Yankton Ear Nose and Throat PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0389 Issued in SD

Legal business name

YANKTON EAR NOSE AND THROAT PC

Practice address

409 Summit St Ste 2800
Yankton, SD 57078-3735

Phone

(605) 665-6820

Fax

(605) 665-6821

NPI assigned

Aug 20, 2006

Last updated

Feb 22, 2013By 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

Jeffrey J Liudahl, MDNPI 1972618924

Title

Provider and Owner

Phone

(605) 665-6820

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Jeffrey J Liudahl, MD

  • Otolaryngology Physician
  • Pierre, SD
  • NPI 1972618924
  NPD (past) Authorized official
• David Joel Abbott, MD

  • Otolaryngology Physician
  • Yankton, SD
  • NPI 1932136173
  NPD (past)
• Matthew D Rumsey, AU. D.

  • Audiologist
  • Yankton, SD
  • NPI 1104931187
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1801901863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SUMMIT ST STE 2800",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783735",
            "telephone_number": "605-665-6820",
            "fax_number": "605-665-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 SUMMIT ST STE 2800",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783735",
            "telephone_number": "605-665-6820",
            "fax_number": "605-665-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANKTON EAR NOSE AND THROAT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "LIUDAHL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROVIDER AND OWNER",
        "authorized_official_telephone_number": "605-665-6820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SD",
            "license": "0389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0008554",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK4038",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yankton Aw (Angelhaus)
• Yankton Bone Joint & Sports Medicine Center PC
• Yankton County (Yankton County EMS)
• Yankton Drug Co Inc (Yankton Rexall Drug)
• Yankton Drug Co Inc (Yankton Rexall)
• Yankton Federal Prison Camp
• Yankton Medical Clinic PC
• Yankton Medical Clinic PC
• Yankton Medical Clinic PC
• Yankton Medical Clinic PC (Yankton Medical Clinic Pharmacy)

• Otolaryngology Physician in Yankton, SD
• Providers in Yankton, SD by specialty
• Otolaryngology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.