Rick Stoltenburg, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0377 Issued in SD

Practice address

601 E 7TH St
Platte, SD 57369-2123

Phone

(605) 337-3364

Fax

(605) 337-2670

NPI assigned

Nov 8, 2005

Last updated

Dec 29, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Rapid City Indian Health Service Hospital

  • General Acute Care Hospital
  • Rapid City, SD
  • NPI 1316900327
  NPD
• Platte Community Memorial Hospital, Inc.

  dba Platte Medical Clinic Avera

  • Family Medicine Physician
  • Platte, SD
  • NPI 1164195905
  NPD (past)
• Acoma-Canoncito-Laguna Indian Health Center

  • Health Service Clinic/Center
  • Acoma, NM
  • NPI 1225103922
  NPD (past)
• Canoncito Community Clinic

  • General Acute Care Hospital
  • San Fidel, NM
  • NPI 1841365558
  NPD (past)
• Haaku Health

  • Health Service Clinic/Center
  • San Fidel, NM
  • NPI 1962384438
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1194706028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 7TH ST",
            "city": "PLATTE",
            "state": "SD",
            "postal_code": "573692123",
            "telephone_number": "605-337-3364",
            "fax_number": "605-337-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 7TH ST",
            "city": "PLATTE",
            "state": "SD",
            "postal_code": "573692123",
            "telephone_number": "605-337-3364",
            "fax_number": "605-337-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLTENBURG",
        "first_name": "RICK",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SD",
            "license": "0377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6825943",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6825945",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Platte-Geddes School District
• Renew Family Chiropractic PLLC
• Rural Roads Counseling & Consultation LLC
• Jennifer Lynn Sheffield, MD
• Stickney School District
• Sawyer Marie Strand
• Hau Van Tran, DO
• Nicole Vanzuidam, MA
• April Marie Veurink, FNP-C
• Jared Jay Veurink, CRNA

• Medical Physician Assistant in Platte, SD
• Providers in Platte, SD by specialty
• Medical Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.