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OBGYN SPECIALTY CLINIC PC
NPI 1760664502
Obstetrics & Gynecology in Sioux Falls, SD

Active since December 04, 2007
625 W 18TH ST, SIOUX FALLS, SD 57105(605) 338-0836(605) 338-7890 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Obgyn Specialty Clinic Pc NPPES

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

OBGYN SPECIALTY CLINIC PC (NPI 1760664502) is a healthcare organization registered as an obstetrics & gynecology in Sioux Falls, South Dakota and active in the NPI registry since December 2007. The organization lists Elizabeth Dimitrievich, President, as its authorized official.

NPPES Registry Identity

NPI1760664502
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameOBGYN SPECIALTY CLINIC PC
Location Address625 W 18TH STSioux Falls, SD 57105
Mailing Address625 W 18th StSioux Falls, SD 57105 · (605) 338-0836 · Fax (605) 338-7890
Phone(605) 338-0836
Fax(605) 338-7890
Organization SubpartNo
Authorized OfficialElizabeth DimitrievichPresident · (605) 338-0836
Enumeration DateDecember 4, 2007
Last NPPES UpdateApril 11, 2011
✔ NPI 1760664502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in SD · 3478
Definition
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.
625 W 18TH ST, Sioux Falls, SD 57105
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Other Identifiers 2

Medicare UPINF09103SD
Medicare PINS40491SD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

ELIZABETH DIMITRIEVICH MD
Obstetrics & Gynecology (Obstetrics)
625 W 18TH ST, OBGYN SPECIALTY CLINIC
SIOUX FALLS, SD 57105
Minnehaha County (605) 338-0836
CIERRA LYNN STUEVEN
Behavior Technician
625 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (435) 767-7929
JAMES RICHARDSON MD
Family Medicine
625 W 18TH ST, RICHARDSON FAMILY PRACTICE LLC
SIOUX FALLS, SD 57105
Minnehaha County (605) 275-8800
RICHARDSON FAMILY MEDICINE PROF LLC
Family Medicine
625 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 275-8800

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 Obgyn Specialty Clinic PC's NPI number?

The NPI number for Obgyn Specialty Clinic PC is 1760664502. It was assigned to this organization in the NPPES registry on December 4, 2007.

Where is Obgyn Specialty Clinic PC located?

Obgyn Specialty Clinic PC is located at 625 W 18th St, Sioux Falls, SD 57105. The listed phone number is (605) 338-0836.

What is Obgyn Specialty Clinic PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Obgyn Specialty Clinic PC was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.