Medical Associates Clinic Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

11146 Issued in SD

Legal business name

MEDICAL ASSOCIATES CLINIC SURGERY CENTER

Practice address

100 Mac Lane
Pierre, SD 57501-0758

Phone

(605) 945-5210

Fax

(605) 945-3244

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Pat K Gordon

Title

HR

Phone

(605) 945-5214

Specialties & licenses 1

Addresses

Other names 1

• Medical Associates Clinic, LLP Doing business as

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1609955939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAC LANE",
            "address_2": "P. O. BOX 758",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575010758",
            "telephone_number": "605-945-5210",
            "fax_number": "605-945-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAC LANE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575010758",
            "telephone_number": "605-945-5210",
            "fax_number": "605-945-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES CLINIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "605-945-5214"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SD",
            "license": "11146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Associates Clinic, LLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Marso, OD
• Eric Mazel, MD
• Darcy J McClelland, PA
• Ian J McClure
• Medical Associates Clinic LLP
• Meditelecare of South Dakota, LLC
• Nichole Metzinger, PHARM.D
• Kim Meyer Roberts, MA,CCC SLP
• Philip F Meyer, DO
• Kristin Kay Meyers

• Ambulatory Surgical Clinic/Center in Pierre, SD
• Providers in Pierre, SD by specialty
• Ambulatory Surgical Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.