Basic Information
| Provider Information | |||||||||
| NPI: | 1467428995 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ELSON | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | LEE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2400 S. MINNESOTA AVE. | ||||||||
| Address2: | STE. 100 | ||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571053762 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053227510 | ||||||||
| FaxNumber: | 6053226475 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 E. 23RD ST. | ||||||||
| Address2: | STE. 230 | ||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571052122 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053226900 | ||||||||
| FaxNumber: | 6053226901 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/24/2006 | ||||||||
| LastUpdateDate: | 05/19/2014 | ||||||||
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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 | 207RX0202X | 2513 | SD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology |
ID Information
| ID | Type | State | Issuer | Description | 013702200 | 05 | MN | MEDICAID | 2600234 | 01 | SD | MEDICA | OTHER | 10629 | 01 | SD | MIDLANDS CHOICE | OTHER | 396S3EL | 01 | MN | BLUE CROSS | OTHER | 25594 | 01 | SD | SANFORD HEALTH PLAN | OTHER | 6002342 | 05 | SD | MEDICAID | 396S3EL | 01 | MN | CC SYSTEMS/ BLUE PLUS | OTHER | 125K3EL | 01 | MN | BLUE CROSS (IN MN) | OTHER | 23266 | 01 | SD | ARAZ/ AMERICA'S PPO | OTHER | 2513 | 01 | SD | DAKOTACARE | OTHER | 407191028081 | 01 | SD | PREFERRED ONE | OTHER | 46022474336 | 05 | NE | MEDICAID | 1908723 | 05 | IA | MEDICAID | HP24469 | 01 | SD | HEALTHPARTNERS | OTHER | 0040099 | 01 | SD | BLUE CROSS | OTHER | 57105V003 | 01 | SD | WPS TRICARE | OTHER |