NPIMap

Organization Active NPI

Mitchell Surgical Prof. L.L.C.

  • Vascular Surgery Physician
  • Mitchell, SD
National Provider Identifier
1215007778
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
DL000252 Issued in SD
Legal business name
MITCHELL SURGICAL PROF. L.L.C.
Practice address
2200 N Kimball St Ste 200
Mitchell, SD 57301-1122
Phone
(605) 996-8989
Fax
(605) 996-6910
NPI assigned
Nov 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Betty Hieb, RHIA
Title
Practice Manager
Phone
(605) 996-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X DL000252 SD Primary

Addresses

Primary practice location

2200 N Kimball St Ste 200
Mitchell, SD 57301-1122

Mailing address

2200 N Kimball St Ste 200
Mitchell, SD 57301-1122
Phone (605) 996-8989

National Provider Directory

National Provider Directory

Locations

2200 N Kimball St
Ste 200
Mitchell, SD 57301
Phone (605) 996-8989

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215007778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N KIMBALL ST STE 200",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011122",
            "telephone_number": "605-996-8989",
            "fax_number": "605-996-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N KIMBALL ST STE 200",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011122",
            "telephone_number": "605-996-8989",
            "fax_number": "605-996-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL SURGICAL PROF. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIEB",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "605-996-8989",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RHIA"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SD",
            "license": "DL000252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.