Active NPI
James S Walder, MD
- Cardiovascular Disease Physician
- Rapid City, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 5039
- Practice address
- 4150 Fifth Street
Rapid City, SD 57701 - Phone
- (605) 399-4300
- Fax
- (605) 399-4352
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 5040 | SD | |
| Cardiovascular Disease Physician | 207RC0000X | 5039 | SD | Primary |
Addresses
Primary practice location
4150 Fifth Street
Rapid City, SD 57701
Mailing address
353 Fairmont Blvd
Atten Medical Staff Services
Rapid City, SD 57701-6000
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5040 | SD | MD | Blood Banking & Transfusion Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Network, Inc. | Current | Accepting new patients | |
| Monument Health Network, Inc. | Current | Accepting new patients | |
| Monument Health Network, Inc. | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Cardiology Associates, P.C. | Cardiovascular Disease | Past | Accepting new patients |
| Rapid City Indian Health Service Hospital | Past | Accepting new patients |
Locations
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000
Organizations & group practices 7
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.
-
dba Monument Health Hot Springs Clinic
- Multi-Specialty Clinic/Center
- Hot Springs, SD
- NPI 1588185268
-
dba Monument Health Behavioral Health Center
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1275553463
-
dba Monument Health Custer Clinic
- Family Medicine Physician
- Custer, SD
- NPI 1427243963
-
dba Monument Health Spearfish Clinic, North 10th Sreet
- Multi-Specialty Clinic/Center
- Spearfish, SD
- NPI 1578942496
-
dba Monument Health Rapid City Hospital, CRNA
- Certified Registered Nurse Anesthetist
- Rapid City, SD
- NPI 1619242633
-
dba The Heart Doctors
- Cardiovascular Disease Physician
- Rapid City, SD
- NPI 1174570105
-
- General Acute Care Hospital
- Rapid City, SD
- NPI 1316900327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1134169238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 FAIRMONT BLVD",
"address_2": "ATTEN MEDICAL STAFF SERVICES",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577016000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 FIFTH STREET",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57701",
"telephone_number": "605-399-4300",
"fax_number": "605-399-4352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDER",
"first_name": "JAMES",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "SD",
"license": "5040",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SD",
"license": "5039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.