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ADVANCED DERMATOLOGY OF THE BLACK HILLS, PC
NPI 1669125241
Physician Assistant in Rapid City, SD

Active since February 02, 2022
710 SAINT ANNE ST, RAPID CITY, SD 57701(605) 343-8000(605) 343-8262 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Dermatology Of The Black Hills, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED DERMATOLOGY OF THE BLACK HILLS, PC (NPI 1669125241) is a healthcare organization registered as a physician assistant in Rapid City, South Dakota and active in the NPI registry since February 2022. The organization lists Jonathan Dean Medeck, Owner/physician's Assistant, as its authorized official.

NPPES Registry Identity

NPI1669125241
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameADVANCED DERMATOLOGY OF THE BLACK HILLS, PC
Location Address710 SAINT ANNE STRapid City, SD 57701-4670
Mailing AddressPo Box 1473Rapid City, SD 57709-1473 · (605) 721-0596
Phone(605) 343-8000
Fax(605) 343-8262
Organization SubpartNo
Authorized OfficialJonathan Dean MedeckOwner/physician's Assistant · (605) 381-6082
Enumeration DateFebruary 2, 2022
NPPES CertifiedFebruary 2, 2022
✔ NPI 1669125241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedDermatologyTaxonomy 207N00000X
710 SAINT ANNE ST, Rapid City, SD 57701
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERALD W BUTZ M.D.
Urology
710 SAINT ANNE ST
RAPID CITY, SD 57701
Meade County (605) 348-4100
BLACK HILLS UROLOGY PC
Urology
710 SAINT ANNE ST
RAPID CITY, SD 57701
Meade County (605) 348-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Dermatology Of The Black Hills, PC's NPI number?

The NPI number for Advanced Dermatology Of The Black Hills, PC is 1669125241. It was assigned to this organization in the NPPES registry on February 2, 2022.

Where is Advanced Dermatology Of The Black Hills, PC located?

Advanced Dermatology Of The Black Hills, PC is located at 710 Saint Anne St, Rapid City, SD 57701. The listed phone number is (605) 343-8000.

What is Advanced Dermatology Of The Black Hills, PC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Advanced Dermatology Of The Black Hills, PC accept?

Health plans from Medica and Sanford Health Plan list Advanced Dermatology Of The Black Hills, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Dermatology Of The Black Hills, PC was last updated on February 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.