Sanford Clinic

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SANFORD CLINIC

Doing business as

Sanford Eye Center & Optical

Practice address

1621 S Minnesota Ave
Sioux Falls, SD 57105-1743

Phone

(605) 328-9200

Fax

(605) 328-9201

NPI assigned

Jul 14, 2006

Last updated

Feb 22, 2021By 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

Steve W Goetsch

Title

Cfo

Phone

(605) 328-6940

Specialties & licenses 1

Addresses

Other names 1

• Sanford Eye Center & Optical 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 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 Clinic Neurocritical Care

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

  O20040115000943

  Same enrollment
• Sanford Clinic

  dba Sanford Dermatology Clinic

  • Dermatology Physician
  • Sioux Falls, SD
  • NPI 1245255942

  O20040115000943

  Same enrollment
• Sanford Clinic

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1255353934

  O20040115000943, O20040216001158

  Same enrollment
• Sanford Clinic

  dba Sanford Clinic Nephrology

  • Nephrology Physician
  • Sioux Falls, SD
  • NPI 1295848521

  O20040115000943, O20040216001158

  Same enrollment
• Sanford Clinic

  dba Sanford Obstetrics and Gynecology Clinic

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1306869227

  O20040115000943, O20040216001158

  Same enrollment
• Sanford Clinic

  dba Sanford Children's 69th & Louise Clinic

  • Pediatrics Physician
  • Sioux Falls, SD
  • NPI 1386072569

  O20040216001158

  Same enrollment

Locations

Practitioners 15

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.

• Julia Ilene Blue

  • Pediatrics Physician
  • Sioux Falls, SD
  • NPI 1134786676
  NPD
• Edward T Clark

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1972559300
  NPD
• Emily Michelle Geraets

  • Physician Assistant
  • Sioux Falls, SD
  • NPI 1205579554
  NPD
• Bhargavi Ghanta, M.D

  • Hospitalist Physician
  • Sioux Falls, SD
  • NPI 1114156676
  NPD
• Dennis Glatt, MD

  • Surgery Physician
  • Sioux Falls, SD
  • NPI 1063468130
  NPD
• Sarah Haberman

  • Physician Assistant
  • Sioux Falls, SD
  • NPI 1497474894
  NPD
• Stephanie M Ideker, PA-C

  • Physician Assistant
  • Sioux Falls, SD
  • NPI 1609213339
  NPD
• Rashmi Jain, MD

  • Pediatric Endocrinology Physician
  • Sioux Falls, SD
  • NPI 1336437078
  NPD
• Melanie Marie Johnson, CNP

  • Neonatal Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1629737705
  NPD
• Kamonchanok Kijsirichareanchai, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Sioux Falls, SD
  • NPI 1407377179
  NPD
• Aimee Louise Koenig, M.D.

  • Pediatrics Physician
  • Sioux Falls, SD
  • NPI 1437684610
  NPD
• Uma Maheswara Rao Motapothula, M.D

  • Hospitalist Physician
  • Sioux Falls, SD
  • NPI 1225365927
  NPD

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1366468449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051743",
            "telephone_number": "605-328-9200",
            "fax_number": "605-328-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051743",
            "telephone_number": "605-328-9200",
            "fax_number": "605-328-9201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Lincoln Cir SE",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "IA",
            "postal_code": "510411836",
            "country_code": "US",
            "telephone_number": "712-727-5241",
            "fax_number": "712-737-5283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 E Lawler Ave Ste 1319",
            "address_purpose": "LOCATION",
            "city": "Chamberlain",
            "state": "SD",
            "postal_code": "573251319",
            "country_code": "US",
            "telephone_number": "605-328-9200",
            "fax_number": "605-734-4184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 1st St W",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "SD",
            "postal_code": "572741054",
            "country_code": "US",
            "telephone_number": "605-328-9200",
            "fax_number": "605-328-9201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Peabody Dr",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "SD",
            "postal_code": "572741061",
            "country_code": "US",
            "telephone_number": "605-328-9200",
            "fax_number": "605-328-9201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1436 E 10th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Winner",
            "state": "SD",
            "postal_code": "575802874",
            "country_code": "US",
            "telephone_number": "605-328-9200",
            "fax_number": "605-328-9201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "745 E 8th St",
            "address_purpose": "LOCATION",
            "city": "Winner",
            "state": "SD",
            "postal_code": "575802677",
            "country_code": "US",
            "telephone_number": "605-328-9200",
            "fax_number": "605-328-9201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANFORD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "GOETSCH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-328-6940"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "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",
            "affiliationName": "Cobius Healthcare Solutions",
            "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 Eye Center & Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sanford Clinic (Sanford Clinic Acute Care 34th and Kiwanis)
• Sanford Clinic (Sanford Health Pathology Clinic)
• Sanford Clinic (Sanford Medical Genetics Laboratory)
• Sanford Clinic (Sanford Clinic Radiation Oncology)
• Sanford Clinic (Sanford Acute Care 69th & Minnesota Clinic)
• Sanford Clinic (Sanford Children's 69th & Louise Clinic)
• Sanford Clinic (Sanford Gynecologic Oncology Clinic)
• Sanford Clinic (Sanford Health Psychiatry & Psychology Clinic)
• Sanford Clinic (Sanford Health Acute Care 10th & Phillips)
• Sanford Clinic (Sanford Children's Residency Clinic)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.