Individual provider Active NPI

Joshua Wade Payer, M.D.

  • Family Medicine Physician
  • Chamberlain, SD
National Provider Identifier
1083628895
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RL0436 Issued in SD
Practice address
300 S Byron Blvd
Chamberlain, SD 57325-9741
Phone
(305) 324-6551
Fax
(605) 324-7260
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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 RL0436 SD Primary

Addresses

Primary practice location

300 S Byron Blvd
Chamberlain, SD 57325-9741

Mailing address

300 S Byron Blvd
Chamberlain, SD 57325-9741
Phone (305) 324-6551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RL0436SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Platte Community Memorial Hospital, Inc. Family Medicine PastSince Aug 1, 2021 Accepting new patients
Graham Ear, Nose & Throat P.C. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1083628895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S BYRON BLVD",
            "city": "CHAMBERLAIN",
            "state": "SD",
            "postal_code": "573259741",
            "telephone_number": "305-324-6551",
            "fax_number": "605-324-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BYRON BLVD",
            "city": "CHAMBERLAIN",
            "state": "SD",
            "postal_code": "573259741",
            "telephone_number": "305-324-6551",
            "fax_number": "605-324-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYER",
        "first_name": "JOSHUA",
        "middle_name": "WADE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "RL0436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamberlain, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.