Provider Demographics
NPI:1962478651
Name:SANTELLA, ROBERT NICHOLAS (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:NICHOLAS
Last Name:SANTELLA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:1315 S CLIFF AVE
Practice Address - Street 2:STE 2000
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1058
Practice Address - Country:US
Practice Address - Phone:605-322-5800
Practice Address - Fax:605-322-5801
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2018-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SD3706207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD57105P004OtherWPS TRICARE
SD6001142Medicaid
SD0008495OtherBLUE CROSS
SD406751028151OtherPREFERRED ONE
SDHP24766OtherHEALTHPARTNERS
SD3100121OtherMEDICA
SD25238OtherSANFORD HEALTH PLAN
MN909725200Medicaid
MN118T7SAOtherBLUE CROSS
IA1917534Medicaid
IA33395 & 33394OtherBLUE CROSS
SD3706OtherDAKOTACARE
SD22864OtherARAZ/ AMERICA'S PPO
SD390008719OtherRR MEDICARE
NE46022474344Medicaid
MN118T7SAOtherCC SYSTEMS/ BLUE PLUS
SD7873OtherMIDLANDS CHOICE
SD3100121OtherMEDICA
SD3706OtherDAKOTACARE
IA1917534Medicaid