AVERA ST. LUKE'S


Address: 105 S State St Ste 113, Aberdeen, SD 57401-4502
Phone: 6052250378

AVERA ST. LUKE'S (NPI# 1013143296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013143296
Entity Type Organization
Organization Name AVERA ST. LUKE'S
Other Organization Name AVERA ABERDEEN FAMILY PHYSICIANS
Practice Address 105 S State St Ste 113
Aberdeen
SD 57401-4502
Mailing Address Po Box 1460
Aberdeen
SD 57402-1460
Practice Telephone 6052250378
Practice Fax Number 6052257919
Mailing Telephone 6056222857
Mailing Fax Number 6056222859
Enumeration Date 2009-06-02
Last Update Date 2020-04-02
Authorized Official Name DEBBIE STREIER (VICE PESIDENT)
Authorized Official Telephone 6056222807
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 10525 SD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
DAKOTACARE 9278116 01
ND 10643 05

Other Provider/Organization Names

Other Name Type Code
Avera Aberdeen Family Physicians Doing Business As Name - Organization
Avera Medical Group Pediatrics Aberdeen Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
105 S State St Ste 204, Aberdeen, SD 574014501 6056222857 6056222859

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336483551 Avera St. Luke's Internal Medicine 310 S Penn St Ste 106, Aberdeen, SD 57401-4553 2012-11-15
1558624668 Avera St. Luke's Family Medicine 501 Bloemendaal Drive, Ipswich, SD 57451 2012-06-22
1619273927 Avera St. Luke's Surgery 4141 31st Ave S Ste 105, Fargo, ND 58104-8778 2011-02-03
1215100813 Avera St. Luke's Dietitian, Registered 105 S State St Ste 201, Aberdeen, SD 57401-4502 2008-04-04
1154346625 Avera St. Luke's Family Medicine 4401 Main St, Selby, SD 57472 2006-07-13
1124459391 Avera St. Luke's Orthopaedic Surgery 701 8th Ave Nw, Aberdeen, SD 57401 2013-12-12
1982030177 Avera St. Luke's Physician Assistant 815 1st Ave Se, Aberdeen, SD 57401-4602 2013-09-19
1083051817 Avera St. Luke's Anesthesiology 815 1st Ave Se, Aberdeen, SD 57401 2013-06-03
1912265489 Avera St. Luke's Internal Medicine 310 S Penn St, Ste 203, Aberdeen, SD 57401 2012-05-02
1891073003 Avera St. Luke's Anesthesiology 305 S State St, Aberdeen, SD 57401 2011-07-22

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities AVERA ST LUKE'S HOSPITAL 305 S State, Aberdeen, SD 57401-4527

Office Location

Street Address 105 S STATE ST STE 113
City ABERDEEN
State SD
Zip Code 57401-4502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760968085 Sarah Ann Siebert Nurse Practitioner 105 S State St Ste 113, Aberdeen, SD 57401 2018-07-19
1184143232 Michele Olivia Hoellein Physician Assistant 105 S State St Ste 113, Aberdeen, SD 57401-4502 2017-09-10
1023568516 Matthew R Lutjens Nurse Practitioner 105 S State St Ste 113, Aberdeen, SD 57401-4502 2016-10-07
1043693849 Kathryn Mary Martinez Family Medicine 105 S State St Ste 113, Aberdeen, SD 57401-4502 2015-06-30
1386906733 Julie Nicole Johnson Nurse Practitioner 105 S State St Ste 113, Aberdeen, SD 57401-4502 2012-06-12
1881981561 Jonathan James Olson Family Medicine 105 S State St Ste 113, Aberdeen, SD 57401-4502 2011-07-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679002950 Brenda Lee Pence Registered Nurse 305 S. State St., Aberdeen, SD 57401 2017-06-08
1104366475 Jordan Shangreaux Specialist/Technologist 2200 S Roosevelt St, Aberdeen, SD 57401 2017-03-06
1205387545 Midwest Medical Transport Company, LLC-aberdeen, Sd Ambulance 2919 Industrial Avenue, Aberdeen, SD 57401 2016-10-21
1356752471 Cameron Eichler Enterprises Hearing Aid Equipment 110 6th Ave Se Ste 106, Aberdeen, SD 57401 2014-05-12
1184059412 Richard Allen Ward IIi Hearing Instrument Specialist 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 2013-09-05
1427395540 Matthew William Svensen Physical Therapist 1109 S Jay St, Aberdeen, SD 57401 2013-01-09
1750655940 Robert Ashly Froke Audiologist 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 2012-03-06
1457504862 Rodney S Johnson Counselor 14 S Main St Ste 1e, Aberdeen, SD 57401 2008-10-29
1518115005 Dakota Chiropractic of Aberdeen, PC Chiropractor 520 Moccasin Drive, Aberdeen, SD 57401 2008-09-09
1558554626 Tiffany Zimmerman Hoeft Speech-Language Pathologist 39515 Pintail Ave, Aberdeen, SD 57401 2007-08-22
Find all providers in zip 57401

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851883540 Modern Day Health Care Prof LLC Family Medicine 125 Railroad Ave Se, Aberdeen, SD 57401-4202 2018-05-30
1639597370 Jason Li Family Medicine 17 Beacon Ln, Aberdeen, NJ 07747-2301 2014-03-31
1154695344 Urgent Cares of America North Carolina Inc. Family Medicine 1800 N Sandhills Blvd, Aberdeen, NC 28315-2336 2012-03-06
1184919151 Oluwakemi Ajide Family Medicine 1013 Beards Hill Rd, Suite 103, Aberdeen, MD 21001-2293 2011-06-17
1316237092 Rose Mary Hatem Bonsack Family Medicine 205 Hemlock La., Aberdeen, MD 21001 2011-04-14
1205992153 Woodie Darnell Herron Family Medicine 200 East Commerce Street, Aberdeen, MS 39730 2006-12-28
1891855847 Hope Family Center PC Family Medicine 210 Magnolia Square Ct, Aberdeen, NC 28315 2006-12-11
1992732168 Charles D Adams Family Medicine 1813 Sumner St, Aberdeen, WA 98520 2006-06-26
1154364636 Kevin Curtis Hayes Family Medicine 504 S Chestnut St, Aberdeen, MS 39730-3337 2006-06-13
1821039660 Vincent B. Barker Family Medicine 500 S Chestnut St, Aberdeen, MS 39730-3337 2006-06-10
Find all providers in ABERDEEN

Competitor

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City ABERDEEN
Zip Code 57401

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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