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Contact Information

TRAVIS J PTACEK MD PLLC
529 KANSAS CITY ST STE 203
RAPID CITY, SD57701-3693
 Phone: 605-223-0011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TRAVIS J PTACEK MD PLLC

NPI # 1265113260
LBN Legal business name TRAVIS J PTACEK MD PLLC
Authorized official TRAVIS PTACEK - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2023
Last updated 10/16/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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