Organization Active NPI

McHale Institute, P.C.

  • Hematology & Oncology Physician
  • Sioux Falls, SD
National Provider Identifier
1235196056
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
1762 Issued in SD
Legal business name
MCHALE INSTITUTE, P.C.
Practice address
3720 W 69TH St
Sioux Falls, SD 57108
Phone
(605) 339-4464
Fax
(605) 339-0309
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Larry R Boller, MBA
Title
Manager
Phone
(402) 435-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 1762 SD Primary

Addresses

Primary practice location

3720 W 69TH St
Sioux Falls, SD 57108

Mailing address

3720 W 69TH St
Sioux Falls, SD 57108
Phone (605) 339-4464

Other identifiers 5

IdentifierTypeStateIssuer
1229OtherAVERA
S40331OtherSDPTAN
268R3NOOtherMNBLUE CROSS BLUE SHIELD
9203322OtherSDDAKOTACARE
0040331OtherSDBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3720 W 69th St
Sioux Falls, SD 57108
Phone (605) 339-4464

6001 S Sharon Ave
Ste 4
Sioux Falls, SD 57108
Phone (605) 339-4464

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1235196056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 W 69TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57108",
            "telephone_number": "605-339-4464",
            "fax_number": "605-339-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 W 69TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57108",
            "telephone_number": "605-339-4464",
            "fax_number": "605-339-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCHALE INSTITUTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "BOLLER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-435-1400",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SD",
            "license": "1762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA",
            "identifier": "1229",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "S40331",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "268R3NO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "9203322",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0040331",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.