| Santiago Manuel Cayetano Lopez, MD | |
| 1600 W 22nd St, Sioux Falls, SD 57105-1521 | |
| (605) 312-1000 | |
| (605) 312-1001 | 
| Full Name | Santiago Manuel Cayetano Lopez | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Infectious Diseases | 
| Location | 1600 W 22nd St, Sioux Falls, South Dakota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922351246 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0208X | Pediatrics - Pediatric Infectious Diseases | 10963 (South Dakota) | Primary | 
| Entity Name | Sanford Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1396764254 PECOS PAC ID: 0244143824 Enrollment ID: O20031110000532 | 
| Entity Name | Sanford Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093090342 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Santiago Manuel Cayetano Lopez, MD 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-4411 | Santiago Manuel Cayetano Lopez, MD 1600 W 22nd St, Sioux Falls, SD 57105-1521 Ph: (605) 312-1000 | 
| Dr. Shari L Eich, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 S Marion Rd, Sioux Falls, SD 57106 Phone: 605-322-1010 Fax: 605-322-1011 | |
| Michael Elliott, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 S 7th Ave, Ste 2, Sioux Falls, SD 57105 Phone: 605-336-2140 | |
| Brock J Doubledee, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 W 22nd, Sioux Falls, SD 57105 Phone: 605-312-1000 Fax: 605-312-1001 | |
| Katherine Wang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1325 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-322-4425 Fax: 605-322-4499 | |
| Kayelyn J. Wagner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 W 22nd St, Sioux Falls, SD 57105 Phone: 605-312-1000 Fax: 605-312-1001 | |
| Gulsah Olgun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 S Grange Ave Ste 307, Sioux Falls, SD 57105 Phone: 605-328-7800 Fax: 605-328-7899 | |
| Mrs. Katie Elizabeth Larson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 S Grange Ave, Suite 307, Sioux Falls, SD 57105 Phone: 605-328-7800 Fax: 605-328-7899 |