Sanford Clinic

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SANFORD CLINIC

Doing business as

Sanford Clinic Surgical Associates

Practice address

1508 W 22ND St
Ste 101
Sioux Falls, SD 57105-1506

Phone

(605) 328-3840

Fax

(605) 328-3841

NPI assigned

Jul 7, 2006

Last updated

Nov 27, 2023By the provider in NPPES

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 6

Addresses

Other identifiers 2

Other names 1

• Sanford Clinic Surgical Associates Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SD, MN, IA3 enrollments

Enrollment records 3

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

Locations

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.

• Kyle Christian Anderson, CNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1982170676
  NPD
• Kevin James Aston, DO

  • Emergency Medicine Physician
  • Aberdeen, SD
  • NPI 1457319121
  NPD
• Cassandra L Bondesen, FNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1427334341
  NPD
• Amy Christine Cook, M.D.

  • Family Medicine Physician
  • Brookings, SD
  • NPI 1497199244
  NPD
• Chelsea Ann Dewaard, DNP, NP-C

  • Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1497264063
  NPD
• Christopher David Fischer, M.D.

  • Nuclear Medicine Physician
  • Sioux Falls, SD
  • NPI 1679736755
  NPD
• Adam S Gorra, M.D.

  • Pediatric Surgery Physician
  • Sioux Falls, SD
  • NPI 1730260803
  NPD
• Jacqueline M Heisterkamp, PA-C

  • Physician Assistant
  • Sioux Falls, SD
  • NPI 1689345050
  NPD
• Chad A Kurtenbach, M.D.

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
  • NPI 1538310107
  NPD
• Laura Marie Lavoy

  • Pediatrics Physician
  • Sioux Falls, SD
  • NPI 1942981030
  NPD
• Weizhe Li, MD, PHD

  • Neurocritical Care Physician
  • Sioux Falls, SD
  • NPI 1144741414
  NPD
• Ryan Manson, C.N.P

  • Family Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1164701876
  NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1922030212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 W 22ND ST",
            "address_2": "STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051506",
            "telephone_number": "605-328-3840",
            "fax_number": "605-328-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W 22ND ST",
            "address_2": "STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051506",
            "telephone_number": "605-328-3840",
            "fax_number": "605-328-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "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": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620091500",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0537886",
            "state": "IA"
        }
    ],
    "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",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sanford Clinic Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Clinic Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sanford Clinic (Sanford Clinic Hospitalists)
• Sanford Clinic (Sanford Clinic Neurology)
• Sanford Clinic (Sanford Children's Specialty Clinic)
• Sanford Clinic (Sanford Physical Medicine and Rehabilitation)
• Sanford Clinic (Sanford Clinic Radiology)
• Sanford Clinic (Sanford Health Midtown Clinic)
• Sanford Consumer Services LLC
• Sanford Consumer Services LLC (Sanford Clinic Ready Care)
• Sanford Health
• Sanford Health

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