Midwest Pain and Rehabilitation Clinic LTD.
Organization Active NPI Medical Specialty Clinic/Center · Sioux Falls, SD
NPI 1740413152 · NPPES record last updated Sep 1, 2009
Key facts
- NPI
- 1740413152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- License
- 2781 (SD)
- Legal business name
- MIDWEST PAIN AND REHABILITATION CLINIC LTD.
- Practice address
- 3934 S Western Ave
Sioux Falls, SD 57105-6513 - Phone
- (605) 322-7524
- Fax
- (605) 322-7546
- NPI assigned
- Sep 1, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Myung Joo Cho, M.D.
- Title
- President
- Phone
- (605) 322-7524
Practitioners 2
-
Myung Joo Cho, MD
-
Kent E Nelson, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090909000320 | SD | Part B Supplier - Clinic/Group Practice | 7810042215 |
Receives reassigned benefits from 2 practitioners Practice locations: Sioux Falls, SD |
National Provider Directory
Locations
3934 S Western Ave
Sioux Falls, SD 57105
Phone (605) 322-7524
6709 S Minnesota Ave
Ste 201
Sioux Falls, SD 57108
Phone (605) 275-3070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 2781 | SD | Yes |
Addresses
Primary practice location
3934 S Western Ave
Sioux Falls, SD 57105-6513
Mailing address
3934 S Western Ave
Sioux Falls, SD 57105-6513
Phone (605) 322-7524
Other providers in Sioux Falls, SD
- Midwest Diagnostics P.C.
- Midwest Ear, Nose & Throat Associates P C
- Midwest Eye Laboratories Sioux Falls LLC
- Midwest Hyperbarics, LLC
- Midwest Medical Care PC
- Midwest Regional Imaging Services
- Midwest Regional Imaging Services LLC
- Midwest Street Medicine
- Midwest Street Medicine
- Midwest Wellness Institute, PLLC
All providers in Sioux Falls, SD · Medical Specialty Clinic/Center 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 Sep 1, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.