Terry L Altstiel, MD
Individual provider Active NPI Surgery Physician · Spearfish, SD
NPI 1336112358 · NPPES record last updated Jan 23, 2013
Key facts
- NPI
- 1336112358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 1107 (SD)
- Practice address
- 1420 N 10TH St
Spearfish, SD 57783 - Phone
- (605) 642-8414
- Fax
- (605) 642-8618
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 1107 | SD | Yes |
Addresses
Primary practice location
1420 N 10TH St
Spearfish, SD 57783
Mailing address
353 Fairmont Blvd
Atten Medical Staff Services
Rapid City, SD 57701-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7300480 | Medicaid | SD |
Other providers in Spearfish, SD
- Terri Lin Adamski
- Heather Lynn Adolph
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- Alpine Properties, LL.C.
- Kristi Lynn Altergott
- Alyssa Oltmanns DC PC
- Amann & Graslie DDS, PC
- Jeffrey Amann
- Amh LTD
- Angela R Anderson
All providers in Spearfish, SD · Surgery Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.