Organization Active NPI

Midwest Pain and Rehabilitation Clinic LTD.

  • Medical Specialty Clinic/Center
  • Sioux Falls, SD
National Provider Identifier
1740413152
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
2781 Issued in 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
Last updated
Sep 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Dr. Myung Joo Cho, M.D.NPI 1093862039
Title
President
Phone
(605) 322-7524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 2781 SD Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090909000320 SD Part B Supplier - Clinic/Group Practice 7810042215 Receives reassigned benefits from 2 practitioners
Practice locations: Sioux Falls, SD

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1740413152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 S WESTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056513",
            "telephone_number": "605-322-7524",
            "fax_number": "605-322-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 S WESTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056513",
            "telephone_number": "605-322-7524",
            "fax_number": "605-322-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PAIN AND REHABILITATION CLINIC LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "MYUNG",
        "authorized_official_middle_name": "JOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-322-7524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SD",
            "license": "2781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.