Joan Lee Nold, MD
Individual provider Active NPI Neonatal-Perinatal Medicine Physician · Sioux Falls, SD
NPI 1497708481 · NPPES record last updated Mar 5, 2009
Key facts
- NPI
- 1497708481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neonatal-Perinatal Medicine Physician 2080N0001X
- License
- 4889 (SD)
- Practice address
- 1600 W 22ND St
Sioux Falls, SD 57105-1521 - Phone
- (605) 312-1000
- Fax
- (605) 312-1001
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Tulane University School of Medicine, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2600 Stearns Way SPC
14A
Medford, OR 97501-1921
2825 E Barnett Rd
MSS
Medford, OR 97504-4309
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260430000643 | OR | Practitioner - Pediatric Medicine | 4688617988 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 5861 | IA | MD | Pediatrics Physician |
| 44588 | MN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| St Mary'S Hospital and Medical Center, Inc | Past | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Past | Accepting new patients | |
| St. Mary'S Hospital and Medical Center, Inc. | Past | Accepting new patients |
Locations
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4889 | SD | |
| Pediatrics Physician | 208000000X | 44588 | MN | |
| Pediatrics Physician | 208000000X | R 5861 | IA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 4889 | SD | Yes |
Addresses
Primary practice location
1600 W 22ND St
Sioux Falls, SD 57105-1521
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 312-1000
Other providers in Sioux Falls, SD
- NMT Specialties
- Julia Noah
- Kevin George Noble
- Latoya Sanoura Noble
- Rachel Ashley Noblitt
- Collin Noldner
- Terri Noldner
- Angela Kay Nolz
- Amanda Charlene Noonan
- Felicia A. Noonan
All providers in Sioux Falls, SD · Neonatal-Perinatal Medicine Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.