Sanford Clinic

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SANFORD CLINIC

Doing business as

Sanford Clinic Baker Specialty Orthopedics

Practice address

1210 W 18TH St
Sioux Falls, SD 57104-4647

Phone

(605) 328-3999

Fax

(605) 328-2867

NPI assigned

May 27, 2006

Last updated

Nov 27, 2023By 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 Goetsch

Title

Cfo

Phone

(605) 328-6940

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Sanford Clinic Baker Specialty Orthopedics Doing business as

Electronic endpoints 1

Tax ID family

Sanford Clinic33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

• Sanford Clinic

  dba Sanford 69th & Louise Family Medicine

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1104255835
  NPD tax ID
• Sanford Clinic

  dba Sanford Health Lake Lorraine Eye Clinic

  • Clinic/Center
  • Sioux Falls, SD
  • NPI 1164069506
  NPD tax ID
• Sanford Clinic

  dba Sanford Clinic Breast Health Institute

  • Radiation Oncology Physician
  • Sioux Falls, SD
  • NPI 1174537799
  NPD tax ID
• Sanford Clinic

  dba Sanford Medical Genetics Laboratory

  • Clinical Medical Laboratory
  • Sioux Falls, SD
  • NPI 1346410115
  NPD tax ID
• Sanford Clinic

  dba Sanford Acute Care 69th & Minnesota Clinic

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1366450835
  NPD tax ID
• Sanford Clinic

  dba Sanford Children's 69th & Louise Clinic

  • Pediatrics Physician
  • Sioux Falls, SD
  • NPI 1386072569
  NPD tax ID
• Sanford Clinic

  dba Sanford Gynecologic Oncology Clinic

  • Gynecologic Oncology Physician
  • Sioux Falls, SD
  • NPI 1396089900
  NPD tax ID
• Sanford Clinic

  dba Sanford Children's Residency Clinic

  • Pediatrics Physician
  • Sioux Falls, SD
  • NPI 1437438306
  NPD tax ID
• Sanford Clinic

  dba Sanford 26th and Sycamore Family Medicine

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1447289343
  NPD tax ID
• Sanford Clinic

  dba Edith Sanford Breast Specialty Clinic

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1497163026
  NPD tax ID
• Sanford Clinic

  dba Sanford Health Lake Lorraine Eye Clinic

  • Eyewear Supplier
  • Sioux Falls, SD
  • NPI 1518599562
  NPD tax ID
• Sanford Clinic

  dba Sanford Clinic Gastroenterology

  • Gastroenterology Physician
  • Sioux Falls, SD
  • NPI 1518973221
  NPD tax ID

Locations

Practitioners 1

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.

• John Elmer Forrette Jr., DPM

  • Podiatrist
  • Sioux Falls, SD
  • NPI 1043216955
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1639126402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 W 18TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044647",
            "telephone_number": "605-328-3999",
            "fax_number": "605-328-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W 18TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044647",
            "telephone_number": "605-328-3999",
            "fax_number": "605-328-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "GOETSCH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-328-6940"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "684424300",
            "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 Baker Specialty Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Clinic Baker Specialty Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopaedic Surgery Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Orthopaedic Surgery 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.