SANFORD CLINIC (NPI# 1366468449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366468449 |
| Entity Type | Organization |
| Organization Name | SANFORD CLINIC |
| Other Organization Name | SANFORD CLINIC OPHTHAMOLOGY/OPTOMETRY |
| Practice Address |
1621 S Minnesota Ave Sioux Falls SD 57105-1743 |
| Practice Telephone | 6053289200 |
| Practice Fax Number | 6053289201 |
| Mailing Telephone | 6053289200 |
| Mailing Fax Number | 6053289201 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2019-11-23 |
| Authorized Official Name | STEVE W GOETSCH (CFO) |
| Authorized Official Telephone | 6053286940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 281988100 | 05 | |
| IA | 0537886 | 05 |
| Other Name | Type Code |
|---|---|
| Sanford Clinic Ophthamology/Optometry | 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 |
1621 S MINNESOTA AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942253919 | Ken D Augspurger | Ophthalmology | 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 | 2006-05-18 |
| 1528628062 | Shelby K Anderson | Optometrist | 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 | 2019-06-17 |
| 1629472220 | Kelly Lauck | Counselor | 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 | 2014-10-10 |
| 1215279104 | Kimberly D Tran | Ophthalmology | 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 | 2013-03-19 |
| 1508129586 | Angela J Merron | Optometrist | 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 | 2012-06-24 |
| 1619233806 | Andrew James Ollerton | Ophthalmology | 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 | 2012-04-02 |
| 1699066431 | Aarika Menees | Ophthalmology | 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 | 2011-04-27 |
| 1588788160 | Rachelle F. Broveleit | Physician Assistant | 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 | 2007-03-19 |
| 1548396518 | Steven D. Cochran | Psychiatry & Neurology | 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 | 2007-02-26 |
| 1699818013 | Shane D. Hartman | Optometrist | 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 | 2007-02-15 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588120349 | Art Vision | Ophthalmology | 2101 W 69th St Ste 204, Sioux Falls, SD 57108-5621 | 2019-02-18 |
| 1619096096 | Norman Lewis | Ophthalmology | 4900 S Oxbow Ave, #210, Sioux Falls, SD 57106-4141 | 2007-03-28 |
| 1942253919 | Ken D Augspurger | Ophthalmology | 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 | 2006-05-18 |
| 1588636484 | Eric R Thomas | Ophthalmology | 6601 S Minnesota Ave Ste 200, Sioux Falls, SD 57108 | 2006-02-03 |
| 1205812328 | Alison R Tendler | Ophthalmology | 2101 W 69th St Unit 204, Sioux Falls, SD 57108-5624 | 2005-12-20 |
| 1871589531 | Ophthalmology Ltd | Ophthalmology | 6601 S Minnesota Ave, Suite 200, Sioux Falls, SD 57108-2564 | 2005-09-27 |
| 1427055896 | Thomas Clement White | Ophthalmology | 1701 S Minnesota Ave, Sioux Falls, SD 57105-1751 | 2005-06-30 |
| 1073519989 | Vance Michael Thompson | Ophthalmology | 3101 W 57th St, Sioux Falls, SD 57108-3162 | 2005-06-24 |
| 1053979906 | Art Surgical, LLC | Ophthalmology | 2101 W 69th St Ste 204, Sioux Falls, SD 57108-5621 | 2019-06-04 |
| 1033627674 | Michael Wayne Pekas | Ophthalmology | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2018-01-17 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.