SANFORD GYNECOLOGIC ONCOLOGY CLINIC – NPI #1396089900
Obstetrics & Gynecology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

SANFORD GYNECOLOGIC ONCOLOGY CLINIC is a provider located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1396089900 to SANFORD GYNECOLOGIC ONCOLOGY CLINIC on November 20, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SANFORD GYNECOLOGIC ONCOLOGY CLINIC” is a dba name, the actual legal business name for this organization is SANFORD CLINIC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

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 GYNECOLOGIC ONCOLOGY CLINIC below.

NPI Profile for
SANFORD CLINIC

NPI Number
1396089900
Enumeration Date

(more than 13 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 GYNECOLOGIC ONCOLOGY CLINIC
Primary location
1309 W 17TH ST STE 102
SIOUX FALLS, SD 57104-4663
Phone: (605) 312-3250 Fax: (605) 312-3251
Mailing address
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone: (605) 328-6585 Fax: (605) 328-6512
Organization Subpart
No
Authorized Official
TONY MORRISON
VICE PRESIDENT, REVENUE CYCLE
Phone: (605) 328-8380
Updated
Certification Date
Jun 30, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207VX0201X
- Obstetrics & Gynecology / Gynecologic Oncology (Primary)
363L00000X
- Nurse Practitioner

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