSince Jun 15, 2015 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Jun 15, 2015 Accepting new patients
Monument Health Network, Inc. Family Medicine CurrentSince Jun 15, 2015 Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients
Yuma District Hospital Past Accepting new patients

Locations

2200 13th Ave
Belle Fourche, SD 57717
Phone (605) 723-8970

375 Berky Dr
Box Elder, SD 57719

2116 Jackson Blvd
Rapid City, SD 57702
Phone (605) 755-3300

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

408 Knollwood Dr
Rapid City, SD 57701
Phone (605) 341-6600

1303 N Lacrosse St
Rapid City, SD 57701
Phone (605) 755-6600

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

2479 E Colorado Blvd
Spearfish, SD 57783
Phone (605) 644-4460

1445 North Ave
Spearfish, SD 57783
Phone (605) 347-2536

Interoperability endpoints

  • Direct secure messaging: deverson.8064@regionalhealth.sdhealthlink.net

Organizations & group practices 7

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

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1043216484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "address_2": "ATTEN MEDICAL STAFF SERVICES",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 13TH AVE",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "57717",
            "telephone_number": "605-892-2701",
            "fax_number": "605-644-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERSON",
        "first_name": "DOUGLAS",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "4250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Fourche, SD

Sources for this page

Verify at the official NPI Registry.