NPI 1942236096 · live from the CMS NPI Registry
University Physician
Family Medicine in Sioux Falls, SD. National Provider Identifier 1942236096, active.
NPI record
| NPI | 1942236096 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1310 W 22nd St, Sioux Falls, SD 57105 |
| Practice phone | 605-782-2000 |
| Mailing address | Po Box 89208, Sioux Falls, SD 57109 |
| Enumerated | June 23, 2006 |
| Last updated | September 4, 2007 |
| Authorized official | Tory Payne, Executive Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — |
| Internal Medicine, Infectious Disease | 207RI0200X | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — |
| Medical Genetics, Clinical Genetics (M.D.) | 207SG0201X | — |
| 2086S0129X | — | |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.