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Organization Active NPI

Sanford Clinic

Doing business as Sanford Clinic Neurology

  • Neuromusculoskeletal Medicine & OMM Physician
  • Sioux Falls, SD
National Provider Identifier
1881600286
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
SANFORD CLINIC
Doing business as
Sanford Clinic Neurology
Practice address
1210 W 18TH St
Ste 100
Sioux Falls, SD 57104-9890
Phone
(605) 312-8500
Fax
(605) 312-8501
NPI assigned
Jul 31, 2006
Last updated
Oct 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X Primary

Addresses

Primary practice location

1210 W 18TH St
Ste 100
Sioux Falls, SD 57104-9890

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other identifiers 2

IdentifierTypeStateIssuer
0537886MedicaidIA
281988100MedicaidMN

Other names 1

  • Sanford Clinic Neurology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN, IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031110000532 SD Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 941 practitioners
This NPI is an additional NPI on the enrollment
O20040115000943 MN Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 113 practitioners
30 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Prior Lake, MN; Slayton, MN; Tracy, MN; Walker, MN; Windom, MN; Worthington, MN; Stillwater, MN; Luverne, MN…
O20040216001158 IA Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 66 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sheldon, IA; Sioux City, IA; Rock Rapids, IA; Orange City, IA; Inwood, IA; Hawarden, IA

Other NPIs on the same Medicare enrollment 37

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

  • Sanford Clinic

    dba Sanford Clinic Women's Health Internal Medicine

    • Internal Medicine Physician
    • Sioux Falls, SD
    • NPI 1023203619

    O20040216001158

    Same enrollment
  • Sanford Clinic

    dba Sanford Clinic Brookings

    • Family Medicine Physician
    • Brookings, SD
    • NPI 1043241466

    O20040115000943

    Same enrollment
  • Sanford Clinic

    dba Sanford Urogynecology and Pelvic Surgery Clinic

    • Gynecology Physician
    • Sioux Falls, SD
    • NPI 1083645949

    O20040115000943, O20040216001158

    Same enrollment
  • Sanford Clinic
    • Cardiovascular Disease Physician
    • Sioux Falls, SD
    • NPI 1144259052

    O20040115000943, O20040216001158

    Same enrollment
  • Sanford Clinic

    dba Sanford Clinic Transplant Nephrology

    • Surgery Physician
    • Sioux Falls, SD
    • NPI 1164510608

    O20040216001158

    Same enrollment
  • Sanford Clinic

    dba Sanford Clinic Breast Health Institute

    • Radiation Oncology Physician
    • Sioux Falls, SD
    • NPI 1174537799

    O20040216001158

    Same enrollment
  • Sanford Clinic

    dba Sanford Vascular Associates

    • Surgery Physician
    • Sioux Falls, SD
    • NPI 1194733535

    O20040115000943, O20040216001158

    Same enrollment
  • Sanford Clinic

    dba Sanford Clinic Neurocritical Care

    • Critical Care Medicine (Internal Medicine) Physician
    • Sioux Falls, SD
    • NPI 1235439506

    O20040115000943

    Same enrollment
  • Sanford Clinic

    dba Sanford Dermatology Clinic

    • Dermatology Physician
    • Sioux Falls, SD
    • NPI 1245255942

    O20040115000943

    Same enrollment
  • Sanford Clinic
    • Family Medicine Physician
    • Sioux Falls, SD
    • NPI 1255353934

    O20040115000943, O20040216001158

    Same enrollment
  • Sanford Clinic

    dba Sanford Clinic Nephrology

    • Nephrology Physician
    • Sioux Falls, SD
    • NPI 1295848521

    O20040115000943, O20040216001158

    Same enrollment
  • Sanford Clinic

    dba Sanford Obstetrics and Gynecology Clinic

    • Obstetrics & Gynecology Physician
    • Sioux Falls, SD
    • NPI 1306869227

    O20040115000943, O20040216001158

    Same enrollment
View all 37

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1881600286",
    "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": "1210 W 18TH ST",
            "address_2": "STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571049890",
            "telephone_number": "605-312-8500",
            "fax_number": "605-312-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-10-08",
        "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": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "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": [],
    "other_names": [
        {
            "organization_name": "Sanford Clinic Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.