Individual provider Active NPI

Cindy Deutscher, PAC

  • Physician Assistant
  • Flandreau, SD
National Provider Identifier
1679549471
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0369 Issued in SD
Practice address
212 N Prairie St
Flandreau, SD 57028-1243
Phone
(605) 997-2471
Fax
(605) 997-2418
NPI assigned
Feb 23, 2006
Last updated
Jun 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0369 SD Primary

Addresses

Primary practice location

212 N Prairie St
Flandreau, SD 57028-1243

Mailing address

212 N Prairie St
Flandreau, SD 57028-1243
Phone (605) 997-2471

Other identifiers 11

IdentifierTypeStateIssuer
975912OtherSDARAZ/AMERICA'S PPO
AH9081017524OtherPREFERRED ONE
57028A002OtherSDWPS TRICARE
659S5DEOtherMNCC SYSTEMS BLUE PLUS
9238073OtherSDDAKOTACARE
4995980OtherSDBCBS OF SOUTH DAKOTA
659S5DEOtherMNBCBS OF MN
13252OtherSDMIDLANDS CHOICE
6826513MedicaidSD
559533900MedicaidMN
6826514MedicaidSD

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)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1679549471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N PRAIRIE ST",
            "city": "FLANDREAU",
            "state": "SD",
            "postal_code": "570281243",
            "telephone_number": "605-997-2471",
            "fax_number": "605-997-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N PRAIRIE ST",
            "city": "FLANDREAU",
            "state": "SD",
            "postal_code": "570281243",
            "telephone_number": "605-997-2471",
            "fax_number": "605-997-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUTSCHER",
        "first_name": "CINDY",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ/AMERICA'S PPO",
            "identifier": "975912",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "AH9081017524",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS TRICARE",
            "identifier": "57028A002",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CC SYSTEMS BLUE PLUS",
            "identifier": "659S5DE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "9238073",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF SOUTH DAKOTA",
            "identifier": "4995980",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "659S5DE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "13252",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6826513",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "559533900",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6826514",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flandreau, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.