Active NPI
McHale Institute, P.C.
- Hematology & Oncology Physician
- Sioux Falls, SD
National Provider Identifier
1235196056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 1762
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1229 | Other | AVERA | |
| S40331 | Other | SD | PTAN |
| 268R3NO | Other | MN | BLUE CROSS BLUE SHIELD |
| 9203322 | Other | SD | DAKOTACARE |
| 0040331 | Other | SD | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Hematology & Oncology Physician
- Sioux Falls, SD
- NPI 1124017256
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.