Individual provider Active NPI

Richard W. Honke II, M.D.

  • Family Medicine Physician
  • Parkston, SD
National Provider Identifier
1104807858
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2345 Issued in SD
Practice address
401 W Glynn Dr
Parkston, SD 57366-9605
Phone
(605) 928-3311
Fax
(605) 928-7368
NPI assigned
Nov 9, 2005
Last updated
Aug 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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 2345 SD Primary

Addresses

Primary practice location

401 W Glynn Dr
Parkston, SD 57366-9605

Mailing address

401 W Glynn Dr
Parkston, SD 57366-9605
Phone (605) 928-3311

Other identifiers 4

IdentifierTypeStateIssuer
0007358OtherSDWELLMARK PARKSTON
5600662MedicaidSD
5600664MedicaidSD
5340340MedicaidSD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100706000206 SD Practitioner - Family Practice 1951431196 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2345SDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Benedict Health Center Family Medicine CurrentSince Aug 25, 2000 Accepting new patients
St Benedict Health Center Family Medicine Current Accepting new patients
St Benedict Health Center CurrentSince Aug 25, 2000 Accepting new patients

Locations

756 E Lake St
Lake Andes, SD 57356
Phone (605) 487-7878

401 W Glynn Dr
Parkston, SD 57366
Phone (605) 928-3311

Interoperability endpoints

  • Direct secure messaging: richard.honke@avera.sdhealthlink.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1104807858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W GLYNN DR",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "573669605",
            "telephone_number": "605-928-3311",
            "fax_number": "605-928-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W GLYNN DR",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "573669605",
            "telephone_number": "605-928-3311",
            "fax_number": "605-928-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONKE",
        "first_name": "RICHARD",
        "middle_name": "W.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "2345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK PARKSTON",
            "identifier": "0007358",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5600662",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5600664",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5340340",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkston, SD

Sources for this page

Verify at the official NPI Registry.