NPIMap

Organization Active NPI

Upper Midwest Medical Inc

  • Surgery Physician
  • Sioux Falls, SD
National Provider Identifier
1235796533
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
UPPER MIDWEST MEDICAL INC
Practice address
4201 S Minnesota Ave Ste 112
Sioux Falls, SD 57105-6706
Phone
(605) 335-3349
NPI assigned
May 22, 2019
Last updated
Oct 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
William LeeNPI 1942270681
Title
Owner/Director
Phone
(507) 828-4291

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

4201 S Minnesota Ave Ste 112
Sioux Falls, SD 57105-6706

Mailing address

4201 S Minnesota Ave Ste 112
Sioux Falls, SD 57105-6706
Phone (605) 335-3349

Other practice location 1

111 4th St SE
Huron, SD 57350-2509
Phone (605) 335-3349

Other identifiers 1

IdentifierTypeStateIssuer
208600000XOtherSDTAXONOMY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1235796533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 S MINNESOTA AVE STE 112",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056706",
            "telephone_number": "605-335-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 S MINNESOTA AVE STE 112",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056706",
            "telephone_number": "605-335-3349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 4th St SE",
            "address_purpose": "LOCATION",
            "city": "Huron",
            "state": "SD",
            "postal_code": "573502509",
            "country_code": "US",
            "telephone_number": "605-335-3349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UPPER MIDWEST MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "507-828-4291"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "208600000X",
            "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 Oct 13, 2020; 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.