Eloy P Malsom

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CR000259 Issued in SD

Practice address

701 8TH Ave NW
Aberdeen, SD 57401-1803

Phone

(605) 225-3300

NPI assigned

Jul 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DJIBDA

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.

• Anesthesia Solutions PC

  • Anesthesiology Physician
  • Rapid City, SD
  • NPI 1467448084
  NPD (past)
• Anesthesia Solutions, PC

  • Certified Registered Nurse Anesthetist
  • Rapid City, SD
  • NPI 1073817870

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Integrity Pain and Anesthesia PLLC

  dba Integrity Pain and Wellness

  • Pain Medicine Physician
  • Scottsdale, AZ
  • NPI 1386049070
  NPD (past)
• Sun Pain Management, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Phoenix, AZ
  • NPI 1427230788
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073538609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 6TH ST STE 201",
            "address_2": "PO BOX 8265",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012722",
            "telephone_number": "605-721-0337",
            "fax_number": "605-721-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 8TH AVE NW",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574011803",
            "telephone_number": "605-225-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALSOM",
        "first_name": "ELOY",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "CR000259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5751502",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randy Mages, DC
• Nida Maham
• Colby David Mahar
• Taylor Maier, DDS
• Cassandra M Maillet
• Katherine Kay Malsom, BCABA
• Manor Care of Aberdeen SD LLC (ManorCare Health Services)
• Patricia Manus
• Tricia L Marcuson, CRNA
• Mark a. Bledsoe (Bledsoe Family Chiropractic Clinic)

• Certified Registered Nurse Anesthetist in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Certified Registered Nurse Anesthetist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.