Sanford Clinic

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

SANFORD CLINIC

Doing business as

Sanford Pulmonary Medicine Clinic

Practice address

701 E 2ND St
Ida Grove, IA 51445-1666

Phone

(712) 364-7341

Fax

(712) 364-7241

NPI assigned

Jul 13, 2006

Last updated

Nov 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tony Lee Morrison

Title

Vice President, Revenue Cycle

Phone

(605) 328-8380

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sanford Pulmonary Medicine Clinic Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SD, MN, IA3 enrollments

Enrollment records 3

Other NPIs on the same Medicare enrollment 37

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

• Sanford Clinic

  dba Sanford Health Rock Rapids Clinic

  • Family Medicine Physician
  • Rock Rapids, IA
  • NPI 1396218244

  O20040216001158

  Same enrollment
• Sanford Clinic

  dba Sanford Health Acute Care & Walk-In

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Sheldon, IA
  • NPI 1639282940

  O20040216001158

  Same enrollment
• Sanford Clinic

  dba Sanford Health Fertility & Reproductive Clinic

  • Reproductive Endocrinology Physician
  • Sioux City, IA
  • NPI 1831468347

  O20040115000943, O20040216001158

  Same enrollment
• Sanford Clinic

  dba Sanford Clinic Women's Health Internal Medicine

  • Internal Medicine Physician
  • Sioux Falls, SD
  • NPI 1023203619

  O20040216001158

  Same enrollment
• Sanford Clinic

  dba Sanford Clinic Brookings

  • Family Medicine Physician
  • Brookings, SD
  • NPI 1043241466

  O20040115000943

  Same enrollment
• Sanford Clinic

  dba Sanford Urogynecology and Pelvic Surgery Clinic

  • Gynecology Physician
  • Sioux Falls, SD
  • NPI 1083645949

  O20040115000943, O20040216001158

  Same enrollment
• Sanford Clinic

  • Cardiovascular Disease Physician
  • Sioux Falls, SD
  • NPI 1144259052

  O20040115000943, O20040216001158

  Same enrollment
• Sanford Clinic

  dba Sanford Clinic Transplant Nephrology

  • Surgery Physician
  • Sioux Falls, SD
  • NPI 1164510608

  O20040216001158

  Same enrollment
• Sanford Clinic

  dba Sanford Clinic Breast Health Institute

  • Radiation Oncology Physician
  • Sioux Falls, SD
  • NPI 1174537799

  O20040216001158

  Same enrollment
• Sanford Clinic

  dba Sanford Health Cancer Center

  • Radiation Oncology Physician
  • Worthington, MN
  • NPI 1174716245

  O20040115000943, O20040216001158

  Same enrollment
• Sanford Clinic

  dba Sanford Vascular Associates

  • Surgery Physician
  • Sioux Falls, SD
  • NPI 1194733535

  O20040115000943, O20040216001158

  Same enrollment
• Sanford Clinic

  dba Sanford Clinic Neurocritical Care

  • Critical Care Medicine (Internal Medicine) Physician
  • Sioux Falls, SD
  • NPI 1235439506

  O20040115000943

  Same enrollment

Locations

Practitioners 19

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.

• Brian C Aamlid, M.D.

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
  • NPI 1710984133
  NPD
• Robert D Behrend, MD

  • Internal Medicine Physician
  • Sioux Falls, SD
  • NPI 1578569000
  NPD
• Jeanne Bonham, APRN

  • Gerontology Nurse Practitioner
  • Lincoln, NE
  • NPI 1821505868
  NPD
• Stephan L Chesley, M.D.

  • Family Medicine Physician
  • Luverne, MN
  • NPI 1205828605
  NPD
• Samantha Lynn Darnall-Werlinger, MD

  • Family Medicine Physician
  • Watertown, SD
  • NPI 1952898447
  NPD
• Charles E Flohr, MD

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1306808738
  NPD
• Richard Gandee, DO

  • Neurocritical Care Physician
  • Roanoke, VA
  • NPI 1316331861
  NPD
• Katherine Greenlee

  • Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1699446674
  NPD
• Laurie C. Gromer, CNP

  • Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1851361216
  NPD
• Amy B Kelley, M.D.

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1598847154
  NPD
• Pamela Ann Koepsell

  • Pediatric Clinical Nurse Specialist
  • Sioux Falls, SD
  • NPI 1619464294
  NPD
• Kelli Kolander, C.N.P.

  • Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1396296935
  NPD

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1265457964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585",
            "fax_number": "605-328-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 2ND ST",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451666",
            "telephone_number": "712-364-7341",
            "fax_number": "712-364-7241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 N Monitor St",
            "address_purpose": "LOCATION",
            "city": "West Point",
            "state": "NE",
            "postal_code": "687881555",
            "country_code": "US",
            "telephone_number": "402-372-2477",
            "fax_number": "402-372-6770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANFORD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
        "authorized_official_telephone_number": "605-328-8380"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281988100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0537886",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sanford Pulmonary Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Pulmonary Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura M Parks, DDS
• Samantha Lea Peterson, PHARM.D.
• Regional West Medical Center (Regional West Laboratory Services)
• Mallory Lynn Roling, ARNP
• Russell C. Spotts (Ida Grove Pharmacy)
• Sanford Health Network (Lewis Family Drug #55)
• Shopko Stores Operating Co., LLC (Shopko Pharmacy #2681)
• Michelle Lynn Siebrecht, PA
• Sarah Tarr, RN
• Harvey J Tope, CRNA

• Pulmonary Disease Physician in Ida Grove, IA
• Providers in Ida Grove, IA by specialty
• Pulmonary Disease Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.