Active NPI
William Bryce Gammeter, M.D.
- Child & Adolescent Psychiatry Physician
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 8265
- Practice address
- 4400 W 69TH St
Suite 1500
Sioux Falls, SD 57108-8170 - Phone
- (605) 322-5700
- NPI assigned
- Jul 28, 2007
- Last updated
- Aug 1, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | 8265 | SD | Primary |
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | 8265 | SD |
Addresses
Primary practice location
4400 W 69TH St
Suite 1500
Sioux Falls, SD 57108-8170
Mailing address
4400 W 69TH St
Suite 1500
Sioux Falls, SD 57108-8170
Phone (605) 322-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7102910 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120210000798 | SD | Practitioner - Psychiatry | 2163689647 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8265 | SD | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients |
Locations
4400 W 69th St
Ste 1500
Sioux Falls, SD 57108
Phone (605) 322-5700
Interoperability endpoints
- william.gammeter@avera.sdhealthlink.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Avera Medical Group University Psychiatry Associates Sioux Falls
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1013980598
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
dba Avera McKennan Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- Psychiatric Hospital Unit
- Sioux Falls, SD
- NPI 1164445250
-
dba Avera McKennan Hospital and University Health Center
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1568460772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1467642165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 W 69TH ST",
"address_2": "SUITE 1500",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571088170",
"telephone_number": "605-322-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 W 69TH ST",
"address_2": "SUITE 1500",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571088170",
"telephone_number": "605-322-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMMETER",
"first_name": "WILLIAM",
"middle_name": "BRYCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-28",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "SD",
"license": "8265",
"primary": true
},
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "SD",
"license": "8265",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7102910",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.