W.A. Boade, MD Prof LLC
W.A. Boade, MD Prof LLC is a healthcare organization registered as Nuclear Medicine Physician in Sioux Falls, SD, holding Type 2 (organization) NPI 1558568378 since 2007. The authorized official on file is Penny Jensen, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1558568378 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | W.A. Boade, MD Prof LLC |
| Practice address | 4500 N CLIFF AVE, Sioux Falls, SD, 57104 |
| Phone | 6053066000 |
| Fax | 6052212141 |
| Enumeration date | 2007-06-27 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Penny Jensen |
|---|---|
| Title | Office Manager |
| Phone | 6053066000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207U00000X | Nuclear Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6600093 | Medicaid | SD | — |
Copy-ready billing details
Provider: W.A. Boade, MD Prof LLC NPI: 1558568378 Taxonomy: 207U00000X (Nuclear Medicine Physician) Address: 4500 N CLIFF AVE, Sioux Falls, SD, 57104
Verify this record
Cross-check NPI 1558568378 against the authoritative CMS record: view W.A. Boade, MD Prof LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for W.A. Boade, MD Prof LLC?
Who is the authorized official for W.A. Boade, MD Prof LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.