Siouxland Gastroenterology P C

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

3500 Issued in SD

Legal business name

SIOUXLAND GASTROENTEROLOGY P C

Practice address

101 Tower Road
Suite105
Dakota Dunes, SD 57049-5072

Phone

(605) 217-4300

NPI assigned

Oct 24, 2007

Last updated

Dec 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Persaud, DO

Title

President

Phone

(605) 217-4300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ross Noel Bacon, M.D.

  • Pulmonary Disease Physician
  • Sioux Falls, SD
  • NPI 1366528838
  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1164611372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TOWER ROAD",
            "address_2": "SUITE105",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495072",
            "telephone_number": "605-217-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWER ROAD",
            "address_2": "SUITE105",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495072",
            "telephone_number": "605-217-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUXLAND GASTROENTEROLOGY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-217-4300",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SD",
            "license": "3500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Evelyn Shull, ARNP
• Grant Harper Shumaker, MD
• Sandra Louise Shumaker, ACNP-C
• Sioux Falls Vamc
• Siouxland Anesthesiology, LTD
• Siouxland Pathology (Dunes Medical Lab Siouxland Pathology)
• Siouxland Pulmonary Critical Care & Sleep PC
• Siouxland Senior Care Inc (Seniors Helping Seniors)
• Siouxland Surgery Center Limited Liability Partnership (Dunes Surgical Hospital)
• Siouxland Urology Associates PC

• Gastroenterology Physician in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Gastroenterology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.