Organization Active NPI

CJ Elmwood Partners L P

  • Ambulatory Surgical Clinic/Center
  • Sioux Falls, SD
National Provider Identifier
1093792244
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
11147 Issued in SD
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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.NPI 1295739977
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0562686MedicaidIA
462443200MedicaidMN
5490074MedicaidSD

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.