Active NPI
Edward P D'Souza MD PC
- Cardiovascular Disease Physician
- Aberdeen, SD
National Provider Identifier
1114915923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2011
- Legal business name
- EDWARD P D'SOUZA MD PC
- Practice address
- 405 8TH Ave NW
Suite 302
Aberdeen, SD 57401-2762 - Phone
- (605) 229-4192
- Fax
- (605) 229-5311
- NPI assigned
- Oct 6, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward Paul D'Souza, MD
- Title
- President
- Phone
- (605) 229-4192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2011 | SD | Primary |
Addresses
Primary practice location
405 8TH Ave NW
Suite 302
Aberdeen, SD 57401-2762
Mailing address
405 8TH Ave NW
Suite 302
Aberdeen, SD 57401-2762
Phone (605) 229-4192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7300130 | Medicaid | SD |
National Provider Directory
National Provider DirectoryLocations
405 8th Ave NW
Ste 302
Aberdeen, SD 57401
Phone (605) 229-4192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200355200000",
"number": "1114915923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 8TH AVE NW",
"address_2": "SUITE 302",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574012762",
"telephone_number": "605-229-4192",
"fax_number": "605-229-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 8TH AVE NW",
"address_2": "SUITE 302",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574012762",
"telephone_number": "605-229-4192",
"fax_number": "605-229-5311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD P D'SOUZA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-06",
"last_updated": "2008-01-15",
"status": "A",
"authorized_official_last_name": "D'SOUZA",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "605-229-4192",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SD",
"license": "2011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7300130",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.