Provider Demographics
NPI:1366538233
Name:CHESTER ADAM, HEATHER KAY (MD)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:KAY
Last Name:CHESTER ADAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:K
Other - Last Name:CHESTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:4400 W 69TH ST
Practice Address - Street 2:STE. 1500
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8170
Practice Address - Country:US
Practice Address - Phone:605-322-5700
Practice Address - Fax:605-322-5704
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD59552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD412991049661OtherPREFERRED ONE
SD55652OtherSANFORD HEALTH PLAN
MN040121002OtherPRIMEWEST
SD4993615OtherBLUE CROSS
SD57108C033OtherWPS TRICARE
SD5955OtherDAKOTACARE
SDHP72477OtherHEALTHPARTNERS
ND12200Medicaid
IA1366538233Medicaid
NE46022474352Medicaid
SD251780OtherMIDLANDS CHOICE
MN432183000Medicaid
MN512L2CHOtherCC SYSTEMS/ BLUE PLUS
SD2444675OtherARAZ/ AMERICA'S PPO
SD370624200OtherDEPT OF LABOR
SD412991049661OtherPREFERRED ONE