Physician Assistant
ADVANCED DERMATOLOGY OF THE BLACK HILLS, PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1669125241 · enumerated 2022-02-02 · record updated 2022-02-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. JONATHAN MEDECK PA-C, Owner/Physician's Assistant · (605) 381-6082
Addresses and phones
- Mailing address PO BOX 1473, RAPID CITY, SD, 57709-1473 (605) 721-0596 Google Maps Apple Maps OpenStreetMap
- Practice location 710 SAINT ANNE ST, RAPID CITY, SD, 57701-4670 (605) 343-8000 Fax (605) 343-8262 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X
- Physician Assistant 363A00000X · Primary
In this directory
Locations and evidence
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Practice location
RAPID CITY, SD, 577014670
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.