Midwestern Endocrinology LTD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

0439 Issued in SD

Legal business name

MIDWESTERN ENDOCRINOLOGY LTD

Practice address

3926 S Western Ave
Sioux Falls, SD 57105-6513

Phone

(605) 275-6525

Fax

(605) 275-6970

NPI assigned

Jul 5, 2006

Last updated

Feb 21, 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

Mark J Oppenheimer, MDNPI 1689640187

Title

Owner/Provider

Phone

(605) 275-6525

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Mark J Oppenheimer, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Sioux Falls, SD
  • NPI 1689640187
  NPD Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1942230636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5126",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175126",
            "telephone_number": "605-335-1952",
            "fax_number": "605-373-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3926 S WESTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056513",
            "telephone_number": "605-275-6525",
            "fax_number": "605-275-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWESTERN ENDOCRINOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIMER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "605-275-6525",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SD",
            "license": "0439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC8611",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "494R1MI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Regional Imaging Services
• Midwest Regional Imaging Services LLC
• Midwest Street Medicine
• Midwest Street Medicine
• Midwest Wellness Institute, PLLC
• Melisa Miftari, LCSW
• Tyler S Miiller, PAC
• Christopher Noel Mikkelsen, DC
• Lindsey Mikkelsen, MA, CCC-SLP
• Lucas John Mikkelsen, PA-C

• Endocrinology, Diabetes & Metabolism Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Endocrinology, Diabetes & Metabolism Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.