Lonnie Joseph Nedved, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

3477 Issued in SD

Practice address

1200 S Burr St
Mitchell, SD 57301-4584

Phone

(605) 996-1050

Fax

(605) 996-1051

NPI assigned

Aug 15, 2005

Last updated

Jan 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1407858954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1203",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573017203",
            "telephone_number": "605-996-1050",
            "fax_number": "605-996-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S BURR ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014584",
            "telephone_number": "605-996-1050",
            "fax_number": "605-996-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDVED",
        "first_name": "LONNIE",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SD",
            "license": "3477",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00036138",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G48490",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "0001708",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "3477/GRP#8732644",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "21514",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6200650",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA HEALTH PLAN",
            "identifier": "3279",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Kay Mulder, CNP
• Melanie P. Mullenmeister, D.C.
• Scott J. Mullenmeister, D.C.
• Cassidy Lee Musick, DO
• Keri Danae Nebelsick, O.D.
• Nelson Neurology, P.C.
• Carol B Nelson, MD
• Angela Kay Neugebauer
• Alaina Elizabeth New, PA
• James Leroy Nielsen, M.D.

• Obstetrics & Gynecology Physician in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Obstetrics & Gynecology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.