Sanford Clinic

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

Legal business name

SANFORD CLINIC

Practice address

1205 S Grange Ave Ste 301
Sioux Falls, SD 57105-0410

Phone

(605) 328-2170

Fax

(605) 328-2171

NPI assigned

Jun 21, 2006

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 2

Addresses

Other identifiers 2

Other names 1

• Sanford Molecular Imaging Clinic Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Practitioners 7

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

• Kate Andal

  • Clinical Neuropsychologist
  • Sioux Falls, SD
  • NPI 1578669362
  NPD
• Jaime Anne Hudson, PH.D.

  • Clinical Psychologist
  • Sioux Falls, SD
  • NPI 1487946984
  NPD
• Sarada Vineela Kanala, MD

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1306429428
  NPD
• Christopher R Nelson, CNP

  • Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1225035215
  NPD
• Mary Gene Schmitz, MD

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1366402083
  NPD
• David H. Daniels, M.D.

  • Internal Medicine Physician
  • Sioux City, IA
  • NPI 1972558229
  NPD
• Andrew Thomas Thorp Jr., MD, MBA

  • Cardiovascular Disease Physician
  • Lincoln, RI
  • NPI 1013367515
  NPD

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1679519458",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S GRANGE AVE STE 301",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050410",
            "telephone_number": "605-328-2170",
            "fax_number": "605-328-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "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": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0537886",
            "state": "IA"
        },
        {
            "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",
            "affiliationName": "Cobius Healthcare Solutions",
            "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 Molecular Imaging Clinic",
            "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

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.