NPIMap

Organization Active NPI

Sanford Health Network

Doing business as Sanford Aberdeen Clinic

  • Family Medicine Physician
  • Aberdeen, SD
National Provider Identifier
1861597981
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SANFORD HEALTH NETWORK
Doing business as
Sanford Aberdeen Clinic
Practice address
3015 3Rd Ave SE
Aberdeen, SD 57401-1846
Phone
(605) 226-5500
Fax
(605) 226-5601
NPI assigned
Sep 13, 2006
Last updated
Nov 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3015 3Rd Ave SE
Aberdeen, SD 57401-1846

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Other names 1

  • Sanford Aberdeen Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000266 SD Part B Supplier - Clinic/Group Practice 6800707100 Receives reassigned benefits from 489 practitioners
21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ipswich, SD; Webster, SD; Vermillion, SD; Sioux Falls, SD; Kimball, SD; Clear Lake, SD; Chamberlain, SD; Canton, SD…

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory
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
View all 32

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1861597981",
    "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",
            "fax_number": "605-328-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 3RD AVE SE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574011846",
            "telephone_number": "605-226-5500",
            "fax_number": "605-226-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "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": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "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 # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sanford Aberdeen Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Aberdeen Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.