Stellar Anonye Achampong, MD
Individual provider Active NPI Pediatrics Physician · Sisseton, SD
NPI 1710023940 · NPPES record last updated Jul 25, 2011
Key facts
- NPI
- 1710023940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 01028192A (IN)
- Practice address
- 100 Lake Traverse Dr
Sisseton, SD 57262-7046 - Phone
- (605) 698-7606
- Fax
- (605) 698-7606
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01028192A | IN | Yes |
Addresses
Primary practice location
100 Lake Traverse Dr
Sisseton, SD 57262-7046
Mailing address
PO Box 100
Sisseton, SD 57262-0100
Phone (605) 698-7606
Other providers in Sisseton, SD
- Munir Ahmed
- Brianna K Alverson
- Candace Adair Anderson
- Danielle L Ardizzone
- Harvey H Baker
- Julia Barse
- Cesar R. Bartell
- Jacqueline F Bartlett
All providers in Sisseton, SD · Pediatrics 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 Jul 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.