Sanford Clinic

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

SANFORD CLINIC

Practice address

1201 S Euclid Ave
Suite 201
Sioux Falls, SD 57105-7700

Phone

(605) 328-8260

Fax

(605) 328-8261

NPI assigned

Nov 24, 2006

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 2

Addresses

Other names 1

• Sanford Clinic Urogynecology & Reconstructive Pelvic Surgery Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1831265727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S EUCLID AVE",
            "address_2": "SUITE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571057700",
            "telephone_number": "605-328-8260",
            "fax_number": "605-328-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S EUCLID AVE",
            "address_2": "SUITE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571057700",
            "telephone_number": "605-328-8260",
            "fax_number": "605-328-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "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": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Urogynecology & Reconstructive Pelvic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Clinic Urogynecology & Reconstructive Pelvic Surgery",
            "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

• Gynecology Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Gynecology 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.