Active NPI
Danny A Wolfgram, MD
- Family Medicine Physician
- Aberdeen, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5650
- Practice address
- 701 8TH Ave NW
Suite a
Aberdeen, SD 57401-1865 - Phone
- (605) 226-2663
- Fax
- (605) 226-0095
- NPI assigned
- Nov 8, 2005
- Last updated
- Dec 17, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5650 | SD | Primary |
Addresses
Primary practice location
701 8TH Ave NW
Suite a
Aberdeen, SD 57401-1865
Mailing address
PO Box 1460
Aberdeen, SD 57402-1460
Phone (605) 226-2663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5601610 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, ND, MT, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wishek Hospital-Clinic AssociationSanford Health Network
Practice addresses (Care Compare)
1010 W 1St St
Redfield, SD 57469-1502
Phone (605) 472-0510
1015 4TH Ave S
Wishek, ND 58495-0647
1015 4TH Ave S
Wishek, ND 58495-7527
Phone (701) 452-2364
111 W 10TH Ave
Redfield, SD 57469-1519
Phone (605) 475-7402
112 Saint Olaf Ave S
Canby, MN 56220-1433
Phone (507) 223-7277
901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538
PO Box
Wishek, ND 58495
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5650 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Health Care Inc | Current | Accepting new patients | |
| Fallon Medical Complex Inc | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Lisbon Area Health Services | Current | Accepting new patients | |
| Wishek Hospital-Clinic Association | Current | Accepting new patients | |
| Fallon Medical Complex Inc | Current | Accepting new patients | |
| Fallon Medical Complex Inc | Current | Accepting new patients | |
| City of Redfield | Current | Accepting new patients | |
| Horizon Health Care Inc | Current | Accepting new patients | |
| Wishek Hospital-Clinic Association | Current | Accepting new patients | |
| Fallon Medical Complex Inc | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| City of Redfield | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Sanford Health Network | Family Medicine | Current | Accepting new patients |
| Sanford Health Network | Current | Accepting new patients | |
| Lisbon Area Health Services | Current | Accepting new patients | |
| Horizon Health Care Inc | Current | Accepting new patients | |
| Lisbon Area Health Services | Past | Accepting new patients | |
| Avera McKennan | Family Medicine | Past | Accepting new patients |
| Wishek Hospital-Clinic Association | Past | Accepting new patients |
Locations
3276 Solutions Ctr
Chicago, IL 60677
710 Drake St
Wibaux, MT 59353
Phone (406) 778-2833
1000 18th St SW
Ste 27
Huron, SD 57350
Phone (605) 554-1015
301 Flynn Dr
Milbank, SD 57252
Phone (605) 432-4587
1010 W 1st St
Redfield, SD 57469
Phone (605) 472-0510
111 W 10th Ave
Redfield, SD 57469
Phone (605) 472-1110
602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778
Interoperability endpoints
- danny.wolfgram@avera.sdhealthlink.net
Organizations & group practices 23
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.
-
dba Avera McKennan Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
dba Community Memorial Hospital
- Critical Access Hospital
- Redfield, SD
- NPI 1548232747
-
dba Aurora County Clinic
- Federally Qualified Health Center (FQHC)
- Plankinton, SD
- NPI 1356459382
-
- Critical Access Hospital
- Baker, MT
- NPI 1316965346
-
dba dba Community Clinic
- Critical Access Hospital Clinic/Center
- Baker, MT
- NPI 1386700763
-
dba Sanford Canby Medical Center
- Critical Access Hospital
- Canby, MN
- NPI 1780781054
-
- Critical Access Hospital
- Wishek, ND
- NPI 1295772804
-
dba Rural Health Wishek
- Rural Health Clinic/Center
- Wishek, ND
- NPI 1376584623
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
dba Milbank Area Hospital/Avera Health
- Critical Access Hospital
- Milbank, SD
- NPI 1548272818
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Milbank Area Hospital/Avera Health
- Critical Access Hospital
- Milbank, SD
- NPI 1548272818
-
dba Avera Medical Group Milbank
- Rural Health Clinic/Center
- Milbank, SD
- NPI 1750488730
Hospital
-
dba Community Memorial Hospital
- Critical Access Hospital
- Redfield, SD
- NPI 1548232747
-
dba Community Memorial Hospital
- Critical Access Hospital
- Redfield, SD
- NPI 1871565853
-
dba Sanford Canby Medical Center
- Critical Access Hospital
- Canby, MN
- NPI 1780781054
-
- Critical Access Hospital
- Wishek, ND
- NPI 1295772804
-
- Medicare Defined Swing Bed Hospital Unit
- Wishek, ND
- NPI 1992839526
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1861473753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1460",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574021460",
"telephone_number": "605-226-2663",
"fax_number": "605-226-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 8TH AVE NW",
"address_2": "SUITE A",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574011865",
"telephone_number": "605-226-2663",
"fax_number": "605-226-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFGRAM",
"first_name": "DANNY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "5650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5601610",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.