Black Hills Urology PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

BLACK HILLS UROLOGY PC

Practice address

710 Saint Anne St
Rapid City, SD 57701-4670

Phone

(605) 348-4100

Fax

(605) 348-0662

NPI assigned

Aug 30, 2006

Last updated

Sep 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Evonne Culver

Title

Administrator

Phone

(605) 348-4100

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald W Butz, M.D.

  • Urology Physician
  • Rapid City, SD
  • NPI 1013027655
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1699885244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SAINT ANNE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014670",
            "telephone_number": "605-348-4100",
            "fax_number": "605-348-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SAINT ANNE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014670",
            "telephone_number": "605-348-4100",
            "fax_number": "605-348-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS UROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "CULVER",
        "authorized_official_first_name": "EVONNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-348-4100"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0003536",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "9239296",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG0319",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Black Hills Surgical Hospital, LLC (Black Hills Surgical Hospital)
• Black Hills Surgical Hospital, LLP
• Black Hills Surgical Hospital, LLP
• Black Hills Surgical Hospital, LLP (West River Ear, Nose, and Throat)
• Black Hills Urgent Care LLC
• Black Hills Works Inc
• Blended Aquatics LLC
• Blickensderfer Chiropractic P C
• Bailee Maria Blickensderfer, PA-C
• E David Blickensderfer, M.D.

• Urology Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Urology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.