AVERA ST. LUKE'S


Address: 105 S State St Ste 201, Aberdeen, SD 57401-4502
Phone: 6056225458

AVERA ST. LUKE'S (NPI# 1215100813) 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) 1215100813
Entity Type Organization
Organization Name AVERA ST. LUKE'S
Practice Address 105 S State St Ste 201
Aberdeen
SD 57401-4502
Mailing Address Po Box 1460
Aberdeen
SD 57402-1460
Practice Telephone 6056225458
Practice Fax Number 6056225473
Mailing Telephone 6056222857
Mailing Fax Number 6056222859
Enumeration Date 2008-04-04
Last Update Date 2020-04-02
Authorized Official Name DEBBIE STREIER (VICE PRSIDENT)
Authorized Official Telephone 6056222807
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133V00000X Dietitian, Registered 10525 SD Dietary & Nutritional Service Providers
Y 207R00000X Internal Medicine 10525 SD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ND 14713 05
SD DAKOTACARE 9257818 01

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
1013143296 Avera St. Luke's Family Medicine 105 S State St Ste 113, Aberdeen, SD 57401-4502 2009-06-02
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 201
City ABERDEEN
State SD
Zip Code 57401-4502

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 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861602500 Clifford Matushin PC Internal Medicine 201 S Lloyd St Ste 140, Aberdeen, SD 57401-4519 2007-05-23
1942342928 Stefan Anthony Eltgroth Internal Medicine 2105 Oakington Road Kirk Us Army Health Clinic, Aberdeen, MD 21005 2007-02-13
1083767271 Aberdeen Health Clinic Inc Internal Medicine 501 Chestnut Street, Aberdeen, MS 39730 2007-01-19
1295886307 Kathleen Van De Walle Do PC Internal Medicine 1314 N Main St, Aberdeen, SD 57401-2032 2007-01-15
1043373905 Hany G Bashandy Md Ps Internal Medicine 1020 Anderson Dr Ste 205, Aberdeen, WA 98520-1055 2006-12-19
1952410185 Kathleen Elaine Vandewalle I Internal Medicine 1314 North Main Street, Aberdeen, SD 57401-2700 2006-08-30
1548283617 Philip Gibbs Internal Medicine 611 North F St, Aberdeen, WA 98520 2006-07-26
1811932080 Thomas H Lineberger Internal Medicine 1902c North Sandhills Blvd, Aberdeen, NC 28315-2347 2006-06-19
1205870136 John Robert Fritz Internal Medicine 1228 18th Ave Ne, Aberdeen, SD 57401-1535 2006-06-14
1346294873 Nagy N Guirguis Internal Medicine 301 Church St, Aberdeen, NJ 07747-1554 2006-05-20
Find all providers in ABERDEEN

Competitor

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City ABERDEEN
Zip Code 57401

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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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