Individual provider Active NPI

Molly Catherine Schwab, PA

  • Physician Assistant
  • Rapid City, SD
National Provider Identifier
1831433267
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0836 Issued in SD
Practice address
725 Meade St
Suite 200
Rapid City, SD 57701-5334
Phone
(605) 721-8939
NPI assigned
Nov 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0836 SD Primary

Addresses

Primary practice location

725 Meade St
Suite 200
Rapid City, SD 57701-5334

Mailing address

504 E Monroe St
Rapid City, SD 57701-1400
Phone (605) 721-8939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150728005519 SD Practitioner - Physician Assistant 1153635669 Reassigns benefits to 1 organization
I20180104001320 WA Practitioner - Physician Assistant 1153635669 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0836SDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Childrens Hospital CurrentSince Nov 14, 2017 Accepting new patients
Seattle Children'S Hospital CurrentSince Nov 14, 2017 Accepting new patients
Black Hills Surgical Hospital, LLC Current Accepting new patients
Black Hills Surgical Hospital, LLC CurrentSince Feb 20, 2017 Accepting new patients
Seattle Children'S Hospital Past Accepting new patients
Community Health Center of the Black Hills Inc Past Accepting new patients

Locations

216 Anamaria Dr
Rapid City, SD 57701
Phone (605) 388-9440

1730 Haines Ave
Rapid City, SD 57701
Phone (605) 791-7788

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

Interoperability endpoints

  • Direct secure messaging: mschwab33130@direct.seattlechildrens.org

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1831433267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E MONROE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011400",
            "telephone_number": "605-721-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 MEADE ST",
            "address_2": "SUITE 200",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577015334",
            "telephone_number": "605-721-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAB",
        "first_name": "MOLLY",
        "middle_name": "CATHERINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.