Interlakes Medical Center, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0233 Issued in SD

Legal business name

INTERLAKES MEDICAL CENTER, PC

Practice address

903 N Washington Ave
Madison, SD 57042-1634

Phone

(605) 256-6951

Fax

(605) 256-6953

NPI assigned

Feb 24, 2006

Last updated

Sep 24, 2009By 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

Barbara Sample

Title

Office Manager

Phone

(605) 256-6951

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1346216843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 N WASHINGTON AVE",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570421634",
            "telephone_number": "605-256-6951",
            "fax_number": "605-256-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 N WASHINGTON AVE",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570421634",
            "telephone_number": "605-256-6951",
            "fax_number": "605-256-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERLAKES MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "SAMPLE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-256-6951"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "0233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Hoefert, M.D.
• Tonya Lynn Hornback
• Michael H Hotvet, CRNA
• Inter-Lakes Community Action Partnership
• Inter-Lakes Community Action Partnership
• Jeffrey Wade Jager
• Laurel J Jennings Johnson, MD
• Jill a Donelan
• Amber Jean Johnson, FNP-BC
• Marcie L Johnson, CPS

• Family Medicine Physician in Madison, SD
• Providers in Madison, SD by specialty
• Family Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.