Howard Clinic Care Providers


	Thomas M. Dean, MD Dr. Dean received his M.D. with distinction in research from the University of Rochester School of Medicine in Rochester NY in 1972. His internship and Family Practice residency were completed at the University of Washington Hospital in Seattle, Washington. Dr. Dean returned to his native Wessington Springs, SD in 1978 as a National Health Service Corps physician. He sees patients at the clinics in Wessington Springs, Woonsocket, and Plankinton. Dr. Dean is board certified in Family Medicine and specializes in child and adult medicine, geriatrics, orthopedics and trauma, and preventive medicine. Dr Dean works part-time in issues of health policy and medical leadership.

	Andrew Binamira, MD Dr. Binamira is an internal medicine physician in DeSmet. He received his M.D. from Cebu Institute of Medicine in the Republic of the Philippines. His internal medicine residency was completed in Atlantic City Medical Center, Atlantic City, NJ, where he also received chief resident from July 1998 to June 1999. Dr. Binamira is a board certified Internal Medicine physician who specializes in family medicine, cancer care, geriatrics, emergency care and cardiac care and sees patients at Bell Medical Service in DeSmet.

	Nicole Havel, PA-C Nicole Havel, Physician Assistant Certified attended the University of South Dakota in Vermillion and received her Master of Physician Assistant Studies in December of 2005. Prior to this Ms Havel received her Bachelor of Science degree in Psychology, minors in Biology and Chemistry from the University of South Dakota as well. In March of 2007, she obtained a Master of Business Administration from the University of Sioux Falls. Ms. Havel began working for Horizon Health Care, Inc in Mission South Dakota in October of 2007. Nicole is a member of the American Physician Assistant Association and provides primary and emergency health care services in Todd and Mellette Counties.

	Angela Chambers, PA-C Angela Chambers, Physician Assistant Certified received her Master of Science in Physician Assistant Studies from Des Moines University, Des Moines, IA in August of 2007. Ms. Chambers began her clinical career at Mission Medical Clinic in Mission, South Dakota in October, 2007. Ms. Chambers specializes in providing primary and emergency health care services to patients in Todd and Mellette Counties.

	Kerfala Fofana, PA-C Kerfala Fofana, Physician Assistant Certified began working for Horizon Health Care, Inc in December of 2007 and works primarily at the Mission Medical Clinic and helps out when needed at Mellette Co Clinic in White River and at the Bennett Co Clinic in Martin, SD. Kerfala received his Masters in Physician Assistant Studies at Union College in Lincoln, Nebraska in May 2007. He was born and raised in Guinea, Africa and is now a US citizen. Kerfala specializes in family and emergency medicine.

	Ruth Mosqueda-Lim, MD Dr. Mosqueda-Lim began her practice February 2002 in De Smet. She was born in Cebu City, Philippines, and received her Doctor of Medicine degree at Cebu Institute of Medicine, Philippines, and her Bachelor of Science in Medical Technology at Velez College, Philippines. She is a board certified diplomat in Internal Medicine by the American Board of Medical Examiners. She was most outstanding resident of the Internal Medicine residency program at St. Frances Medical Center in Trenton, NJ.

	Lance Lim, MD, Medical Director Dr. Lim is Medical Director of Horizon Health Care, Inc. He attended the Cebu Institute of Medicine in the Philippines, and completed his residency in Physical Medicine and Rehabilitation at St. Francis Medical Center in Pittsburgh, PA. He recently completed a 12-month fellowship in Spinal Cord Injury Medicine at the VA Medical Center/Harvard Medical School in West Roxbury, MA. Dr. Lim will provide primary care services, as well as special expertise in dealing with musculoskeletal problems such as arthritis and the accompanying difficulties some patients experience with ambulation, gait abnormalities, and the use of devices to support treatment of these problems.

	James Cody, Family Nurse Practitioner and Physician Assistant - Certified James Cody received his nursing degree from Montana State University and completed the nurse practitioner/physician assistant program at the University of North Dakota School of Medicine in 1979. He came to Plankinton in 1979 through the National Health Service Corps and has remained in practice there since that time. Mr. Cody specializes in family medicine, urgent care, preventive medicine and geriatrics.

	Kathryn R. Dean, Certified Nurse Midwife Kathryn Dean received her nursing degree from the University of Washington in Seattle and graduated from the Frontier School of Midwifery and Family Nursing in Hyden, KY in 1977. She came to Wessington Springs with her husband, Dr. Tom Dean, in 1978 and continues her practice in women's health including, pre-conception care, family planning and gynecology, and menopausal care.

	Karen Bumann, Physician Assistant - Certified, MPAS Karen Bumann completed the Physician Assistant (PA) program at the University of North Dakota in January 1994 and then obtained a Master of Physician Assistant Studies degree from the University of Nebraska with a specialization in Family Medicine. She started her PA career at Howard in February 1994 through the National Health Service Corps and has practiced at the Lake Preston and Howard clinic sites since that time.

	Alicia Adkins, DMD Dr. Alicia Adkins, DMD, originally from Kentucky, received her BA degree in biology from the Asbury College in Wilmore, Kentucky from 1996-2000. In 2000, she attended the University Of Kentucky College Of Dentistry in Lexington, Kentucky. In 2004 she received her dental degree and began her professional experience in Bethel, Alaska. She and her family survived the cold winters in Alaska for three years prior to moving to South Dakota where she practices as a staff dentist for DeSmet Dental Services, DeSmet, South Dakota providing preventive family dentistry. Dr. Adkins is a member of the Academy of General Dentistry.

	Lorinda Holland, Certified Nurse Practitioner Lorinda Holland received her nursing degree from Mankato State University in Mankato, MN in June 1988. Ms. Holland completed the nurse practitioner program at South Dakota State University in Brookings in 1997. Ms. Holland sees patients in Bryant and DeSmet, and specializes in family medicine, emergency care, preventive medicine, and geriatrics.

	Lori Kollmann, Physician Assistant - Certified Lori Kollman received her nursing degree at Sioux Valley School of Nursing in May 1984. Lori completed her physician assistant program from the University of North Dakota School of Medicine, Grand Forks, ND in 1996. Ms. Kollmann sees patients in Howard and specializes in primary care and family medicine.

	Terri Groves, Physician Assistant - Certified Terri Groves received her diploma in Nursing from St Joseph School of Nursing in Sioux City, Iowa. She received a Bachelor of Science in Health Care Management from Bellevue University at Omaha, Nebraska in 2000, and in 2006 achieved her Master�s Degree in Physician Assistant Studies at the University of North Dakota in Grand Forks. Ms. Groves sees patients in Wessington Springs and Woonsocket, where she provides family medicine, emergency care, preventive medicine and geriatric care. She has a special interest in cancer awareness and prevention, and end-of-life issues.

	Dr. Robin Hattervig, DDS, Dental Director Dr. Hattervig is a native of rural Carthage SD, a graduate of the University of South Dakota and the University of Nebraska of Dentistry. He is a Phi Beta Kappa graduate and has earned numerous awards including the Academy of General Dentistry�s Fellowship award. Dr. Hattervig moved to Howard in July 1984 began his own dental practice and has been providing quality dental care to the residents in the Howard and surrounding areas for nearly 20 years. On November 1, 2003 Dr. Hattervig and his staff joined Horizon Health Care, Inc. and has been appointed the dental director for the organization.

	Christopher Reneer, DDS Dr. Reneer graduated from Brigham Young University in 1988 and from dental school in Richmond, Virginia. He relocated temporarily to Wellington, Colorado. Dr. Reneer enjoys college football, vacations, skiing, golfing, shooting and family time.

	Marilyn Seymour, Physician Assistant Marilyn Seymour has been serving the Mellette County Clinic full time since 1984. Ms. Seymour specializes in family medicine, urgent care, preventative medicine, geriatrics and women�s health care.

	Prakash Shrestha, MD Prakash Taujale Shrestha, MD was born in Nepal. He did undergraduate school, rotating Internship and received his MD Degree from Nucvo Leon, Mexico. In 1993 he did 2 years of Pediatrics Residency in Des Moines, Iowa. The year of 1995 he entered into his residency at the U of Nebraska. Dr. Shrestha speaks four languages and does a month a year as a missionary to Nepal.

	Betty Kalblinger, Physician Assistant-Certified Betty Kalblinger began practicing in 1952 in Valentine, Nebraska. She attended family nurse practitioner school and then went on to receive her physicians assistant certificate. Ms. Kalblinger has been providing services to the area for over 20 years.

	Dan Heyduk, Physician Assistant-Certified Dan Heyduk received his Bachelor of Science at the University of South Dakota in l998. Mr. Heyduk joined Horizon Health Care in March of 2000 and provides service to both the Mellette County Clinic and the Mission Medical Center.

	Nancy Webb, Family Nurse Practitioner Nancy Webb received her certificate as a Family Nurse Practitioner October 1, 2003. She also received her certificate of completion as a Certified Nurse Practitioner in September of 2003. She graduated with a master�s in nursing with an emphasis in family practice and graduated in 2003 as a Family Nurse Practitioner. Ms. Webb was hired for the Martin facility in November 2003.