Plastic Surgery Associates of South Dakota, LTD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PLASTIC SURGERY ASSOCIATES OF SOUTH DAKOTA, LTD

Practice address

4201 South Minnesota Avenue
Ste. 112
Sioux Falls, SD 57105-6706

Phone

(605) 335-3349

NPI assigned

Jun 29, 2006

Last updated

Feb 27, 2020By 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

Marvin Smoot

Title

Administrator

Phone

(605) 335-3349

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD, IA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Brady Jay Coburn, MD

  • Plastic Surgery Physician
  • Maywood, IL
  • NPI 1811491202

  SD

  Medicare reassignment Care Compare group NPD
• James Anthony Breit, MD

  • Plastic and Reconstructive Surgery Physician
  • Sioux Falls, SD
  • NPI 1972582021

  IA

  Medicare reassignment Care Compare group
• Alexandra Kathryn Mimmack, PA-C

  • Physician Assistant
  • Sioux Falls, SD
  • NPI 1861074411
  Medicare reassignment Care Compare group
• Alison Serck, CNP

  • Adult Health Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1902391287

  IA

  Medicare reassignment Care Compare group
• Lee Patrick Miller, MD

  • Plastic and Reconstructive Surgery Physician
  • Sioux Falls, SD
  • NPI 1285613331
  Medicare reassignment NPD
• Jacqueline M Heisterkamp, PA-C

  • Physician Assistant
  • Sioux Falls, SD
  • NPI 1689345050
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1457389199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SOUTH MINNESOTA AVE., STE 112",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57105",
            "telephone_number": "605-335-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SOUTH MINNESOTA AVENUE",
            "address_2": "STE. 112",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056706",
            "telephone_number": "605-335-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY ASSOCIATES OF SOUTH DAKOTA, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "SMOOT",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-335-3349"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley R Plaga, MD
• Anthony Werner Plagge
• Kristen Plank, OTR/L
• Planned Parenthood Minnesota, North Dakota, South Dakota
• Planned Parenthood South Dakota LLC
• Karen F Plati, M.D.
• Dylan Michael Platt
• Robert Plemel
• Anna Plemmons, MD
• Michelle Anne Pliska, NCC, LPC, QMHP

• Plastic Surgery Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Plastic Surgery Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.