Midwest Street Medicine

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

MIDWEST STREET MEDICINE

Practice address

701 E 8TH St
Sioux Falls, SD 57103-1632

Phone

(605) 334-6732

NPI assigned

Nov 4, 2024

Last updated

Nov 4, 2024By 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

Shannon Emry, MD

Title

Medical Director

Phone

(605) 370-3054

Specialties & licenses 1

Addresses

Tax ID family

Midwest Street Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Midwest Street Medicine

  • Primary Care Clinic/Center
  • Sioux Falls, SD
  • NPI 1154159747
  NPD tax ID

Locations

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1841013232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S NICHOLAS CIR",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 8TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571031632",
            "telephone_number": "605-334-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST STREET MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "EMRY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "605-370-3054",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Medical Care PC
• Midwest Pain and Rehabilitation Clinic LTD.
• Midwest Regional Imaging Services
• Midwest Regional Imaging Services LLC
• Midwest Street Medicine
• Midwest Wellness Institute, PLLC
• Midwestern Endocrinology LTD
• Melisa Miftari, LCSW
• Tyler S Miiller, PAC
• Christopher Noel Mikkelsen, DC

• Community Health Worker in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Community Health Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.