NPIMap

Individual provider Active NPI

Garrett Manfred Wobst, DPM

  • Foot & Ankle Surgery Podiatrist
  • Aberdeen, SD
National Provider Identifier
1124376389
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
223 Issued in SD
Practice address
701 8TH Ave NW
Aberdeen, SD 57401-1865
Phone
(605) 226-2663
Fax
(605) 225-0351
NPI assigned
Aug 20, 2012
Last updated
Aug 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO 3554 FL
Foot & Ankle Surgery Podiatrist 213ES0103X SC006440 PA
Foot & Ankle Surgery Podiatrist 213ES0103X 223 SD Primary

Addresses

Primary practice location

701 8TH Ave NW
Aberdeen, SD 57401-1865

Mailing address

701 8TH Ave NW
Aberdeen, SD 57401-1865
Phone (605) 226-2663

Other identifiers 2

IdentifierTypeStateIssuer
PO 3554OtherFLFLORIDA LIC
SC006440OtherPAPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, ND2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140930001072 SD Practitioner - Podiatry 0941448351 Reassigns benefits to 1 organization
I20170728000554 ND Practitioner - Podiatry 0941448351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera St LukesGroup PAC ID 6406764927, shared by 12 NPIs, 164 clinicians

Practice addresses (Care Compare)

1200 N 7 St
Oakes, ND 58474-2502
Phone (701) 742-3846

305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5251

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue49
Removal of skin lesions1-10
Removal of nail tissue30
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73NDMDSocial Worker
PO 3554FLMDFoot & Ankle Surgery Podiatrist
223SDMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St. Luke's Current Accepting new patients
Avera St. Lukes CurrentSince May 29, 2017 Accepting new patients
Avera St Lukes CurrentSince May 29, 2017 Accepting new patients
Avera St. Luke's CurrentSince Nov 1, 2017 Accepting new patients

Locations

1200 N 7th St
Oakes, ND 58474
Phone (701) 742-3291

305 S State St
Aberdeen, SD 57401
Phone (605) 229-3000

701 8th Ave NW
Aberdeen, SD 57401
Phone (605) 225-3300

Interoperability endpoints

  • Direct secure messaging: garrett.wobst@avera.sdhealthlink.net

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avera St. Luke'sAberdeen, SD, CCN 430014 Hospital Corporate Director Jul 1, 2022
Avera St LukesAberdeen, SD, CCN 43S014 Hospital Corporate Director Jul 1, 2018
Avera St LukesAberdeen, SD, CCN 43U014 Hospital Corporate Director Jul 1, 2018
Avera Mother Joseph ManorAberdeen, SD, CCN 435042 Skilled nursing facility Corporate Director Jul 1, 2018
Avera Eureka Health Care CenterEureka, SD, CCN 435078 Skilled nursing facility Managing Control - Governing Body Jul 1, 2022
Avera Ellendale ClinicEllendale, ND, CCN 353837 Rural health clinic Corporate Director Jul 1, 2022

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1124376389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 8TH AVE NW",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574011865",
            "telephone_number": "605-226-2663",
            "fax_number": "605-225-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 8TH AVE NW",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574011865",
            "telephone_number": "605-226-2663",
            "fax_number": "605-225-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOBST",
        "first_name": "GARRETT",
        "middle_name": "MANFRED",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-20",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 3554",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006440",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SD",
            "license": "223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LIC",
            "identifier": "PO 3554",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA",
            "identifier": "SC006440",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.