Gwen M Schaunaman, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

8831 Issued in SD

Practice address

506 1St Ave SE
Watertown, SD 57201-4402

Phone

(605) 886-8482

Fax

(605) 884-4300

NPI assigned

Aug 12, 2009

Last updated

May 11, 2022By the provider in NPPES

Sex

Female

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 3

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Sanford School of Medicine of University of South Dakota, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prairie Lakes Health Care System IncGroup PAC ID 8628987823, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prairie Lakes Healthcare System, Inc Hospital, Watertown, SD, CCN 430005

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Prairie Lakes Health Care System Inc

  dba Sanford Watertown Specialty Clinic

  • Rural Acute Care Hospital
  • Watertown, SD
  • NPI 1720166002
  Medicare reassignment Care Compare group NPD
• Brown Clinic PLLP

  • Family Medicine Physician
  • Watertown, SD
  • NPI 1083779821
  Medicare reassignment NPD
• Prairie Lakes Health Care System Inc

  dba Prairie Lakes Brown Clinic

  • Family Medicine Physician
  • Watertown, SD
  • NPI 1396525143
  NPD
• Prairie Lakes Health Care System Inc

  dba Sanford Health Castlewood Clinic

  • Family Medicine Physician
  • Castlewood, SD
  • NPI 1578369070
  NPD
• Johnson Memorial Health Services

  dba Johnson Memorial Hospital

  • Critical Access Hospital
  • Dawson, MN
  • NPI 1093745051
  NPD
• Regional Diagnostic Radiology

  • Diagnostic Radiology Physician
  • Sartell, MN
  • NPI 1417935321
  NPD
• Prairie Lakes Health Care System Inc

  dba Sanford Watertown Medical Center

  • Rural Acute Care Hospital
  • Watertown, SD
  • NPI 1659316214
  NPD (past)

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1235361064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 1ST AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014402",
            "telephone_number": "605-886-8482",
            "fax_number": "605-884-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 1ST AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014402",
            "telephone_number": "605-886-8482",
            "fax_number": "605-884-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUNAMAN",
        "first_name": "GWEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SD",
            "license": "8831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD STATE LICENSE",
            "identifier": "8831",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE STATE LICENSE",
            "identifier": "26686",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LICENSE",
            "identifier": "60106736",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jan M Sanford, LPC-MH, QMHP, LSWA
• James Carl Saylor, D.D.S.
• Amanda L Schaeffer
• Jacob Steven Schaeffer, MD
• Becky Kay Schaible, RD LN
• Katelyn Schlueter, DPT
• Amy Schmidt
• Kellen Patrick Schmidt
• Jenae Schneider
• Dalynn Michele Schoenefeld, MACCC-SLP

• Diagnostic Radiology Physician in Watertown, SD
• Providers in Watertown, SD by specialty
• Diagnostic Radiology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.