Prairie Dermatology PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

7021 Issued in SD

Legal business name

PRAIRIE DERMATOLOGY PC

Doing business as

Aberdeen Dermatology Associates

Practice address

3 Lafayette St S
Aberdeen, SD 57401-5524

Phone

(605) 226-0560

Fax

(605) 226-1653

NPI assigned

Jul 19, 2007

Last updated

Jun 3, 2026By 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

Sheryl Santjer

Title

Practice Manager

Phone

(605) 226-0560

Specialties & licenses 1

Addresses

Other names 1

• Aberdeen Dermatology Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Ty O Hanson, D.O.

  • Dermatology Physician
  • Aberdeen, SD
  • NPI 1396804597
  Medicare reassignment Care Compare group NPD
• Claire Wattier, FNP-C

  • Family Nurse Practitioner
  • Aberdeen, SD
  • NPI 1518645886
  Medicare reassignment Care Compare group NPD
• Ryanne L Waage, PA-C

  • Physician Assistant
  • Aberdeen, SD
  • NPI 1871896431
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1164622098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAFAYETTE ST S",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015524",
            "telephone_number": "605-226-0560",
            "fax_number": "605-226-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LAFAYETTE ST S",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015524",
            "telephone_number": "605-226-0560",
            "fax_number": "605-226-1653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "172 4th St SE",
            "address_purpose": "LOCATION",
            "city": "Huron",
            "state": "SD",
            "postal_code": "573502510",
            "country_code": "US",
            "telephone_number": "605-226-0560",
            "fax_number": "605-226-1653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Flynn Dr",
            "address_purpose": "LOCATION",
            "city": "Milbank",
            "state": "SD",
            "postal_code": "572521502",
            "country_code": "US",
            "telephone_number": "605-226-0560",
            "fax_number": "605-226-1653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRAIRIE DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "SANTJER",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "605-226-0560"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SD",
            "license": "7021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aberdeen Dermatology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aberdeen Dermatology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Plains Edge Chiropractic, Inc.
• Brianna Lynn Podoll
• Troy Podoll, HAD
• Donald Pollard Jr., DDS
• Jamie Portra, SLP
• Prairie Innovations, LLC
• Prairie View Counseling LLC
• Michele R Profeta, RNFA
• Charles Xavier Pugsley, CNP
• Marie Quaschnick, CNP

• Medical Specialty Clinic/Center in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Medical Specialty Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.