Healthcare Provider Details

I. General information

NPI: 1033132451
Provider Name (Legal Business Name): DARLA EDINGER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 11/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N FOSTER ST
MITCHELL SD
57301-2966
US

IV. Provider business mailing address

525 N FOSTER ST
MITCHELL SD
57301-2966
US

V. Phone/Fax

Practice location:
  • Phone: 605-995-5701
  • Fax: 605-995-5700
Mailing address:
  • Phone: 605-995-5701
  • Fax: 605-995-5700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number3965
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number3965
License Number StateSD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier3965
Identifier TypeOTHER
Identifier StateSD
Identifier IssuerDAKOTA CARE
# 2
Identifier0007853
Identifier TypeOTHER
Identifier StateSD
Identifier IssuerWELLMARK BCBS
# 3
Identifier080179430
Identifier TypeOTHER
Identifier StateSD
Identifier IssuerRAILROAD MEDICARE
# 4
IdentifierS1639
Identifier TypeOTHER
Identifier StateSD
Identifier IssuerMEDICARE PTAN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: