NPIMap

Sanford Clinic

Organization Active NPI Surgery Physician · Sioux Falls, SD

NPI 1194733535 · NPPES record last updated Jul 24, 2026

Key facts

NPI
1194733535
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
SANFORD CLINIC
Practice address
1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone
(605) 328-3350
Fax
(605) 328-3351
NPI assigned
Aug 3, 2006
Organization subpart
No

Authorized official

Name
Tony Lee Morrison
Title
Vice President, Revenue Cycle
Phone
(605) 328-8380

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 37

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 37

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 366

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 366

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in SD, MN, IA

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Luther Memorial Home
Mayville, ND · CCN 355040		 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2020
Aug 1, 2020

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031110000532 SD Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 941 practitioners
This NPI is an additional NPI on the enrollment
O20040115000943 MN Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 113 practitioners
30 other NPIs on this enrollment
Practice locations: Prior Lake, MN; Slayton, MN; Tracy, MN; Walker, MN; Windom, MN; Worthington, MN; Stillwater, MN; Luverne, MN…
O20040216001158 IA Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 66 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sheldon, IA; Sioux City, IA; Rock Rapids, IA; Orange City, IA; Inwood, IA; Hawarden, IA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP		 163W00000X
Medical-Surgical Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP		 163WM0705X
Wound Care Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP		 163WW0000X
Licensed Practical Nurse
Group: 193200000X MULTI-SPECIALTY GROUP		 164W00000X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X Yes
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208G00000X
Cardiovascular Specialist/Technologist
Group: 193200000X MULTI-SPECIALTY GROUP		 246X00000X
Health Information Specialist/Technologist
Group: 193200000X MULTI-SPECIALTY GROUP		 246Y00000X
Physician Office Based Coding Specialist
Group: 193200000X MULTI-SPECIALTY GROUP		 246YC3302X
Radiologic Technologist
Group: 193200000X MULTI-SPECIALTY GROUP		 247100000X
Vascular Sonography Radiologic Technologist
Group: 193200000X MULTI-SPECIALTY GROUP		 2471V0105X
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X

Addresses

Primary practice location

1305 W 18TH St
Sioux Falls, SD 57105-0401

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Other practice location 1

401 9th Ave NW
Watertown, SD 57201-1548
Phone (605) 328-3350

Other practice location 2

1018 6th Ave
Worthington, MN 56187-2202
Phone (605) 328-3350

Other practice location 3

20 S Plum St
Vermillion, SD 57069-3346
Phone (605) 677-3700

Other practice location 4

104 Buncombe Dr
Rock Rapids, IA 51246-1003
Phone (712) 472-3333

Other practice location 5

2150 Hospital Dr
Windom, MN 56101-1287
Phone (507) 831-0652

Other practice location 6

118 N 7th Ave
Sheldon, IA 51201-1235
Phone (712) 324-5041

Other practice location 7

1521 Carlson St
Marshall, MN 56258-2626
Phone (507) 532-1101

Other practice location 8

450 Eastvold Ave
Ortonville, MN 56278-1252
Phone (320) 839-2502

Other practice location 9

1430 North Hwy
Jackson, MN 56143-1093
Phone (605) 312-7300

Other practice location 10

745 E 8th St
Winner, SD 57580-2631
Phone (605) 842-7100

Other practice location 11

2100 Highland Way
Mitchell, SD 57301-6426
Phone (605) 996-0440

Other practice location 12

809 Jackson St
Burke, SD 57523-2065
Phone (605) 775-2631

Other practice location 13

800 Oak St
Sheldon, IA 51201-1242
Phone (712) 324-5356

Other practice location 14

1000 Lincoln Cir SE Ste 100
Orange City, IA 51041-1864
Phone (712) 737-4984

Other practice location 15

323 SW 10th St
Madison, SD 57042-3200
Phone (605) 256-6551

Other practice location 16

922 22nd Ave S
Brookings, SD 57006-2830
Phone (605) 697-1900

Other practice location 17

591 2nd Ave N
Windom, MN 56101-1927
Phone (507) 831-2223

Other practice location 18

310 W Sd Highway 46
Wagner, SD 57380-9304
Phone (605) 384-4577

Other identifiers

IdentifierTypeStateIssuer
402959300MedicaidMN
0537886MedicaidIA

Other names

  • Sanford Vascular Associates Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Other providers in Sioux Falls, SD

All providers in Sioux Falls, SD · Surgery Physician in South Dakota

Sources for this page

Verify at the official NPI Registry.