Active NPI
Patricia S Wirtz, M.D.
- Obstetrics & Gynecology Physician
- Sioux Falls, SD
National Provider Identifier
1881666485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 1148
- Practice address
- 1417 S. Cliff Ave.
Ste. 401
Sioux Falls, SD 57105-1064 - Phone
- (605) 322-8920
- Fax
- (605) 322-8919
- NPI assigned
- Feb 7, 2006
- Last updated
- Oct 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 1148 | SD | Primary |
Addresses
Primary practice location
1417 S. Cliff Ave.
Ste. 401
Sioux Falls, SD 57105-1064
Mailing address
PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-7510
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040115001 | Other | MN | PRIMEWEST |
| 57105M002 | Other | SD | WPS TRICARE |
| AH9131019111 | Other | SD | PREFERRED ONE |
| 0702891 | Other | SD | MEDICA |
| 370624200 | Other | SD | DEPT. OF LABOR |
| 704705300 | Medicaid | MN | |
| 6200333 | Medicaid | SD | |
| 1583 | Other | SD | MIDLANDS CHOICE |
| 1921171 | Medicaid | IA | |
| 46022474316 | Medicaid | NE | |
| 48D60WI | Other | MN | BLUE CROSS |
| 0007995 | Other | SD | BLUE CROSS |
| 22143 | Other | SD | SANFORD HEALTH PLANS |
| 23564 | Other | SD | ARAZ/AMERICA'S PPO |
| 48D60WI | Other | MN | CC SYSTEMS/ BLUE PLUS |
| 1148 | Other | SD | DAKOTACARE |
| 151763 | Other | MN | UCARE |
| HP24459 | Other | SD | HEALTHPARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1148 | SD | MD | Chiropractor |
Interoperability endpoints
- patricia.wirtz@avera.sdhealthlink.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1881666485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86370",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571186370",
"telephone_number": "605-322-7510",
"fax_number": "605-322-6475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 S. CLIFF AVE.",
"address_2": "STE. 401",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051064",
"telephone_number": "605-322-8920",
"fax_number": "605-322-8919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIRTZ",
"first_name": "PATRICIA",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SD",
"license": "1148",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMEWEST",
"identifier": "040115001",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE",
"identifier": "57105M002",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "AH9131019111",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0702891",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR",
"identifier": "370624200",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "704705300",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6200333",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "1583",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1921171",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46022474316",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "48D60WI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0007995",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANFORD HEALTH PLANS",
"identifier": "22143",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ/AMERICA'S PPO",
"identifier": "23564",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CC SYSTEMS/ BLUE PLUS",
"identifier": "48D60WI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "1148",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "151763",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP24459",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}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 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.