Timothy S Masselink, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CR000632 Issued in SD

Practice address

1305 W 18TH St
Sioux Falls, SD 57105-0401

Phone

(605) 333-1000

NPI assigned

Feb 14, 2006

Last updated

Oct 25, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ophthalmology LTD Eye Surgery Center L L CGroup PAC ID 1557357175, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ophthalmology LTD Eye Surgery Center L L C

  • Ambulatory Surgical Clinic/Center
  • Sioux Falls, SD
  • NPI 1871581876
  Medicare reassignment Care Compare group NPD
• Prairie Lakes Health Care System Inc

  dba Sanford Watertown Specialty Clinic

  • Rural Acute Care Hospital
  • Watertown, SD
  • NPI 1720166002
  Medicare reassignment NPD
• Sioux Falls Specialty Hospital, LLP

  • Special Hospital
  • Sioux Falls, SD
  • NPI 1316946809
  Medicare reassignment NPD
• Prairie Lakes Health Care System Inc

  dba Sanford Health Castlewood Clinic

  • Family Medicine Physician
  • Castlewood, SD
  • NPI 1578369070
  NPD
• Sioux Falls Specialty Hospital, LLP

  dba Sioux Falls Urgent Care

  • Primary Care Clinic/Center
  • Sioux Falls, SD
  • NPI 1447780796
  NPD
• Pax PLLC

  • Multi-Specialty Clinic/Center
  • Sioux Falls, SD
  • NPI 1275353237
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1821062167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7023 S HIGH CROSS TRL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083332",
            "telephone_number": "605-336-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W 18TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050401",
            "telephone_number": "605-333-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSELINK",
        "first_name": "TIMOTHY",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "CR000632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5754950",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fares Yousef Masannat, MD
• Pierce Maslach, MD
• Gregory Masselink, RN
• Jessica E Masselink, CRNA
• Michelle Masselink
• Keeley Masterson, PA-C
• Thomas E Masterson, MD
• Jaroslaw Mateuszczyk, M.D.
• Ann Marie Matheny
• Alexandra Mathern, M.D.

• Certified Registered Nurse Anesthetist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Certified Registered Nurse Anesthetist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.