NPIMap

Organization Active NPI

Internal Medicine and Geriatrics Associates, LLP

  • Geriatric Medicine (Internal Medicine) Physician
  • Rapid City, SD
National Provider Identifier
1417012170
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
3651 Issued in SD
Legal business name
INTERNAL MEDICINE AND GERIATRICS ASSOCIATES, LLP
Practice address
909 Saint Joseph St
Suite B100
Rapid City, SD 57701-2414
Phone
(605) 718-4380
Fax
(605) 718-4396
NPI assigned
Dec 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Authorized official

Name
Dr. Priscilla F Bade, M.D, FACPNPI 1841283686
Title
Partner
Phone
(605) 718-4380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 2417 SD
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 3651 SD Primary

Addresses

Primary practice location

909 Saint Joseph St
Suite B100
Rapid City, SD 57701-2414

Mailing address

PO Box 8048
Rapid City, SD 57709-8048
Phone (605) 718-4380

Other identifiers 2

IdentifierTypeStateIssuer
6000642MedicaidSD
6000262MedicaidSD

National Provider Directory

National Provider Directory

Locations

2303 Michigan Ave
#A
Rapid City, SD 57701
Phone (605) 343-5563

3625 5th St
Ste 202
Rapid City, SD 57701
Phone (605) 348-2636

909 Saint Joseph St
Ste B100
Rapid City, SD 57701
Phone (605) 718-4380

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1417012170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8048",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577098048",
            "telephone_number": "605-718-4380",
            "fax_number": "605-718-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SAINT JOSEPH ST",
            "address_2": "SUITE B100",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012414",
            "telephone_number": "605-718-4380",
            "fax_number": "605-718-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE AND GERIATRICS ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-23",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "BADE",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "605-718-4380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D, FACP"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "SD",
            "license": "2417",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "SD",
            "license": "3651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000642",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000262",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.