Active NPI
Fernando Cosme, MD
- Pediatrics Physician
- Pine Ridge, SD
National Provider Identifier
1477527323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 8464
- Practice address
- Highway 18 E
Pine Ridge Hospital
Pine Ridge, SD 57770-1201 - Phone
- (605) 867-3151
- Fax
- (605) 867-3306
- NPI assigned
- Feb 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 8464 | PR | Primary |
Addresses
Primary practice location
Highway 18 E
Pine Ridge Hospital
Pine Ridge, SD 57770-1201
Mailing address
PO Box 5018
Pine Ridge, SD 57770-5018
Phone (605) 867-3151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8464 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248220800000",
"number": "1477527323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5018",
"city": "PINE RIDGE",
"state": "SD",
"postal_code": "577705018",
"telephone_number": "605-867-3151",
"fax_number": "605-867-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HIGHWAY 18 E",
"address_2": "PINE RIDGE HOSPITAL",
"city": "PINE RIDGE",
"state": "SD",
"postal_code": "577701201",
"telephone_number": "605-867-3151",
"fax_number": "605-867-3306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSME",
"first_name": "FERNANDO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2009-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "8464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pine Ridge, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.