Mark J Ptacek is a Family Medicine in Rapid City, South Dakota. Mark J Ptacek practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark J Ptacek is 1083611958. The last update date is 2022-07-21.
Mark J Ptacek's current location address is 353 Fairmont Blvd, Rapid City, South Dakota. You can contact this provider via phone number 6057558107. The mailing address for Mark J Ptacek is 353 Fairmont Blvd, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark J Ptacek |
|---|---|
| Address | 353 Fairmont Blvd, Rapid City, South Dakota |
| Phone Number | 6057558107 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1083611958 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 353 Fairmont Blvd |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 577017375 |
| Phone Number | 6057558107 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 16764 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 460423930 | NE | HUMANA | |
| 46042393011 | NE | -- | |
| 9214155 | NE | DAKOTA CARE | |
| 3859 | NE | MIDLANDS CHOICE | |
| 7988021 | NE | AETNA | |
| 123937 | NE | MEDICA | |
| 6676 | NE | NEBRASKA BCBS | |
| 460423930 | NE | TRICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark J Ptacek by the Centers for Medicare & Medicaid Services?
The Mark J Ptacek has been issued the NPI (National Provider Identifier) 1083611958, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mark J Ptacek's facilities are situated?
The facilities of Mark J Ptacek are physically located at the following address: 353 Fairmont Blvd, Rapid City, SD, 577017375.
What is Mark J Ptacek's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark J Ptacek is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When did the Mark J Ptacek receive its 1083611958?
The Mark J Ptacek was issued its 1083611958 on 2005-07-07, which is the date when the organization was assigned this unique identifier.
When was the information regarding Mark J Ptacek, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark J Ptacek, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.