Active NPI 1275530644 Individual Practitioner Male Practitioner

Dr. Timothy L Walker , MD

Orthopaedic Surgery • Tea, SD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Walker, MD is a certified Orthopaedic Surgery practicing in Tea, SD. With approximately 28 years of clinical experience since graduating from Indiana Medical College, School Of Medicine Of Purdue University in 1998, Dr. Walker delivers high-quality medical care to the local community at 2120 LIVE STRONGER ST.

Dr. Walker is affiliated with Orthopedic Institute Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, injection, dexamethasone sodium phosphate, 1 mg, x-ray of knee, 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2120 Live Stronger St

Tea, SD 570648331

Telephone 6053315890

Associated Practice Facility / Clinic

🏢 Orthopedic Institute Pc Facility NPI 1245263326

Medicare Profile & Education

Medical School

Indiana Medical College, School Of Medicine Of Purdue University

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Tea, SD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +3.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 24.0 Yrs

Regional Practice Density

12 Specialists

Practicing in Tea, SD (120 Statewide)

Telehealth Adoption Rate

41.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Walker (28 Years) 28 Yrs

Tea Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	4,092	58	$28.00	$8.82
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,292	84	$1.00	$0.11
73562 X-ray of knee, 3 views	204	168	$157.00	$39.54
20610 Aspiration and/or injection of fluid from large joint	187	132	$360.36	$68.86
73560 X-ray of knee, 1-2 views	185	156	$134.00	$32.74
73502 X-ray of hip, 2-3 views	182	146	$182.00	$45.06
99213 Established patient office or other outpatient visit, typically 15 minutes	180	155	$186.00	$87.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	144	$270.00	$123.26
27447 Replacement of knee joint, both sides of knee	107	105	$8250.00	$1179.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	90	88	$113.00	$54.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$405.00	$159.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$266.00	$106.59
27130 Replacement of thigh bone and hip joint with prosthesis	46	46	$8258.00	$1181.33
73721 Mri scan of leg joint without contrast	32	30	$2018.00	$200.11
72110 X-ray of lower and sacral spine, minimum of 4 views	28	28	$195.00	$40.98
73030 X-ray of shoulder, minimum of 2 views	24	20	$132.00	$27.81
29881 Removal of knee cartilage using an endoscope	21	21	$3325.00	$507.83
73564 X-ray of knee, 4 or more views	21	18	$176.00	$37.62
72170 X-ray of pelvis, 1-2 views	15	15	$114.00	$27.05
73522 X-ray of both hips, 3-4 views	14	14	$209.00	$51.56
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	12	12	$10714.00	$1606.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,304	39	$28.00	$9.21
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,084	76	$1.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	222	205	$270.00	$125.58
73562 X-ray of knee, 3 views	221	177	$157.00	$39.99
99213 Established patient office or other outpatient visit, typically 15 minutes	145	127	$186.00	$88.39
73502 X-ray of hip, 2-3 views	142	125	$182.00	$46.03
20610 Aspiration and/or injection of fluid from large joint	126	106	$347.67	$67.33
73560 X-ray of knee, 1-2 views	108	92	$134.00	$33.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$405.00	$160.70
27447 Replacement of knee joint, both sides of knee	103	101	$8250.00	$1217.72
27130 Replacement of thigh bone and hip joint with prosthesis	61	59	$8291.85	$1218.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	61	$113.00	$55.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$266.00	$109.42
73721 Mri scan of leg joint without contrast	30	29	$2018.00	$212.35
73030 X-ray of shoulder, minimum of 2 views	23	21	$132.00	$29.44
72110 X-ray of lower and sacral spine, minimum of 4 views	19	19	$195.00	$42.76
73522 X-ray of both hips, 3-4 views	19	19	$209.00	$54.24
29881 Removal of knee cartilage using an endoscope	17	16	$3325.00	$525.30
72170 X-ray of pelvis, 1-2 views	14	14	$114.00	$28.09
73564 X-ray of knee, 4 or more views	13	12	$176.00	$40.34
29880 Removal of both knee cartilages using an endoscope	11	11	$3449.00	$544.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,777	31	$28.00	$10.08
J1100 Injection, dexamethasone sodium phosphate, 1 mg	480	36	$1.00	$0.12
73562 X-ray of knee, 3 views	194	144	$155.82	$41.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	154	$270.00	$127.19
73502 X-ray of hip, 2-3 views	135	113	$177.59	$46.34
99213 Established patient office or other outpatient visit, typically 15 minutes	133	111	$186.00	$89.53
73560 X-ray of knee, 1-2 views	126	108	$130.54	$32.78
27447 Replacement of knee joint, both sides of knee	117	116	$8012.36	$1220.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$405.00	$162.38
20610 Aspiration and/or injection of fluid from large joint	78	68	$345.62	$67.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$266.00	$109.02
27130 Replacement of thigh bone and hip joint with prosthesis	58	55	$7974.62	$1203.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	45	$113.00	$55.14
99213 Established patient office or other outpatient visit, typically 15 minutes	33	33	$82.00	$65.32
73564 X-ray of knee, 4 or more views	28	26	$159.57	$43.75
73560 X-ray of knee, 1-2 views	27	25	$33.00	$8.13
73721 Mri scan of leg joint without contrast	23	22	$2018.00	$217.66
73502 X-ray of hip, 2-3 views	19	19	$49.00	$10.88
29881 Removal of knee cartilage using an endoscope	18	18	$3296.72	$527.95
72170 X-ray of pelvis, 1-2 views	15	15	$111.60	$26.01
73522 X-ray of both hips, 3-4 views	11	11	$209.00	$55.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	864	12	$39.00	$10.44
99213 Established patient office or other outpatient visit, typically 15 minutes	290	253	$75.73	$64.79
73562 X-ray of knee, 3 views	268	199	$37.00	$9.21
73502 X-ray of hip, 2-3 views	214	180	$46.36	$11.03
73560 X-ray of knee, 1-2 views	210	165	$33.00	$8.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	141	$111.23	$96.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	130	130	$91.19	$81.37
27447 Replacement of knee joint, both sides of knee	127	116	$6145.54	$1242.61
27130 Replacement of thigh bone and hip joint with prosthesis	92	89	$5991.42	$1241.83
20985 Computer-assisted surgery for muscle and bone procedure	87	83	$642.00	$139.40
72170 X-ray of pelvis, 1-2 views	61	59	$34.00	$8.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$155.69	$133.81
99221 Initial hospital inpatient care per day, typically 30 minutes	29	28	$299.62	$97.82
73522 X-ray of both hips, 3-4 views	27	27	$57.00	$14.58
20610 Aspiration and/or injection of fluid from large joint	19	15	$353.05	$71.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$403.50	$132.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$274.00	$106.73
29881 Removal of knee cartilage using an endoscope	17	17	$2622.88	$534.44
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$188.75	$87.09
20610 Aspiration and/or injection of fluid from large joint	15	14	$202.77	$32.48
73565 X-ray of both knees while standing	15	15	$33.00	$8.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	816	13	$39.00	$10.62
99213 Established patient office or other outpatient visit, typically 15 minutes	324	284	$58.45	$50.85
73562 X-ray of knee, 3 views	203	154	$37.00	$9.54
73560 X-ray of knee, 1-2 views	186	132	$33.00	$8.50
73502 X-ray of hip, 2-3 views	182	160	$44.00	$11.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	150	150	$88.51	$73.31
27447 Replacement of knee joint, both sides of knee	94	89	$6036.28	$1322.05
27130 Replacement of thigh bone and hip joint with prosthesis	53	53	$5918.45	$1300.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	49	$89.41	$78.67
20985 Computer-assisted surgery for muscle and bone procedure	51	51	$642.00	$142.84
29881 Removal of knee cartilage using an endoscope	35	35	$2347.00	$525.08
72170 X-ray of pelvis, 1-2 views	33	32	$34.00	$8.86
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$186.00	$71.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$403.00	$136.27
73564 X-ray of knee, 4 or more views	20	20	$44.00	$11.43
20610 Aspiration and/or injection of fluid from large joint	16	16	$338.63	$68.51
73565 X-ray of both knees while standing	15	15	$33.00	$8.87
73522 X-ray of both hips, 3-4 views	13	13	$57.00	$15.09
73030 X-ray of shoulder, minimum of 2 views	13	12	$37.00	$9.57
20610 Aspiration and/or injection of fluid from large joint	13	13	$139.23	$40.58
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$299.00	$100.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,392	18	$39.00	$11.27
99213 Established patient office or other outpatient visit, typically 15 minutes	468	395	$58.00	$49.85
73562 X-ray of knee, 3 views	278	220	$37.00	$9.49
73560 X-ray of knee, 1-2 views	267	204	$33.00	$8.42
73502 X-ray of hip, 2-3 views	229	186	$44.00	$11.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	214	214	$86.87	$74.00
27447 Replacement of knee joint, both sides of knee	100	97	$6121.44	$1317.66
27130 Replacement of thigh bone and hip joint with prosthesis	82	80	$6090.09	$1304.06
99213 Established patient office or other outpatient visit, typically 15 minutes	56	48	$180.21	$70.27
20985 Computer-assisted surgery for muscle and bone procedure	56	55	$642.00	$141.84
72170 X-ray of pelvis, 1-2 views	52	51	$34.00	$8.78
29881 Removal of knee cartilage using an endoscope	38	37	$2347.00	$522.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	37	$403.00	$134.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$89.00	$74.19
20610 Aspiration and/or injection of fluid from large joint	24	22	$376.25	$68.13
73522 X-ray of both hips, 3-4 views	24	24	$57.00	$15.04
73030 X-ray of shoulder, minimum of 2 views	24	21	$37.00	$9.49
73564 X-ray of knee, 4 or more views	18	17	$44.00	$11.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$268.27	$101.91
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$5424.18	$1198.03
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$4766.28	$1042.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$29.00	$25.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,729	23	$39.00	$11.76
99213 Established patient office or other outpatient visit, typically 15 minutes	405	333	$58.59	$49.58
73560 X-ray of knee, 1-2 views	252	176	$32.56	$8.30
73562 X-ray of knee, 3 views	221	180	$36.53	$9.37
J1100 Injection, dexamethasone sodium phosphate, 1 mg	192	14	$5.00	$0.12
73502 X-ray of hip, 2-3 views	177	153	$43.53	$11.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$88.11	$73.38
27447 Replacement of knee joint, both sides of knee	111	104	$6098.11	$1236.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	100	$90.74	$76.12
99213 Established patient office or other outpatient visit, typically 15 minutes	95	74	$176.89	$68.09
27130 Replacement of thigh bone and hip joint with prosthesis	55	54	$5977.34	$1291.22
20610 Aspiration and/or injection of fluid from large joint	47	35	$317.01	$62.44
72170 X-ray of pelvis, 1-2 views	43	43	$33.53	$8.67
29881 Removal of knee cartilage using an endoscope	36	36	$2347.00	$522.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$263.39	$100.20
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$292.67	$97.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$396.45	$132.54
73522 X-ray of both hips, 3-4 views	21	21	$57.00	$14.85
20985 Computer-assisted surgery for muscle and bone procedure	21	21	$642.00	$140.08
73030 X-ray of shoulder, minimum of 2 views	21	16	$36.43	$9.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$262.63	$101.33
73565 X-ray of both knees while standing	17	17	$33.00	$8.66
29880 Removal of both knee cartilages using an endoscope	17	17	$2436.00	$543.35
73630 X-ray of foot, minimum of 3 views	15	14	$32.40	$8.32
73610 X-ray of ankle, minimum of 3 views	14	13	$33.43	$8.67
20610 Aspiration and/or injection of fluid from large joint	13	13	$170.92	$40.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$209.23	$70.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,928	35	$39.00	$12.44
99213 Established patient office or other outpatient visit, typically 15 minutes	352	292	$57.09	$48.88
J1100 Injection, dexamethasone sodium phosphate, 1 mg	285	22	$2.07	$0.11
73562 X-ray of knee, 3 views	223	174	$36.00	$9.34
73560 X-ray of knee, 1-2 views	211	149	$32.00	$8.28
73502 X-ray of hip, 2-3 views	202	162	$43.00	$11.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	163	163	$87.04	$73.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	133	$122.51	$75.47
99213 Established patient office or other outpatient visit, typically 15 minutes	114	80	$172.68	$67.93
27447 Replacement of knee joint, both sides of knee	77	73	$5932.80	$1285.18
20610 Aspiration and/or injection of fluid from large joint	64	49	$336.28	$64.52
27130 Replacement of thigh bone and hip joint with prosthesis	49	47	$5907.76	$1295.05
72170 X-ray of pelvis, 1-2 views	36	34	$33.00	$8.62
73030 X-ray of shoulder, minimum of 2 views	35	27	$36.00	$9.34
29881 Removal of knee cartilage using an endoscope	33	33	$2314.03	$508.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$578.00	$196.16
73522 X-ray of both hips, 3-4 views	32	32	$57.00	$14.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$257.29	$99.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$253.71	$100.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	23	$206.00	$70.12
73600 X-ray of ankle, 2 views	23	12	$32.00	$8.29
20985 Computer-assisted surgery for muscle and bone procedure	18	17	$619.63	$139.76
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$290.00	$97.30
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	17	17	$5084.41	$1143.48
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$177.15	$69.35
73630 X-ray of foot, minimum of 3 views	13	11	$32.00	$8.27
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$5225.00	$1176.18
29880 Removal of both knee cartilages using an endoscope	12	12	$2400.50	$538.56

Medical Specialties & State Licenses

CMS Verified: 2026-04-22

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License SD 5456

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

6402250 (SD)

Hospital & Practice Group Affiliations

Orthopedic Institute Pc

407 22nd Ave, Brookings, SD 570062427

Phone: 6053315890

Orthopedic Institute Pc

715 S Main Ave, Sioux Center, IA 512501349

Phone: 6053315890

Orthopedic Institute Pc

810 E 23rd St, Sioux Falls, SD 571052135

Orthopedic Institute Pc

4600 S Tennis Ln, Sioux Falls, SD 571062244

Phone: 6053315890

Orthopedic Institute Pc

503 E Lincoln St, Hendricks, MN 561369598

Phone: 8883315890

Orthopedic Institute Pc

1300 S Burr St, Mitchell, SD 573014551

Phone: 6053315890

Orthopedic Institute Pc

1101 Broadway Ave, Yankton, SD 570782835

Phone: 6053315890

Orthopedic Institute Pc

2120 Live Stronger St, Tea, SD 570648331

Phone: 6053315890

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Walter Carlson , MD

Orthopaedic Surgery

NPI 1003823170

Doctor of Medicine (M.D.)

Megan Cook

Physical Therapist

NPI 1013146935

John Oldenkamp , PA-C

Physician Assistant

NPI 1013740091

Physician Assistant (Certified)

Scott Mcpherson

Orthopaedic Surgery - Hand Surgery

NPI 1013993195

Shelly Price , PT

Physical Therapist

NPI 1033188420

Physical Therapist

Dr. Aaron Olson , DPT, ATC, CSCS

Physical Therapist - Orthopedic

NPI 1033556014

Doctor of Physical Therapy, Certified Athletic Trainer, Certified Strength and Conditioning Specialist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location April 22, 2026

Registered at 2120 LIVE STRONGER ST, TEA, SD 570648331 (Tel: 6053315890)

📍

Updated Business Mailing Address April 22, 2026

Registered at 2120 LIVE STRONGER ST, TEA, SD 570648331 (Tel: 6053315890)

✅

NPI Profile Active April 18, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 18, 2013

Registered at 1210 W 18TH ST STE G01, SIOUX FALLS, SD 571044651 (Tel: 6053282663)

📍

Updated Business Mailing Address April 18, 2013

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074 (Tel: 6053286585)

👤

Provider Name / Credentials Updated April 18, 2013

Recorded as TIMOTHY WALKER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2013

Orthopaedic Surgery (License #5456 in SD)

🟢

Initial NPI Registration & Enumeration June 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275530644

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 30, 2005

Last Update: April 22, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2120 Live Stronger St

Tea, SD 570648331

Phone: 6053315890

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.