Active NPI
CJ Elmwood Partners L P
- Ambulatory Surgical Clinic/Center
- Sioux Falls, SD
National Provider Identifier
1093792244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 11147
- Legal business name
- CJ ELMWOOD PARTNERS L P
- Practice address
- 3801 S Elmwood Ave
Sioux Falls, SD 57105-6565 - Phone
- (800) 338-2015
- Fax
- (605) 334-0737
- NPI assigned
- Dec 29, 2005
- Last updated
- Aug 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles E Jones, M.D.
- Title
- Partner/Medical Director
- Phone
- (712) 239-3937
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 11147 | SD | Primary |
Addresses
Primary practice location
3801 S Elmwood Ave
Sioux Falls, SD 57105-6565
Mailing address
3801 S Elmwood Ave
Sioux Falls, SD 57105-6565
Phone (800) 338-2015
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0562686 | Medicaid | IA | |
| 462443200 | Medicaid | MN | |
| 5490074 | Medicaid | SD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Sioux City, IA
- NPI 1295739977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534464000000",
"number": "1093792244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 S ELMWOOD AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571056565",
"telephone_number": "800-338-2015",
"fax_number": "605-334-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 S ELMWOOD AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571056565",
"telephone_number": "800-338-2015",
"fax_number": "605-334-0737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CJ ELMWOOD PARTNERS L P",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-29",
"last_updated": "2018-08-17",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PARTNER/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "712-239-3937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "SD",
"license": "11147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0562686",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "462443200",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5490074",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
- City of Sioux Falls (Falls Community Health)
- City of Sioux Falls (FCH School Based Health Services/Hayward)
- City of Sioux Falls (FCH School Based Health Services/Hawthorne)
- City of Sioux Falls (FCH School Based Health Services/Terry Redlin)
- City of Sioux Falls (Falls Community Health)
- Lindsey Claeys, CSW-PIP, QMHP
- Clarity Counseling, LLC
- Edward T Clark
- Jennifer S. Clark, PA-C
- Jessica Clark, CNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.