SAGE MEDICAL PROF LLC
NPI 1588156657
Surgery - Vascular Surgery in Dakota Dunes, SD

NPI Status: Active since June 04, 2018

Contact Information

345 W STEAMBOAT DR STE 701
DAKOTA DUNES, SD
ZIP 57049
Phone: (319) 430-9340

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  • Organization
  • Surgery
  • Vascular Surgery
  • Accepts Insurance

About SAGE MEDICAL PROF LLC

This page provides the complete NPI Profile along with additional information for Sage Medical Prof Llc, a provider established in Dakota Dunes, South Dakota operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1588156657 assigned on June 2018. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Sage Medical Prof Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Chad Roger Laurich M.d. (Medical Director, Owner)

NPI
1588156657
Provider Name
SAGE MEDICAL PROF LLC
Entity Type
Organization
Location Address
345 W STEAMBOAT DR STE 701 DAKOTA DUNES, SD 57049
Location Phone
(319) 430-9340
Mailing Address
345 W STEAMBOAT DR STE 701 DAKOTA DUNES, SD 57049
Mailing Phone
(319) 430-9340
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-04-2018
Last Update Date
06-04-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze 5000 Premier Select BlueChoice w/ Adult Vision - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze Standard 7500 Premier Select BlueChoice - EPO
  • HeartlandBlue Gold $0 Deductible NEtwork Blue - EPO
  • HeartlandBlue Gold $0 Deductible NEtwork Blue PPO - PPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold Standard 1500 NEtwork Blue - EPO
  • HeartlandBlue Gold Standard 1500 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold Standard 1500 Premier Select BlueChoice - EPO
  • HeartlandBlue Silver $0 Mental Health Visit 6000 NEtwork Blue - EPO
  • HeartlandBlue Silver $0 Mental Health Visit 6000 NEtwork Blue PPO - PPO
  • HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue - EPO
  • HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue PPO - PPO
  • Inspire by Medica Bronze $0 Copay PCP Visits - EPO
  • Inspire by Medica Bronze Share - EPO
  • Inspire by Medica Expanded Bronze Standard - EPO
  • Inspire by Medica Gold $0 Copay PCP Visits - EPO
  • Inspire by Medica Gold Share - EPO
  • Inspire by Medica Gold Standard - EPO
  • Inspire by Medica Silver $0 Copay PCP Visits - EPO
  • Inspire by Medica Silver Share - EPO
  • Inspire by Medica Silver Standard - EPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHAD ROGER LAURICH M.D.

Authorized Official Title
MEDICAL DIRECTOR, OWNER
Authorized Official Phone
(319) 430-9340

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7960OTHER (01)SDSTATE LICENSE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588156657
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251682512610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 2 + 5 + 1 + 2 + 6 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1588156657 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588156657, enumerated in the NPI registry as an "organization" on June 04, 2018

The provider is located at 345 W Steamboat Dr Ste 701 Dakota Dunes, Sd 57049 and the phone number is (319) 430-9340

This medical organization specializes in Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery

The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska, Medica,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 04, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.