Sanjeevi Giridhar, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

1449 Issued in SD

Practice address

14 S Main St
Suite 1E
Aberdeen, SD 57401-4136

Phone

(605) 225-1010

Fax

(605) 225-1017

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: sanjeevi.giridhar@avera.sdhealthlink.net

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1285702811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S MAIN ST",
            "address_2": "SUITE 1E",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014136",
            "telephone_number": "605-225-1010",
            "fax_number": "605-225-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S MAIN ST",
            "address_2": "SUITE 1E",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014136",
            "telephone_number": "605-225-1010",
            "fax_number": "605-225-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRIDHAR",
        "first_name": "SANJEEVI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "1449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14559",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101870",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260012657",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Geditz, RBT
• Kelcey Geditz, CNP
• Drew Geier, PT, DPT
• Lori A German
• Allen Wayne Gibson, PAC
• Quinten Andrew Glass, PHARMD
• Jennifer Glynn
• Ryan Joseph Gnesda, D.O.
• Cynthia A Goehring, LPC-MH, NCC, QMHP
• Bobby Goeman, CPNP

• All providers in Aberdeen, SD
• Psychiatry Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.