Individual
JAY E WEATHERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4400 W 69TH ST, STE. 1500, SIOUX FALLS, SD 57108-8170
(605) 322-5700
(605) 322-5704
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5881
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040121002
PRIMEWEST
MN
05
—
0734756
—
IA
05
—
12200
—
ND
01
—
2443474
ARAZ/ AMERICA'S PPO
SD
01
—
250978
MIDLANDS CHOICE
SD
01
—
370624200
DEPT OF LABOR
SD
01
—
412991047230
PREFERRED ONE
SD
05
—
46022474352
—
NE
01
—
4993901
BLUE CROSS
SD
01
—
53262
SANFORD HEALTH PLAN
SD
01
—
57108C012
WPS TRICARE
SD
01
—
5881
DAKOTACARE
SD
05
—
942439300
—
MN
01
—
975T5WE
CC SYSTEMS/ BLUE PLUS
MN
01
—
HP67088
HEALTHPARTNERS
SD
Enumeration date
07/21/2006
Last updated
04/19/2021
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