Basic Information
| Provider Information | |||||||||
| NPI: | 1033183736 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NOYES | ||||||||
| FirstName: | ERIC | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | MSN, CNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 86370 | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571186370 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053227510 | ||||||||
| FaxNumber: | 6053226475 | ||||||||
| Practice Location | |||||||||
| Address1: | 6100 S LOUISE AVE STE 1120 | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571086021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6055041700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/17/2006 | ||||||||
| LastUpdateDate: | 10/31/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | CNP0275 | SD | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | 22325 | 01 | SD | MIDLANDS CHOICE | OTHER | 2920900 | 05 | IA | MEDICAID | 32853 | 01 | SD | SANFORD HEALTH PLAN | OTHER | 6827070 | 05 | SD | MEDICAID | 92411422901 | 01 | MN | PRIMEWEST | OTHER | 034906200 | 05 | MN | MEDICAID | 769201023472 | 01 | SD | PREFERRED ONE | OTHER | 0109170 | 01 | SD | MEDICA | OTHER | 24D43NO | 01 | MN | CC SYSTEMS/ BLUE PLUS | OTHER | 991053 | 01 | SD | ARAZ/ AMERICA'S PPO | OTHER | 0006942 | 01 | SD | BLUE CROSS | OTHER | 46022474335 | 05 | NE | MEDICAID | 500014207 | 01 | SD | RR MEDICARE | OTHER | HP32387 | 01 | SD | HEALTHPARTNERS | OTHER | 12262 | 05 | ND | MEDICAID | 2478 | 01 | SD | DAKOTACARE | OTHER | 57105F011 | 01 | SD | WPS TRICARE | OTHER |