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NORTH CENTRAL HEART A DIVISION OF AVERA HEART HOSPITAL
NPI 1407109705
Internal Medicine - Cardiovascular Disease in Sioux Falls, SD

Active since October 24, 2012
4520 W 69TH ST, SIOUX FALLS, SD 57108(605) 977-5000(605) 977-5377 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Central Heart A Division Of Avera Heart Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH CENTRAL HEART A DIVISION OF AVERA HEART HOSPITAL (NPI 1407109705) is a healthcare organization registered as a cardiovascular disease in Sioux Falls, South Dakota and active in the NPI registry since October 2012. The organization lists Jon C Soderholm, President, as its authorized official.

NPPES Registry Identity

NPI1407109705
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameHEART HOSPITAL OF SOUTH DAKOTA LLC
Location Address4520 W 69TH STSioux Falls, SD 57108-8148
Mailing Address4500 W 69th StSioux Falls, SD 57108-8148 · (605) 977-7000 · Fax (605) 977-7001
Phone(605) 977-5000
Fax(605) 977-5377
Organization SubpartYes
Authorized OfficialJon C SoderholmPresident · (605) 977-7005
Enumeration DateOctober 24, 2012
✔ NPI 1407109705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in SD · 41953
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License 41953 (SD)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 41953 (SD)
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 41953 (SD)
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License 41953 (SD)
4520 W 69TH ST, Sioux Falls, SD 57108
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Other Names 1

Doing Business AsNorth Central Heart A Division Of Avera Heart Hospital

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY J STEFFEN DO
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
BRIAN KEITH DUXBURY DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
DR. ANURAG BAJAJ M.D.
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
MARY ANN MARIE SHERMAN PAC
Physician Assistant
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
STEPHANIE PREISTER
Nurse Practitioner (Family)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
DR. PAUL E MEYER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
HOLLI MARIE BAAN HOFMAN CNP
Nurse Practitioner (Family)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
DR. MARK D FAUSCH MD
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heart Hospital Of South Dakota LLC's NPI number?

The NPI number for Heart Hospital Of South Dakota LLC is 1407109705. It was assigned to this organization in the NPPES registry on October 24, 2012. The provider is doing business as North Central Heart A Division Of Avera Heart Hospital.

Where is Heart Hospital Of South Dakota LLC located?

Heart Hospital Of South Dakota LLC is located at 4520 W 69th St, Sioux Falls, SD 57108. The listed phone number is (605) 977-5000.

What is Heart Hospital Of South Dakota LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

What insurance does Heart Hospital Of South Dakota LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer list Heart Hospital Of South Dakota LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heart Hospital Of South Dakota LLC was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.