Samantha Speed, DNP

Ms. Hoffman is BLS and ACLS certified. She is a member of the American Academy of Physician Assistants and the South Dakota Academy of Physician Assistants. She is also a registered vascular sonographer.

Monument Health Mayo Clinic Care Network, located in Rapid City, SD, is a leading regional cancer care institute offering a wide range of medical services and support for patients and their families. With a focus on quality care, advanced treatment options, and a commitment to community engagement, Monument Health provides comprehensive healthcare services in collaboration with Mayo Clinic Care Network. Committed to excellence in healthcare, Monument Health Mayo Clinic Care Network is dedicated to serving patients with compassion and expertise. Through a team of skilled healthcare professionals and state-of-the-art facilities, the institute strives to improve the lives of individuals facing cancer and other medical challenges in the Black Hills region and beyond. Generated from the website

Joseph Tuma, M.D., is an interventional cardiologist and an expert in the field of coronary and structural interventional cardiology and peripheral vascular disease. Originally from Rushville, Neb., he received his medical training at the University of Nebraska Medical Center and completed his Internal Medicine Residency at Creighton University Medical Center in Omaha, Neb. He went on to complete fellowship training programs in Cardiology and Interventional Cardiology at Creighton University Medical Center in Omaha and The Iowa Heart Hospital at Mercy Medical Center in Des Moines, Iowa. Dr. Tuma then completed advanced Interventional fellowship training in Structural Heart Interventions and Endovascular Therapy, also at Creighton University and Mercy Medical Center. As an Interventional Cardiologist, Dr. Tuma specializes in the catheter-based treatment of cardiac and vascular patients, with a focus on new device therapies, the treatment of valvular and structural heart conditions, acute myocardial infarction and the management and treatment of peripheral arterial disease. He is a recognized expert in the field of radial artery access and interventions and has lectured and directed training courses both nationally and internationally. He is a pioneer in the field of radial access for peripheral arterial interventions. He also co-chaired the inaugural World Radial Blitz in New Delhi, India, in September 2010. He has directed similar training courses in Italy, Germany, Ireland and across the United States. Dr. Tuma has participated in the development of several cardiac and peripheral vascular interventional devices that are now commercially available and used for patient care on a routine basis. He has practiced in Rapid City, S.D., since 2007 and has introduced several new cardiac and vascular procedures to the patients of the Black Hills region. As the site principal investigator on multiple multi-center clinical trials, Dr. Tuma has participated in several important studies focusing on valvular and structural heart disease, coronary artery disease and interventional treatment of peripheral arterial disease. Focus areas • Catheter-based device therapy for valvular and structural heart disease • Vascular Medicine and Endovascular Arterial Therapy • Acute Myocardial Infarction • Catheter-based percutaneous ventricular assist devices Dedication to patient care Dr. Tuma is dedicated to evaluating new therapies for patient use as well as the development of new device technologies and adapting them to patient care. Additionally, he participates in a variety of training and educational programs for cardiology fellows and practicing physicians as a way of expanding access to new therapies for patients around the country. Dr. Tuma is committed to promoting excellence and innovation with a focus on optimizing outcomes and motivating change in order to create a positive patient care experience.