SANFORD CLINIC SPORTS MEDICINE – NPI #1790791101
Internal Medicine

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

SANFORD CLINIC SPORTS MEDICINE is a provider located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1790791101 to SANFORD CLINIC SPORTS MEDICINE on July 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SANFORD CLINIC SPORTS MEDICINE” is a dba name, the actual legal business name for this organization is SANFORD CLINIC. The primary taxonomy selected by this provider is 207RS0010X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Sports Medicine

The NPI profile was previously updated about 3 years ago on Nov 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SANFORD CLINIC SPORTS MEDICINE below.

NPI Profile for
SANFORD CLINIC

NPI Number
1790791101
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SANFORD CLINIC
Doing Business As (dba): SANFORD CLINIC SPORTS MEDICINE
Primary location
1210 W 18TH ST
SUITE G01
SIOUX FALLS, SD 57104-4647
Phone: (605) 328-1750 Fax: (605) 328-1751
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVE GEOTSCH
CFO
Phone: (605) 328-4538
Updated
Identifiers

Identifiers for SANFORD CLINIC SPORTS MEDICINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidIA0562025
medicaidMN684424300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RS0010X
- Internal Medicine / Sports Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669