SANFORD CLINIC (NPI# 1144257403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144257403 |
| Entity Type | Organization |
| Organization Name | SANFORD CLINIC |
| Other Organization Name | SANFORD NUCLEAR MEDICINE CLINIC |
| Practice Address |
1205 S Grange Ave Ste 402 Sioux Falls SD 57105-0407 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053288970 |
| Practice Fax Number | 6053288701 |
| Mailing Telephone | 6053286585 |
| Mailing Fax Number | 6053286512 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | STEVE W GOETSCH (CFO) |
| Authorized Official Telephone | 6053286940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0537886 | 05 | |
| MN | 746160700 | 05 |
| Other Name | Type Code |
|---|---|
| Sanford Nuclear Medicine Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164069506 | Sanford Clinic | Clinic/Center | 2310 S Marion Rd Ste 140, Sioux Falls, SD 57106-1144 | 2019-12-04 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1356983175 | Sanford Clinic | Clinic/Center | 366 Hillsboro Technology Dr, Deerfield Beach, FL 33441-1836 | 2019-10-14 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1396089900 | Sanford Clinic | Nurse Practitioner | 1309 W 17th St Ste 102, Sioux Falls, SD 57104-4663 | 2012-11-20 |
| 1740416395 | Sanford Clinic | Pediatrics | 2502 W. Elk Ave., Duncan, OK 73533 | 2009-06-09 |
| 1861685166 | Sanford Clinic | Radiology | 891 14th Ave Ne, Watertown, SD 57201 | 2007-08-21 |
| 1366635740 | Sanford Clinic | Family Medicine | 433 Kansas Ave Se, Huron, SD 57350-2561 | 2007-08-20 |
| 1922123108 | Sanford Clinic | Clinic/Center | 703 S Broadway, Watertown, SD 57201 | 2007-03-20 |
| 1285738997 | Sanford Clinic | Obstetrics & Gynecology | 1201 S Euclid Ave Ste 201, Sioux Falls, SD 57105-0434 | 2006-09-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SANFORD CLINIC | 1305 W 18th St, Sioux Falls, SD 57105-0401 |
| Colorado Business Entities | Sanford Clinic | 1305 W 18th St, Sioux Falls, SD 57105 |
| Iowa Business Entities | SANFORD CLINIC | 1305 W 18th St, Sioux Falls, SD 57105 |
| Oklahoma Business Registrations | SANFORD CLINIC | 1305 W 18th St, Sioux Falls, SD 57105 |
| Iowa Business Entities | SANFORD CLINIC NORTH | 801 Broadway North, Fargo, ND 58122 |
| System for Award Management (SAM) Entities | SANFORD CLINIC NORTH FARGO | 801 Broadway N, Fargo, ND 58102-3641 |
| Street Address |
1205 S GRANGE AVE STE 402 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-0407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245222 | David W Zeigler | Internal Medicine | 1205 S Grange Ave, Ste 510, Sioux Falls, SD 57105-0410 | 2005-06-16 |
| 1447703962 | Jennifer Lynn Newman | Nurse Practitioner | 1205 S Grange Ave, Mb2, Suite 104, Sioux Falls, SD 57105-0407 | 2016-08-02 |
| 1760835276 | Rebecca Krivarchka | Nurse Practitioner | 1205 S Grange Ave, Suite 104, Sioux Falls, SD 57105-0407 | 2016-07-20 |
| 1992181200 | Stacy Rausch | Nurse Practitioner | 1205 S Grange Ave, Ste 104, Sioux Falls, SD 57105-0407 | 2015-08-10 |
| 1487038774 | Jenilee Kludt | Pharmacist | 1205 S Grange Ave, Suite 103, Sioux Falls, SD 57105-0407 | 2015-07-16 |
| 1285027417 | Megan Bell | Genetic Counselor, MS | 1205 S Grange Ave, Ste 510, Sioux Falls, SD 57103 | 2015-03-12 |
| 1134523350 | Lori Buschena | Social Worker | 1205 S Grange Ave, Suite 510, Sioux Falls, SD 57105-0407 | 2014-10-17 |
| 1275963506 | Tiffany Reitsma | Nurse Practitioner | 1205 S Grange Ave, Ste 104, Sioux Falls, SD 57105-0407 | 2013-11-22 |
| 1942644521 | Jenna Sommer Truckenbrod | Physician Assistant | 1205 S Grange Ave, Suite 201, Sioux Falls, SD 57105-0407 | 2013-04-25 |
| 1649525825 | Kerry R Jerke | Nurse Practitioner | 1205 S Grange Ave, Ste 201, Sioux Falls, SD 57105-0407 | 2012-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 207U00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Nuclear Medicine, 2007. http://www.abnm.org/. A doctor of osteopathy was able to obtain a Certificate of Added Qualifications in the field of Nuclear Medicine. The Certificate is NO longer offered. - American Osteopathic Board of Nuclear Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346669280 | Joshua Ryan | Nuclear Medicine | 1210 W 1210 W 18th St Ste Ll03, Sioux Falls, SD 57104-4654 | 2014-04-08 |
| 1558568378 | W.a. Boade, Md Prof LLC | Nuclear Medicine | 4500 N Cliff Ave, Sioux Falls, SD 57104-0553 | 2007-06-27 |
| 1104825918 | David A Swanson | Nuclear Medicine | 1417 S Minnesota Ave, Sioux Falls, SD 57105-1715 | 2005-07-14 |
| 1679736755 | Christopher David Fischer | Nuclear Medicine | 1205 S Grange Ave, Ste 301, Sioux Falls, SD 57105 | 2008-07-08 |
| 1629077433 | Steven P Olson | Nuclear Medicine | 1301 South Cliff Avenue, Suite 700, Sioux Falls, SD 57105-1019 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710937685 | Nuclear Diagnosis, L.L.C. | Nuclear Medicine | 3103 E Fairgrounds Loop, Spearfish, SD 57783-6049 | 2006-05-11 |
| City | SIOUX FALLS |
| Zip Code | 57105 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.