Sanford Clinic

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

SANFORD CLINIC

Practice address

1309 W 17TH St
Sioux Falls, SD 57104-4663

Phone

(605) 328-6001

Fax

(605) 328-6045

NPI assigned

Aug 10, 2011

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 names 1

• Sanford Clinic Radiation Oncology Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 6

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

• Amber Marie Johnson, CNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1730698408
  NPD
• Michal Putzke, CNP

  • Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1811358922
  NPD
• Michael W Shirley, M.D.

  • Hospitalist Physician
  • Sioux Falls, SD
  • NPI 1467629477
  NPD
• Thavam C Thambi-Pillai, MD

  • Transplant Surgery Physician
  • Sioux Falls, SD
  • NPI 1487610465
  NPD
• Patsy Ann Uken, MD

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1912950130
  NPD
• James Won, MD

  • Neurology Physician
  • Quincy, IL
  • NPI 1245340439
  NPD

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1346529211",
    "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": "605-312-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 W 17TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044663",
            "telephone_number": "605-328-6001",
            "fax_number": "605-328-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-30",
        "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": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sanford Clinic Radiation Oncology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Clinic Radiation Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sanford Clinic
• Sanford Clinic
• Sanford Clinic
• Sanford Clinic
• Sanford Clinic
• Sanford Clinic
• Sanford Clinic
• Sanford Clinic
• Sanford Clinic
• Sanford Clinic

• All providers in Sioux Falls, SD
• Radiation Oncology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.