SANFORD CLINIC (NPI# 1871513374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871513374 |
| Entity Type | Organization |
| Organization Name | SANFORD CLINIC |
| Other Organization Name | SANFORD CLINIC UROLOGY |
| Practice Address |
1201 S Euclid Ave Ste 301 Sioux Falls SD 57105-7700 |
| Practice Telephone | 6053288240 |
| Practice Fax Number | 6053288241 |
| Mailing Telephone | 6053288240 |
| Mailing Fax Number | 6053288241 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2019-11-24 |
| 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 | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 2538389 | 05 |
| Other Name | Type Code |
|---|---|
| Sanford Clinic Urology | 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 |
1201 S EUCLID AVE STE 301 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-7700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486146 | Thomas A Schultz | Internal Medicine | 1201 S Euclid Ave, Ste 401, Sioux Falls, SD 57105-0403 | 2005-06-13 |
| 1699891333 | Pamela Noel Jones | Pharmacist | 1201 S Euclid Ave, Sioux Falls, SD 57105-7700 | 2007-03-22 |
| 1831265727 | Sanford Clinic | Urology | 1201 S Euclid Ave, Suite 201, Sioux Falls, SD 57105-7700 | 2006-11-24 |
| 1346262649 | Kathy J Sazama | Marriage & Family Therapist | 1201 S Euclid Ave, Suite 201 Mbii, Sioux Falls, SD 57105-7700 | 2006-07-24 |
| 1558309211 | Suzanne Lea Bakken | Nurse Practitioner | 1201 S Euclid Ave, Sioux Falls, SD 57105-7700 | 2006-06-03 |
| 1275580284 | Curtis Peery | Surgery | 1201 S Euclid Ave, Ste 104, Sioux Falls, SD 57105-7700 | 2006-05-27 |
| 1144277153 | Kirke Wheeler | Surgery | 1201 S Euclid Ave, Ste 104, Sioux Falls, SD 57105 | 2006-05-27 |
| 1407803331 | Peter O'brien | Surgery | 1201 S Euclid Ave, Ste 104, Sioux Falls, SD 57105-7700 | 2006-05-27 |
| 1063468130 | Dennis Glatt | Surgery | 1201 S Euclid Ave, Ste 104, Sioux Falls, SD 57105 | 2006-05-26 |
| 1710933882 | Karla Statema | Physician Assistant | 1201 S Euclid Ave, Ste 104, Sioux Falls, SD 57105 | 2006-05-26 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275654782 | Eugene S Park | Urology | 201 W 69th Street, Sioux Falls, SD 57108-2424 | 2007-04-02 |
| 1386692291 | Robert C Johnson | Urology | 1200 S Euclid Ave, Ste # 212, Sioux Falls, SD 57105-7703 | 2006-05-04 |
| 1588612469 | Janet E Smith | Urology | 1700 S Minnesota Ave, Sioux Falls, SD 57105-1723 | 2006-05-04 |
| 1245619543 | Dennis Thum | Urology | 201 W 69th St, Sioux Falls, SD 57108 | 2015-05-20 |
| 1780022921 | Lauren Wood Thum | Urology | 201 W 69th St, Sioux Falls, SD 57108 | 2013-06-10 |
| 1295901460 | Nathan Andrew Bockholt | Urology | 201 W 69th St, Sioux Falls, SD 57108-2403 | 2008-05-07 |
| 1558542738 | Kurt Eeg | Urology | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2007-11-16 |
| 1548478118 | David Charles Arend | Urology | 201 W 69th St, Sioux Falls, SD 57108-2403 | 2007-05-18 |
| 1912121229 | Brian David Lindaman | Urology | 201 W 69th St, Sioux Falls, SD 57108-2403 | 2007-04-11 |
| 1831265727 | Sanford Clinic | Urology | 1201 S Euclid Ave, Suite 201, Sioux Falls, SD 57105-7700 | 2006-11-24 |
| 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.