Individual provider Active NPI

Julie L. Weigandt, M.D.

  • Obstetrics & Gynecology Physician
  • Mitchell, SD
National Provider Identifier
1053670729
Registry record updated Dec 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
10035 Issued in SD
Practice address
2100 Highland Way
Mitchell, SD 57301-6426
Phone
(605) 996-0400
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 10035 SD Primary

Addresses

Primary practice location

2100 Highland Way
Mitchell, SD 57301-6426

Mailing address

2100 Highland Way
Mitchell, SD 57301-6426
Phone (605) 996-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161031002101 SD Practitioner - Obstetrics/Gynecology 7012295777 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

2100 Highland Way
Suite K
Mitchell, SD 57301-6409
Phone (605) 996-0400

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10035SDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic Current Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Medical Center Obstetrics & Gynecology CurrentSince Jul 1, 2022 Accepting new patients
Sanford Health Network CurrentSince Jan 19, 2020 Accepting new patients
Sanford Clinic CurrentSince Sep 18, 2016 Accepting new patients
Sanford Clinic CurrentSince Sep 18, 2016 Accepting new patients
Sanford Health Network CurrentSince Jan 19, 2020 Accepting new patients
Avera Queen of Peace Past Accepting new patients

Locations

300 S Byron Blvd
Chamberlain, SD 57325
Phone (605) 234-5511

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

2100 Highland Way
Ste K
Mitchell, SD 57301
Phone (605) 996-0400

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482451200000",
    "number": "1053670729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 HIGHLAND WAY",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573016426",
            "telephone_number": "605-996-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HIGHLAND WAY",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573016426",
            "telephone_number": "605-996-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGANDT",
        "first_name": "JULIE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SD",
            "license": "10035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.