SANFORD CLINIC (NPI# 1023203619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023203619 |
| Entity Type | Organization |
| Organization Name | SANFORD CLINIC |
| Other Organization Name | SANFORD CLINIC WOMEN'S HEALTH INTERNAL MEDICINE |
| Practice Address |
5019 S Western Ave Ste 200 Sioux Falls SD 57108-5095 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053289700 |
| Mailing Telephone | 6053288395 |
| Mailing Fax Number | 6053289401 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | TONY LEE MORRISON (VIE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 6053288380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sanford Clinic Women's Health Internal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164069506 | Sanford Clinic | Clinic/Center | 2310 S Marion Rd Ste 140, Sioux Falls, SD 57106-1144 | 2019-12-04 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1356983175 | Sanford Clinic | Clinic/Center | 366 Hillsboro Technology Dr, Deerfield Beach, FL 33441-1836 | 2019-10-14 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1396089900 | Sanford Clinic | Nurse Practitioner | 1309 W 17th St Ste 102, Sioux Falls, SD 57104-4663 | 2012-11-20 |
| 1740416395 | Sanford Clinic | Pediatrics | 2502 W. Elk Ave., Duncan, OK 73533 | 2009-06-09 |
| 1861685166 | Sanford Clinic | Radiology | 891 14th Ave Ne, Watertown, SD 57201 | 2007-08-21 |
| 1366635740 | Sanford Clinic | Family Medicine | 433 Kansas Ave Se, Huron, SD 57350-2561 | 2007-08-20 |
| 1922123108 | Sanford Clinic | Clinic/Center | 703 S Broadway, Watertown, SD 57201 | 2007-03-20 |
| 1285738997 | Sanford Clinic | Obstetrics & Gynecology | 1201 S Euclid Ave Ste 201, Sioux Falls, SD 57105-0434 | 2006-09-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SANFORD CLINIC | 1305 W 18th St, Sioux Falls, SD 57105-0401 |
| Colorado Business Entities | Sanford Clinic | 1305 W 18th St, Sioux Falls, SD 57105 |
| Iowa Business Entities | SANFORD CLINIC | 1305 W 18th St, Sioux Falls, SD 57105 |
| Oklahoma Business Registrations | SANFORD CLINIC | 1305 W 18th St, Sioux Falls, SD 57105 |
| Iowa Business Entities | SANFORD CLINIC NORTH | 801 Broadway North, Fargo, ND 58122 |
| System for Award Management (SAM) Entities | SANFORD CLINIC NORTH FARGO | 801 Broadway N, Fargo, ND 58102-3641 |
| Street Address |
5019 S WESTERN AVE STE 200 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-5095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699710822 | Alla Zamulko | Internal Medicine | 5019 S Western Ave, Ste 200, Sioux Falls, SD 57108-5095 | 2006-06-19 |
| 1366837817 | Andrea Wessel | Clinical Nurse Specialist | 5019 S Western Ave, Suite 200, Sioux Falls, SD 57108-5095 | 2015-04-01 |
| 1659765675 | Jocelyn Johnson | Dietitian, Registered | 5019 S Western Ave, Ste 200, Sioux Falls, SD 57108-5095 | 2015-03-27 |
| 1487840237 | Sanford Clinic | Radiology | 5019 S Western Ave, Sioux Falls, SD 57108 | 2007-09-14 |
| 1609886308 | Lorraine M Huet-holm | Emergency Medicine | 5019 S Western Ave, Ste 200, Sioux Falls, SD 57108-5095 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1063020196 | Emily Mensen | Physical Therapist | 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 | 2020-07-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1184124935 | Haley Elizabeth Luond | Chiropractor | 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 | 2018-02-19 |
| 1770098881 | Yinan Zhao | Acupuncturist | 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 | 2017-12-12 |
| 1447780796 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 7600 South Minnesota Ave, Sioux Falls, SD 57108 | 2017-06-19 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1629517552 | Sarah Kenyon | Chiropractor | 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 | 2017-02-12 |
| 1386029460 | Michelle Anne Pliska | Counselor | 5621 Southeastern Ave, Sioux Falls, SD 57108 | 2015-07-30 |
| Find all providers in zip 57108 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518373422 | Michael Rene Ferrell | Internal Medicine | 6301 S. Vintage Pl., Sioux Falls, SD 57108 | 2014-07-11 |
| 1982042255 | Shah Medical Clinic Prof LLC | Internal Medicine | 6709 S Minnesota Ave Ste 200, Sioux Falls, SD 57108-2593 | 2013-06-10 |
| 1639482094 | Dilpriya Kaur Mangat | Internal Medicine | 1400 W 22nd Street, Sioux Falls, SD 57105 | 2010-07-14 |
| 1649434804 | Joevasanth Mariasingam Devasahayam | Internal Medicine | 1301 S Cliff Ave Ste 601, Sioux Falls, SD 57105-1032 | 2008-07-16 |
| 1588836548 | Christopher Joseph Sumey | Internal Medicine | 1309 W 17th St Ste, Suite 101, Sioux Falls, SD 57104-8805 | 2008-03-31 |
| 1083894067 | Avera Mckennan | Internal Medicine | 300 N Dakota Ave., Ste. 117, Sioux Falls, SD 57104-6020 | 2007-11-07 |
| 1639381502 | William Osmund Rossing | Internal Medicine | 2600 West 49th St, Sioux Falls, SD 57105 | 2007-05-04 |
| 1073635462 | Amit Gupta | Internal Medicine | 1100 E. 21st St., Ste. 601, Sioux Falls, SD 57105-1000 | 2007-04-04 |
| 1851468532 | Avera Mckennan | Internal Medicine | 2100 S. Marion Rd., Sioux Falls, SD 57106-3646 | 2006-11-29 |
| 1295837656 | Phillip Edward Little | Internal Medicine | 2501 W. 22nd, Sioux Falls, SD 57117 | 2006-09-05 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57108 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.