Organization Active NPI

Edward P D'Souza MD PC

  • Cardiovascular Disease Physician
  • Aberdeen, SD
National Provider Identifier
1114915923
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2011 Issued in SD
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

Updated by the provider on Jan 15, 2008

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7300130MedicaidSD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.