SANFORD CLINIC (NPI# 1841506110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841506110 |
| Entity Type | Organization |
| Organization Name | SANFORD CLINIC |
| Other Organization Name | SANFORD HEALTH MITCHELL |
| Practice Address |
2100 Highland Way Ste K Mitchell SD 57301-6409 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053287182 |
| Mailing Telephone | 6053286585 |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 6053288380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sanford Clinic Mitchell | Doing Business As Name - Organization |
| Sanford Health Mitchell | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 E 7th St, Platte, SD 573692123 | 6053373364 | 6053373360 |
| 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 |
2100 HIGHLAND WAY STE K |
| City | MITCHELL |
| State | SD |
| Zip Code | 57301-6409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558471573 | Ronald D Anderson | Obstetrics & Gynecology | 2100 Highland Way Ste K, Mitchell, SD 57301-6409 | 2006-08-30 |
| 1780865626 | Betsy M Van Genderen | Nurse Practitioner | 2100 Highland Way Ste K, Mitchell, SD 57301-6409 | 2007-11-20 |
| 1881745016 | Renae Leah Gerlach | Physician Assistant | 2100 Highland Way Ste K, Mitchell, SD 57301-6409 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721388 | Dakota Counseling Institute | Social Worker | 910 W Havens, Mitchell, SD 57301 | 2020-05-08 |
| 1215588512 | Carolyn Marie Klinkhammer | Registered Nurse | 525 North Foster - Avera Queen of Peace Hospital, Mitchell, SD 57301 | 2019-09-27 |
| 1720596893 | Brian Bannwarth | Pharmacist | 25147 Campground Road, Mitchell, SD 57301 | 2018-01-11 |
| 1336664135 | Haley Long | Speech-Language Pathologist | 200 East Havens, Mitchell, SD 57301 | 2017-08-14 |
| 1770004996 | Edgewood Mitchell LLC | Assisted Living Facility | 501 East Spruce Street, Mitchell, SD 57301 | 2017-06-28 |
| 1467831685 | Amanda Louise Johnson | Physical Therapist | 910 S Edgerton, Mitchell, SD 57301 | 2015-05-20 |
| 1922432830 | Melissa Jill Maier | Dentist | 240 E 23 Ave, Mitchell, SD 57301 | 2013-08-27 |
| 1356626972 | Lewis Family Drug, LLC | Pharmacy | 1507 N Main St, Mitchell, SD 57301 | 2011-10-14 |
| 1184945958 | Kimberly L Lienemann | Counselor | 403 N Lawler St, Mitchell, SD 57301 | 2010-06-16 |
| 1134365554 | Gronsten-maier Dental Prof. LLC | Dentist | 240 E. 23rd Avenue, Mitchell, SD 57301 | 2009-01-07 |
| Find all providers in zip 57301 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538285739 | Dakota Women's Clinic, Michael R. Krause, Do, PC | Obstetrics & Gynecology | 625 N Foster St # 108, Mitchell, SD 57301-2969 | 2007-03-21 |
| 1558471573 | Ronald D Anderson | Obstetrics & Gynecology | 2100 Highland Way Ste K, Mitchell, SD 57301-6409 | 2006-08-30 |
| 1073626115 | Michael Ross Krause | Obstetrics & Gynecology | 625 N Foster St Ste 108, Mitchell, SD 57301-2969 | 2006-08-15 |
| 1205800570 | Elizabeth E Campbell | Obstetrics & Gynecology | 625 N Foster St, Mitchell, SD 57301-2969 | 2006-02-14 |
| 1407858954 | Lonnie Joseph Nedved | Obstetrics & Gynecology | 1200 S Burr St, Mitchell, SD 57301-4584 | 2005-08-15 |
| 1437538303 | Jacob Thomas | Obstetrics & Gynecology | 625 N Foster St, Mitchell, SD 57301-2969 | 2015-05-26 |
| 1053670729 | Julie L. Weigandt | Obstetrics & Gynecology | 2100 Highland Way, Mitchell, SD 57301-6426 | 2012-05-15 |
| 1932496353 | Ashley Faye Peters | Obstetrics & Gynecology | 625 N Foster St, Mitchell, SD 57301-2969 | 2011-07-06 |
| 1477849941 | Dawn Boender | Obstetrics & Gynecology | 625 N Foster St, Suite 107, Mitchell, SD 57301-2969 | 2011-06-23 |
| 1326283797 | Avera Queen of Peace | Obstetrics & Gynecology | 1900 Grassland Dr, Mitchell, SD 57301-6335 | 2008-12-12 |
| Find all providers in MITCHELL | ||||
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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.