Active NPI
Jeffrey Walsh, DO
- Student in an Organized Health Care Education/Training Program
- Sioux Falls, SD
National Provider Identifier
1043610678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1400 W 22ND St
Sioux Falls, SD 57105-1554 - Phone
- (605) 322-5737
- NPI assigned
- Sep 2, 2014
- Last updated
- Apr 14, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary | |
| Physical Therapist | 225100000X | 37783 | NY |
Addresses
Primary practice location
1400 W 22ND St
Sioux Falls, SD 57105-1554
Mailing address
15117 Veraison Way
Caldwell, ID 83607-6711
Phone (908) 399-3507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250822000283 | SD | Order and Referring Only - Psychiatry | 1557683802 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37783 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1043610678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15117 VERAISON WAY",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836076711",
"telephone_number": "908-399-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W 22ND ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051554",
"telephone_number": "605-322-5737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "JEFFREY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-02",
"last_updated": "2025-04-14",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "37783",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
- Walmart Inc. (Walmart Pharmacy 10-4865)
- Walmart Inc. (Walmart Pharmacy 10-2443)
- Walmart Inc. (Walmart Pharmacy 10-1535)
- Walmart Inc. (Walmart Pharmacy 10-3237)
- Khia Ann Walser, PHARMD
- Rebecca Mary Walsh, MS, CCC-SLP
- Jenny Marie Walter, PHARMD
- Benjamin Walters, D.O.
- Carol Walters
- Emily L Walters, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.