Healthcare Provider Details

I. General information

NPI: 1386400513
Provider Name (Legal Business Name): VIRTUALCARE MEDICAL GROUP OF SD, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S REID ST STE 307
SIOUX FALLS SD
57103-7045
US

IV. Provider business mailing address

228 PARK AVE SOUTH PMB 31583
NEW YORK NY
10003-1502
US

V. Phone/Fax

Practice location:
  • Phone: 844-301-0093
  • Fax:
Mailing address:
  • Phone: 844-301-0093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: AIDEN YUZHE FENG
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 844-301-0093