Gary Timmerman, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2787 Issued in SD

Practice address

1508 W 22ND St
Ste 101
Sioux Falls, SD 57105-1508

Phone

(605) 328-3840

Fax

(605) 328-3841

NPI assigned

May 27, 2006

Last updated

Mar 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gtimmerman15387@direct.sanfordhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sanford Clinic

  dba Sanford Health Psychiatry & Psychology Clinic

  • Psychologist
  • Sioux Falls, SD
  • NPI 1396764254
  Medicare reassignment NPD
• Sanford Medical Center

  dba Edith Sanford Breast Specialty Clinic

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1093090342

  Surgery

  Medicare reassignment NPD
• Sanford Clinic

  dba Sanford Virtual Health Services

  • Diagnostic Radiology Physician
  • Fargo, ND
  • NPI 1306641345
  NPD
• Sanford Clinic

  dba Sanford Health Acute Care & Walk-In

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

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1326095332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 W 22ND ST",
            "address_2": "STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051508",
            "telephone_number": "605-328-3840",
            "fax_number": "605-328-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W 22ND ST",
            "address_2": "STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051508",
            "telephone_number": "605-328-3840",
            "fax_number": "605-328-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMERMAN",
        "first_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "41253",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SD",
            "license": "2787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gtimmerman15387@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "1508 W 22nd St",
            "address_2": "Ste 101",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571051508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Tilberg, CNP
• Mallary Ann Tilden, APRN, NNP-BC
• Rebecca Renae Tillma
• Katelyn Tilstra, MA
• Audra Lynn Timmer, DNAP
• Patricia Lynn Timmermans, PT
• Benita Timpe, CNP
• Joshua David Tims, O.D.
• Tina Harp Counseling, LLC
• Jennifer Jean Tinguely, MD

• Surgery Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Surgery Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.