Active NPI
Sanford Clinic
Doing business as Sanford Clinic Transplant Services
- Transplant Surgery Physician
- Sioux Falls, SD
National Provider Identifier
1609895770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- Legal business name
- SANFORD CLINIC
- Doing business as
- Sanford Clinic Transplant Services
- Practice address
- 1205 S. Grange Ave
Ste 201
Sioux Falls, SD 57105-0414 - Phone
- (605) 328-9290
- Fax
- (605) 328-9291
- NPI assigned
- Jul 19, 2006
- Last updated
- Jan 23, 2025
- Organization subpart
- No
NPPES NPI Registry
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | NU | Primary | |
| Surgery Physician | 208600000X | NU | ||
| Vascular Surgery Physician | 2086S0129X | NU |
Addresses
Primary practice location
1205 S. Grange Ave
Ste 201
Sioux Falls, SD 57105-0414
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
1420 W 22nd St Ste 201
Sioux Falls, SD 57105-1507
Phone (605) 328-9290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 281988100 | Medicaid | MN |
Other names 1
- Sanford Clinic Transplant Services
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031110000532 | SD | Part B Supplier - Clinic/Group Practice | 0244143824 |
Receives reassigned benefits from 941 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Sanford Clinic
Other organizations with this tax ID 32
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Sanford 69th & Louise Family Medicine
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1104255835
-
dba Sanford Health Lake Lorraine Eye Clinic
- Clinic/Center
- Sioux Falls, SD
- NPI 1164069506
-
dba Sanford Clinic Breast Health Institute
- Radiation Oncology Physician
- Sioux Falls, SD
- NPI 1174537799
-
dba Sanford Medical Genetics Laboratory
- Clinical Medical Laboratory
- Sioux Falls, SD
- NPI 1346410115
-
dba Sanford Acute Care 69th & Minnesota Clinic
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1366450835
-
dba Sanford Children's 69th & Louise Clinic
- Pediatrics Physician
- Sioux Falls, SD
- NPI 1386072569
-
dba Sanford Gynecologic Oncology Clinic
- Gynecologic Oncology Physician
- Sioux Falls, SD
- NPI 1396089900
-
dba Sanford Children's Residency Clinic
- Pediatrics Physician
- Sioux Falls, SD
- NPI 1437438306
-
dba Sanford 26th and Sycamore Family Medicine
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1447289343
-
dba Edith Sanford Breast Specialty Clinic
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1497163026
-
dba Sanford Health Lake Lorraine Eye Clinic
- Eyewear Supplier
- Sioux Falls, SD
- NPI 1518599562
-
dba Sanford Clinic Gastroenterology
- Gastroenterology Physician
- Sioux Falls, SD
- NPI 1518973221
Practitioners & affiliated clinicians
Practitioners 14
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.
-
- Pulmonary Disease Physician
- Sioux Falls, SD
- NPI 1215120506
-
- Physician Assistant
- Sioux Falls, SD
- NPI 1891721601
-
- Vascular & Interventional Radiology Physician
- Sioux Falls, SD
- NPI 1275028136
-
- Nurse Practitioner
- Sioux Falls, SD
- NPI 1699446674
-
- Family Nurse Practitioner
- Sioux Falls, SD
- NPI 1225792716
-
- Surgery Physician
- Sioux Falls, SD
- NPI 1356341010
-
- Family Nurse Practitioner
- Sioux Falls, SD
- NPI 1235816273
-
- Hospitalist Physician
- Sioux Falls, SD
- NPI 1790940658
-
- Clinical Cardiac Electrophysiology Physician
- Sioux Falls, SD
- NPI 1558366500
-
- Physician Assistant
- Aberdeen, SD
- NPI 1982660411
-
- Ophthalmology Physician
- Sioux Falls, SD
- NPI 1205812328
-
- Hospitalist Physician
- Sioux Falls, SD
- NPI 1508344128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737590400000",
"number": "1609895770",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 S. GRANGE AVE",
"address_2": "STE 201",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571050414",
"telephone_number": "605-328-9290",
"fax_number": "605-328-9291"
}
],
"practiceLocations": [
{
"address_1": "1420 W 22nd St Ste 201",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571051507",
"country_code": "US",
"telephone_number": "605-328-9290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SANFORD CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"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": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "281988100",
"state": "MN"
}
],
"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 Transplant Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sanford Clinic Transplant Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sioux Falls, SD
- Sanford Clinic (Sanford Clinic Gastroenterology)
- Sanford Clinic (Sanford Diabetes and Thyroid Clinic)
- Sanford Clinic (Sanford Rheumatology Clinic)
- Sanford Clinic (Sanford Cancer Center Oncology Clinic Pharmacy)
- Sanford Clinic (Sanford Clinic Cardiac,Thoracic & Vascular Surgery)
- Sanford Clinic (Sanford Clinic Baker Specialty Orthopedics)
- Sanford Clinic (Sanford Ear, Nose & Throat Clinic)
- Sanford Clinic (Sanford Molecular Imaging Clinic)
- Sanford Clinic (Sanford Neurosurgery and Spine Clinic)
- Sanford Clinic (Sanford Clinic Orthopedics and Sports Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.