SANFORD CLINIC NPI 1306869227

NPI Information

NPI: 1306869227
Provider Name: SANFORD CLINIC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
:
CLIA Number: 43D0407197
Address: 1500 W 22ND ST
STE 301
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 328-7700

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NPI Details

SANFORD CLINIC is an obstetrics gynecology in Sioux Falls, SD. The provider is 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. SANFORD CLINIC NPI is 1306869227. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1500 W 22ND ST
STE 301
SIOUX FALLS, SD
ZIP 57105-503
Phone: (605) 328-7700
Fax: (605) 328-7775

The provider's authorized official is Tony Lee Morrison .
The authorized official title is Vice President, Revenue Cycle and has the following contact phone number (605) 328-8380.

The CLIA number assigned to this NPI record is 43D0407197 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/25/2006 and was last updated on 2/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103T00000X	Psychologist		No
2	163W00000X	Registered Nurse		No
3	170300000X	Genetic Counselor, MS		No
4	207R00000X	Internal Medicine		No
5	207V00000X	Obstetrics & Gynecology		Yes
6	207VM0101X	Obstetrics & Gynecology	Maternal & Fetal Medicine	No
7	2085U0001X	Radiology	Diagnostic Ultrasound	No
8	2086X0206X	Surgery	Surgical Oncology	No
9	246R00000X	Technician, Pathology		No
10	247100000X	Radiologic Technologist		No
11	363A00000X	Physician Assistant		No
12	363L00000X	Nurse Practitioner		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	827927600	MEDICAID	MINNESOTA
2	0562025	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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