AVERA ST. MARY'S (NPI# 1124464128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124464128 |
| Entity Type | Organization |
| Organization Name | AVERA ST. MARY'S |
| Other Organization Name | AVERA ST. MARY'S HOSPITAL |
| Practice Address |
801 E Sioux Ave Pierre SD 57501-3323 |
| Mailing Address |
Po Box 5045 Attn: P.f.s.-prov. Enrollment Sioux Falls SD 57117-5045 |
| Practice Telephone | 6052243100 |
| Practice Fax Number | 6052248339 |
| Mailing Telephone | 6053226428 |
| Mailing Fax Number | 6052248339 |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2017-07-31 |
| Authorized Official Name | TODD FORKEL (CEO) |
| Authorized Official Telephone | 6052243100 |
| Is Organization Subpart | Y |
| Parent Organization Name | AVERA ST. MARY'S HOSPITAL CHILD ASSESSMENT CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5405080 | 05 |
| Other Name | Type Code |
|---|---|
| Avera St. Mary's Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972082683 | Avera St. Mary's | Physical Therapist | 900 E Church St, Pierre, SD 57501-2219 | 2018-08-13 |
| 1932651122 | Avera St. Mary's | Pharmacy | 100 Mac Ln, Suite 101, Pierre, SD 57501-3391 | 2016-11-04 |
| 1871921841 | Avera St. Mary's | Anesthesiology | 100 Mac Ln, Pierre, SD 57501-3391 | 2013-10-29 |
| Street Address |
801 E SIOUX AVE |
| City | PIERRE |
| State | SD |
| Zip Code | 57501-3323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669457180 | Avera St Marys | General Acute Care Hospital | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2005-12-07 |
| 1952902165 | Kenna Wieczorek | Occupational Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2020-11-04 |
| 1811519325 | Deborah Ann Holland | Physical Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2020-05-07 |
| 1750900528 | Sierra Irwin | Physical Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2020-04-13 |
| 1780240994 | Michael Patrick Murphy | Nurse Anesthetist, Certified Registered | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2019-05-13 |
| 1114406261 | Amy Weller | Physical Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2018-08-09 |
| 1467807917 | Joseph Swedzinski | Family Medicine | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2016-05-03 |
| 1396199337 | Ann Shoup | Physical Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2016-04-15 |
| 1508220724 | Carrie J Larson | Occupational Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2016-04-13 |
| 1104280296 | Erica Trebesch | Nurse Anesthetist, Certified Registered | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2016-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518420694 | Shawna K Fullerton | Social Worker | 1309 E Wells Ave, Pierre, SD 57501 | 2019-04-07 |
| 1841779758 | Joanne Sarringar | Physical Therapist | 801 E. Sioux Avenue, Pierre, SD 57501 | 2018-08-10 |
| 1003234832 | Katherine Bonnichsen | Dermatology | Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave, Pierre, SD 57501 | 2014-03-29 |
| 1417232166 | Louis J Van Roekel | Pharmacist | 100 E Sioux, Pierre, SD 57501 | 2011-10-13 |
| 1508164401 | Bechtold Thompson Dental Clinic | Dentist | 640 E. Sioux Ave, Pierre, SD 57501 | 2011-03-02 |
| 1417180969 | Dentistry At The St. Charles LLC | Dentist | 207 E. Capitol Ave. Ste 201, Pierre, SD 57501 | 2009-09-01 |
| 1063663995 | Buron O. Lindbloom | Family Medicine | 3200 E. Hwy 34, S.d. Womens Prison, Pierre, SD 57501 | 2008-10-09 |
| 1831221522 | Curt C Kuehl | Chiropractor | 430 W Sioux Ave, Pierre, SD 57501 | 2007-03-09 |
| 1376603092 | Tim Wald | Physical Therapist | 1012 Woodview Dr #20, Pierre, SD 57501 | 2006-12-11 |
| 1184702540 | Tami Lynn Hogie-lorenzen | Nurse Practitioner | 1714 Abbey Road, Pierre, SD 57501 | 2006-11-02 |
| Find all providers in zip 57501 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740413152 | Midwest Pain and Rehabilitation Clinic Ltd. | Clinic/Center | 3934 S Western Ave, Sioux Falls, SD 57105-6513 | 2009-09-01 |
| 1831329374 | Dr. Tim A. Benning, Chiropractor | Clinic/Center | 22736 S Rochford Rd, Hill City, SD 57745-6006 | 2009-07-17 |
| 1780811778 | Sioux Falls Physical Medicine and Rehabilitation, PC | Clinic/Center | 101 W 69th Str., Ste 103, Sioux Falls, SD 57108-2440 | 2009-06-17 |
| 1447295423 | Regional Health Physicians Inc | Clinic/Center | 908 H Street, Edgemont, SD 57735-0687 | 2006-06-17 |
| 1972506939 | Dakota Surgical Ltd | Clinic/Center | 911 E 20th St, Ste 300, Sioux Falls, SD 57105-1045 | 2005-05-24 |
| 1558734061 | Regional Health Network Inc | Clinic/Center | 130 N 15th St, Hot Springs, SD 57747-1316 | 2015-11-05 |
| 1811366438 | Rapid City Regional Hospital Inc | Clinic/Center | 640 Flormann St, Rapid City, SD 57701-4679 | 2015-09-24 |
| 1386062156 | Fromm Dermatology, P.C. | Clinic/Center | 4447 S Canyon Rd Ste 6, Rapid City, SD 57702-1889 | 2014-03-31 |
| 1619229556 | Kent M. Patrick, M.d., P.C. | Clinic/Center | 2525 Fox Run Pkwy, Suite 200, Yankton, SD 57078-5370 | 2012-10-02 |
| 1467695767 | Avera Mckennan | Clinic/Center | 1000 E 23rd St, Suite 330, Sioux Falls, SD 57105-2113 | 2009-04-16 |
| Find all providers with the same taxonomy | ||||
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| 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.