Individual provider Active NPI

Linda Jo Fromm, M.D.

  • Dermatology Physician
  • Rapid City, SD
National Provider Identifier
1124210828
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
8292 Issued in SD
Practice address
4447 S Canyon Rd Ste 6
Rapid City, SD 57702-1889
Phone
(605) 721-5550
Fax
(605) 721-5515
NPI assigned
Aug 16, 2007
Last updated
Mar 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 24277 NE
Dermatology Physician 207N00000X 8292 SD Primary

Addresses

Primary practice location

4447 S Canyon Rd Ste 6
Rapid City, SD 57702-1889

Mailing address

4447 S Canyon Rd Ste 6
Rapid City, SD 57702-1889
Phone (605) 721-5550

Other identifiers 1

IdentifierTypeStateIssuer
S108403OtherSDMEDICARE PTAN

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
I20120412000469 SD Practitioner - Dermatology 7911091244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Sanford School of Medicine of University of South Dakota, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Hills Surgical Hospital LLCGroup PAC ID 5496742835, 173 clinicians

Practice addresses (Care Compare)

216 Anamaria Dr
Rapid City, SD 57701-7366
Phone (605) 791-7777

3024 Tower Rd
Rapid City, SD 57701-5392
Phone (605) 508-3000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions866
Removal or shaving of skin growth12
Skin biopsy233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24277NEMDDermatology Physician
8292SDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid City Medical Center, LLP CurrentSince Jun 1, 2021 Accepting new patients
Skin Specialists PC Past Accepting new patients

Locations

2820 Mount Rushmore Rd
Rapid City, SD 57701
Phone (605) 721-8121

2820 Mount Rushmore Rd
#0
Rapid City, SD 57701

Interoperability endpoints

  • Direct secure messaging: linda.fromm@rcmc.eclinicaldirectplus.com

Organizations & group practices 4

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": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1124210828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4447 S CANYON RD STE 6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577021889",
            "telephone_number": "605-721-5550",
            "fax_number": "605-721-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4447 S CANYON RD STE 6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577021889",
            "telephone_number": "605-721-5550",
            "fax_number": "605-721-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMM",
        "first_name": "LINDA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NE",
            "license": "24277",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SD",
            "license": "8292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "S108403",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.