Wapiti Medical Group Limited Company

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

WAPITI MEDICAL GROUP LIMITED COMPANY

Practice address

107 Flynn Dr Ste 600
Milbank, SD 57252

Phone

(605) 554-0858

NPI assigned

Jan 26, 2017

Last updated

Jun 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberlee Herrmann, PA-C

Title

Chief Operating Officer

Phone

(605) 554-0858

Specialties & licenses 8

Addresses

Locations

Practitioners 5

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.

• Patricia Sue Heinricy, DNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1477926558
  NPD (past)
• Gordon D Kaplan, MD

  • Family Medicine Physician
  • Milbank, SD
  • NPI 1588606735

  Emergency Medicine

  NPD (past)
• Doron Michael Spierer, MD

  • Family Medicine Physician
  • Milbank, SD
  • NPI 1356654388
  NPD (past)
• David A Brett, D.O.

  • Family Medicine Physician
  • Roseau, MN
  • NPI 1306887773
  NPD (past)
• Karen C Krenzke, MD

  • Family Medicine Physician
  • Lake Nebagamon, WI
  • NPI 1043253735
  NPD (past)

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1336686500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FLYNN DR STE 600",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572521557",
            "telephone_number": "605-554-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FLYNN DR STE 600",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "57252",
            "telephone_number": "605-554-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAPITI MEDICAL GROUP LIMITED COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "HERRMANN",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "605-554-0858",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanya Vanadurongvan, M.D.
• Vichit Vanadurongvan, M.D.
• Karmen Vanderwerff, MSPT
• Nanci J Vanpeursem, MD
• Wapiti Medical Corporation
• Angela Weber
• Rochelle Mary Welberg, COTA/L
• Timothy John Whelan, DC
• Whetstone Valley Electric Cooperative
• Kacee Lynn Zacharias

• Emergency Medicine Physician in Milbank, SD
• Providers in Milbank, SD by specialty
• Emergency Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.