SANFORD MEDICAL CENTER (NPI# 1093090342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093090342 |
| Entity Type | Organization |
| Organization Name | SANFORD MEDICAL CENTER |
| Other Organization Name | SANFORD DERMATOLOGY CLINIC |
| Practice Address |
1305 W 18th St Sioux Falls SD 57105-0401 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053331000 |
| Mailing Telephone | 6053286585 |
| Mailing Fax Number | 6053286512 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 6053288380 |
| Is Organization Subpart | Y |
| Parent Organization Name | SANFORD MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 282N00000X | General Acute Care Hospital | 10564 | SD | Hospitals |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Edith Sanford Breast Specialty Clinic | Doing Business As Name - Organization |
| Sanford 26th and Sycamore Family Medicine | Doing Business As Name - Organization |
| Sanford 32nd & Ellis Family Medicine Clinic | Doing Business As Name - Organization |
| Sanford 49th and Oxbow Family Medicine | Doing Business As Name - Organization |
| Sanford 4th and Sycamore Family Medicine | Doing Business As Name - Organization |
| Sanford 69th & Louise Family Medicine | Doing Business As Name - Organization |
| Sanford 69th & Minnesota Family Medicine | Doing Business As Name - Organization |
| Sanford Acute Care 26th & Sycamore Clinic | Doing Business As Name - Organization |
| Sanford Acute Care 32nd & Ellis Clinic | Doing Business As Name - Organization |
| Sanford Acute Care 69th & Minnesota Clinic | Doing Business As Name - Organization |
| Sanford Acute Care Sports Complex Clinic | Doing Business As Name - Organization |
| Sanford Brandon Family Medicine | Doing Business As Name - Organization |
| Sanford Cardiovascular Institute | Doing Business As Name - Organization |
| Sanford Children's 26th & Sycamore Clinic | Doing Business As Name - Organization |
| Sanford Children's 32nd & Ellis Clinic | Doing Business As Name - Organization |
| Sanford Children's 69th & Louise Clinic | Doing Business As Name - Organization |
| Sanford Children's Clinic Sanford USD Medical Center MB2 | Doing Business As Name - Organization |
| Sanford Children's Residency Clinic | Doing Business As Name - Organization |
| Sanford Children's Specialty Clinic | Doing Business As Name - Organization |
| Sanford Dermatology Clinic | Doing Business As Name - Organization |
| Sanford Diabetes and Thyroid Clinic | Doing Business As Name - Organization |
| Sanford Ear Nose & Throat Clinic | Doing Business As Name - Organization |
| Sanford Edith Sanford Breast Center | Doing Business As Name - Organization |
| Sanford Eye Center & Optical | Doing Business As Name - Organization |
| Sanford Female Pelvic Medicine and Reconstructive Surgery Clinic | Doing Business As Name - Organization |
| Sanford Gastroenterology Clinic | Doing Business As Name - Organization |
| Sanford Gynecologic Oncology Clinic | Doing Business As Name - Organization |
| Sanford Health Edith Sanford Breast Center Bridges | Doing Business As Name - Organization |
| Sanford Health Fertility & Reproductive Clinic | Doing Business As Name - Organization |
| Sanford Health Psychiatry & Psychology Clinic | Doing Business As Name - Organization |
| Sanford Infectious Disease Clinic | Doing Business As Name - Organization |
| Sanford Internal Medicine Clinic | Doing Business As Name - Organization |
| Sanford Maternal Fetal Medicine Clinic | Doing Business As Name - Organization |
| Sanford Molecular Imaging Clinic | Doing Business As Name - Organization |
| Sanford Nephrology Clinic | Doing Business As Name - Organization |
| Sanford Neurology Clinic | Doing Business As Name - Organization |
| Sanford Neurosurgery and Spine Clinic | Doing Business As Name - Organization |
| Sanford Obstetrics & Gynecology 32nd & Ellis Clinic | Doing Business As Name - Organization |
| Sanford Obstetrics and Gynecology Clinic | Doing Business As Name - Organization |
| Sanford Orthopedics & Sports Medicine | Doing Business As Name - Organization |
| Sanford Pain Clinic | Doing Business As Name - Organization |
| Sanford Physical Medicine and Rehabilitation | Doing Business As Name - Organization |
| Sanford Pulmonary Medicine Clinic | Doing Business As Name - Organization |
| Sanford Rheumatology Clinic | Doing Business As Name - Organization |
| Sanford Surgical Associates | Doing Business As Name - Organization |
| Sanford USD 34th & Kiwanis Family Medicine Clinic | Doing Business As Name - Organization |
| SANFORD USD MEDICAL CENTER | Doing Business As Name - Organization |
| Sanford USD Medical Center-CRNA/ED | Doing Business As Name - Organization |
| Sanford Vascular Associates | Doing Business As Name - Organization |
| Sanford Women's Internal Medicine Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3401 W 49th St, Sioux Falls, SD 571062322 | 6053281850 | 6053281855 |
| 1205 S Grange Ave Ste 510, Sioux Falls, SD 571050410 | 6053288500 | 6053288501 |
| 1301 W 18th St, Sioux Falls, SD 571050401 | 6053122200 | 6053122205 |
| 1205 S Grange Ave Ste 401, Sioux Falls, SD 571050410 | 6053288120 | 6053288121 |
| 1321 W 22nd St, Sioux Falls, SD 571051502 | 6054044000 | 6053129091 |
| 1301 W 18th St, Sioux Falls, SD 571050401 | 6053121481 | 6053121482 |
| 1205 S Grange Ave Ste 201, Sioux Falls, SD 571050414 | 6053288100 | 6053288101 |
| 1210 W 18th St Ste 100, Sioux Falls, SD 571044650 | 6053128500 | 6053128501 |
| 1500 W 22nd St Ste 301, Sioux Falls, SD 571051503 | 6053287700 | 6053287775 |
| 1621 S Minnesota Ave, Sioux Falls, SD 571051743 | 6053289200 | 6053289201 |
| 1210 W 18th St Ste G01, Sioux Falls, SD 571044651 | 6053282663 | 6053283760 |
| 1310 W 22nd St Ste Ll, Sioux Falls, SD 571051501 | 6053281990 | 6053281991 |
| 4405 E 26th St, Sioux Falls, SD 571034187 | 6053289080 | 6053289081 |
| 1205 S Grange Ave Ste 407, Sioux Falls, SD 571050410 | 6053288900 | 6053288901 |
| 1321 W 22nd St, Sioux Falls, SD 571051502 | 6053283485 | 6053283484 |
| 1508 W 22nd St Ste 101, Sioux Falls, SD 571051514 | 6053283840 | 6053283841 |
| 1500 W 22nd St Ste 402, Sioux Falls, SD 571051522 | 6053288750 | 6053288751 |
| 2701 S Kiwanis Ave, Sioux Falls, SD 571054252 | 6053289100 | 6053289101 |
| 1305 W 18th St, Sioux Falls, SD 571050401 | 6053127300 | 6053127301 |
| 5019 S Western Ave Ste 200, Sioux Falls, SD 571085155 | 6053289700 | 6053289701 |
| 4405 E 26th St, Sioux Falls, SD 571034187 | 6053324187 | 6053329001 |
| 6110 S Minnesota Ave, Sioux Falls, SD 571082549 | 6053322883 | 6053285831 |
| 1309 W 17th St Ste 102, Sioux Falls, SD 571044663 | 6053123250 | 6053123251 |
| 6101 S Louise Ave, Sioux Falls, SD 571085981 | 6053128000 | 6053128001 |
| 2601 S Ellis Rd, Sioux Falls, SD 571067067 | 6053123000 | 6053123001 |
| 2601 S Ellis Rd, Sioux Falls, SD 571067067 | 6053322883 | 6053282277 |
| 30291 Main St S, Avon, SD 573158800 | 6053124160 | 6053124165 |
| 118 N 7th Ave, Sheldon, IA 512011235 | 6053322883 | 6053282277 |
| 4000 N Hercules Ave Ste 100, Sioux Falls, SD 571071401 | 6053322883 | 6053123095 |
| 1309 W 17th St Ste G01, Sioux Falls, SD 571044664 | 6053123400 | 6053123401 |
| 1309 W 17th St Ste G01, Sioux Falls, SD 571044664 | 6053284592 | 6053282867 |
| 1500 W 22nd St Ste 102, Sioux Falls, SD 571051503 | 6053288800 | 6053288801 |
| 2400 W 49th St, Sioux Falls, SD 571056581 | 6053128700 | 6053128701 |
| 1500 W 22nd St Ste 401, Sioux Falls, SD 571051503 | 6053284600 | 6053284601 |
| 1600 W 22nd St, Sioux Falls, SD 571051521 | 6053121000 | 6053121001 |
| 1205 S Grange Ave Ste 307, Sioux Falls, SD 571050410 | 6053287800 | 6053287899 |
| 901 4th St Nw, Watertown, SD 572011558 | 6058868471 | 6058869317 |
| 172 4th St Se, Huron, SD 573502510 | 6053536200 | 6053288901 |
| 922 22nd Ave S, Brookings, SD 570062830 | 6056971900 | 6056971919 |
| 2042 Juniper Ave, Slayton, MN 561721017 | 6053288900 | 6053288901 |
| 251 5th St E, Tracy, MN 561751536 | 6053288900 | 6053288901 |
| 2150 Hospital Dr, Windom, MN 561011287 | 6053288900 | 6053288901 |
| 745 E 8th St, Winner, SD 575802631 | 6053288900 | 6053288901 |
| 525 N Foster St, Mitchell, SD 573012966 | 6053288900 | 6053258901 |
| 1000 Lincoln Cir Se, Orange City, IA 510411836 | 6053288900 | 6053288901 |
| 118 N 7th Ave, Sheldon, IA 512011235 | 6053288900 | 6053288901 |
| 345 W Steamboat Dr Ste 300, Dakota Dunes, SD 570495287 | 6053288900 | 6053288901 |
| 701 3rd Ave S, Clear Lake, SD 572262016 | 6058748484 | |
| 450 Eastvold Ave, Ortonville, MN 562781252 | 6053288100 | 6053288101 |
| 323 Sw 10th St, Madison, SD 570423200 | 6053288100 | 6053288101 |
| 249 5th St E, Tracy, MN 561751536 | 5076293520 | 5072124199 |
| 920 Bell Ave, Westbrook, MN 561839669 | 5072746121 | |
| 525 N Foster St, Mitchell, SD 573012966 | 6059955696 | |
| 112 Saint Olaf Ave S, Canby, MN 562201433 | 5072237221 | |
| 300 22nd Ave, Brookings, SD 570062480 | 6056967760 | |
| 2100 Highland Way Ste K, Mitchell, SD 573016409 | 6059960400 | |
| 1105 E Holly Blvd, Brandon, SD 570051426 | 6055825820 | 6055825823 |
| 1310 W 22nd St, Sioux Falls, SD 571051501 | 6053288600 | 6053288201 |
| 4405 E 26th St, Sioux Falls, SD 571034187 | 6053289000 | 6053289001 |
| 600 N Sycamore Ave, Sioux Falls, SD 571105745 | 6053282999 | 6053282957 |
| 6110 S Minnesota Ave, Sioux Falls, SD 571082549 | 6053285800 | 6053285814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881110484 | Sanford Medical Center | Clinic/Center | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2017-08-16 |
| 1407107808 | Sanford Medical Center | General Acute Care Hospital | 1210 W 18th St, Suite Llo1, Sioux Falls, SD 57104-4647 | 2012-09-25 |
| 1588845267 | Sanford Medical Center | Clinic/Center | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-11-21 |
| 1023299708 | Sanford Medical Center | Ambulance | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-11-21 |
| 1841471521 | Sanford Medical Center | Pediatrics | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-11-21 |
| 1932380615 | Sanford Medical Center | Ambulance | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-11-21 |
| 1932123452 | Sanford Medical Center | Rehabilitation Unit | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2006-07-27 |
| 1912921438 | Sanford Medical Center | Clinic/Center | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2006-07-27 |
| 1538181326 | Sanford Medical Center | Clinic/Center | 323 Sw 10th St, Madison, SD 57042 | 2006-07-24 |
| 1326060054 | Sanford Medical Center | Clinic/Center | 111 Washington St, Wagner, SD 57380 | 2006-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SANFORD MEDICAL CENTER | 1305 W. 18th Street, Sioux Falls, SD 57105 |
| Colorado Business Entities | Sanford Medical Center | 1305 W. 18th Street, Sioux Falls, SD 57105 |
| System for Award Management (SAM) Entities | SANFORD MEDICAL CENTER | 1305 W 18th St, Sioux Falls, SD 57105-0401 |
| Oregon Corporations, Companies and Business Names | SANFORD MEDICAL CENTER | 1305 W 18th Street, Sioux Falls, SD 57105 |
| Washington State Corporations | SANFORD MEDICAL CENTER | 1305 W 18th St, Sioux Falls, SD 57105-0401 |
| System for Award Management (SAM) Entities | SANFORD MEDICAL CENTER FARGO | 720 N 4th St, Fargo, ND 58122-4520 |
| System for Award Management (SAM) Entities | SANFORD MEDICAL CENTER MAYVILLE | 42 6th Ave Se, Mayville, ND 58257-1506 |
| System for Award Management (SAM) Entities | SANFORD MEDICAL CENTER THIEF RIVER FALLS | 120 Labree Ave S Ste A, Thief River Falls, MN 56701-2840 |
| Connecticut Business Registrations | SANFORD MEDICAL CENTER, INC. | 1305 W. 18th Street, Sioux Falls, SD 57105 |
| Street Address |
1305 W 18TH ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-0401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366500 | Scott Pham | Internal Medicine | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2005-06-16 |
| 1295336279 | Lindsey Marie Palmer | Registered Nurse | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-11-05 |
| 1437757622 | Gregory P Studer | Nurse Practitioner | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-10-11 |
| 1992316772 | Kyle Garrett Wescott | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-08-13 |
| 1205445871 | Elizabeth Halverson | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-07-29 |
| 1174149710 | Kyle Mamer | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-06-19 |
| 1750906186 | Gabriel Steinborn | Anesthesiology | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-06-11 |
| 1972128692 | Carrie Jane Anderson | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-06-09 |
| 1437772134 | Laura Anne Taylor | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-05-28 |
| 1215550991 | Ana Beatriz Nevarez Gilbert | Student in an Organized Health Care Education/Training Program | 1305 W 18th St, Sioux Falls, SD 57105 | 2020-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1023524741 | Quick Health Urgent Care LLC | Family Medicine | 7600 S Louise Ave Ste 150, Sioux Falls, SD 57108-5999 | 2017-12-18 |
| 1104246297 | Kayla Norenberg | Family Medicine | 6110 S. Minnesota Avenue, Sioux Falls, SD 57108-2571 | 2014-04-16 |
| 1427492206 | Nelly O Boyt | Family Medicine | 3524 S Spencer Blvd, Sioux Falls, SD 57103-4653 | 2013-04-23 |
| 1346512266 | Avera Mckennan | Family Medicine | 1035 South Highline Place, Sioux Falls, SD 57110-1000 | 2012-02-08 |
| 1699005074 | Avera Mckennan | Family Medicine | 930 E 6th St, Sioux Falls, SD 57103-1306 | 2010-01-06 |
| 1508196981 | Avera Mckennan | Family Medicine | 1200 E 3rd St, Sioux Falls, SD 57103-0901 | 2010-01-06 |
| 1912153578 | Avera Mckennan | Family Medicine | 501 N Sycamore Ave, Sioux Falls, SD 57110-5752 | 2008-08-14 |
| 1538315353 | Michael P. Crandell | Family Medicine | 300 Cherapa Pl, Suite 201, Sioux Falls, SD 57103-2269 | 2008-08-12 |
| 1225293996 | Jerry Leroi Walton | Family Medicine | 4310 S Minnesota Ave, Sioux Falls, SD 57105-6747 | 2008-07-22 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
Please comment or provide details below to improve the information on SANFORD MEDICAL CENTER.
| 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.