AVERA ST LUKES (NPI# 1831504711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831504711 |
| Entity Type | Organization |
| Organization Name | AVERA ST LUKES |
| Other Organization Name | AVERA SURGICAL ASSOCIATES |
| Practice Address |
310 S Penn St Ste 201 Aberdeen SD 57401 |
| Mailing Address |
Po Box 1460 Aberdeen SD 57402-1460 |
| Practice Telephone | 6052291367 |
| Practice Fax Number | 6052291002 |
| Mailing Telephone | 6056222857 |
| Mailing Fax Number | 6056222859 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | DEBBIE STREIER (VICE PRESIDENT) |
| Authorized Official Telephone | 6056222807 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
10525 | SD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | MEDICARE | S101808 | 01 |
| Other Name | Type Code |
|---|---|
| Avera Surgical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932203015 | Avera St Lukes | Internal Medicine | 201 S Lloyd St Ste W240, Aberdeen, SD 57401-4530 | 2006-09-11 |
| 1174548937 | Avera St Lukes | Radiology | 1400 10th Ave W, Mobridge, SD 57601-1246 | 2006-07-13 |
| 1386693430 | Avera St Lukes | Skilled Nursing Facility | 1002 N Jay St, Aberdeen, SD 57401-2439 | 2006-05-08 |
| 1780004713 | Avera St Lukes | Radiology | 310 S Penn St, Suite 105, Aberdeen, SD 57401 | 2014-04-17 |
| 1386738102 | Avera St Lukes | Pharmacy | 305 S State St, Aberdeen, SD 57401-4527 | 2006-10-03 |
| 1912011867 | Avera St Lukes | Prosthetic/Orthotic Supplier | 305 S State St, Aberdeen, SD 57401-4527 | 2006-08-18 |
| 1760423057 | Avera St Lukes | Clinic/Center | 240 Main St, Ellendale, ND 58436 | 2006-06-09 |
| 1013968940 | Avera St Lukes | Medicare Defined Swing Bed Unit | 305 S State St, Aberdeen, SD 57401-4527 | 2006-05-15 |
| 1003867029 | Avera St Lukes | Psychiatric Hospital | 305 S State St, Aberdeen, SD 57401-4527 | 2006-05-15 |
| 1649221664 | Avera St Lukes | Clinic/Center | 305 S State St, Aberdeen, SD 57401-4527 | 2006-05-15 |
| Street Address |
310 S PENN ST STE 201 |
| City | ABERDEEN |
| State | SD |
| Zip Code | 57401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394662 | Richard J Conklin | Internal Medicine | 310 S Penn St, Suite 105, Aberdeen, SD 57401-4553 | 2005-05-24 |
| 1407309057 | Chelsea R Westerman | Nurse Practitioner | 310 S Penn St, Suite 204, Aberdeen, SD 57401-4553 | 2016-08-01 |
| 1780004713 | Avera St Lukes | Radiology | 310 S Penn St, Suite 105, Aberdeen, SD 57401 | 2014-04-17 |
| 1912265489 | Avera St. Luke's | Internal Medicine | 310 S Penn St, Ste 203, Aberdeen, SD 57401 | 2012-05-02 |
| 1720376825 | Christopher L Nelson | Nurse Practitioner | 310 S Penn St, Suite 105, Aberdeen, SD 57401-4553 | 2011-07-11 |
| 1669769998 | Shanna M. Anderson | Nurse Practitioner | 310 S Penn St, Suite 203, Aberdeen, SD 57401-4553 | 2011-07-07 |
| 1154641595 | Charles L. Pelton Jr. | Physician Assistant | 310 S Penn St, Suite 202, Aberdeen, SD 57401-4553 | 2010-06-08 |
| 1720317118 | Avera St. Luke's | Obstetrics & Gynecology | 310 S Penn St, Suite 204, Aberdeen, SD 57401 | 2009-12-14 |
| 1780815506 | Avera St. Luke's | Neurological Surgery | 310 S Penn St, Suite 203, Aberdeen, SD 57401 | 2009-07-28 |
| 1295990141 | Christopher M Larson | Surgery | 310 S Penn St, Suite 201, Aberdeen, SD 57401-4553 | 2008-07-21 |
| Find all providers in the same location | ||||
| 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 Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922055235 | Seidenberg Protzko Surgery Center LLC | Clinic/Center | 1111 Beards Hill Rd, Suite 700, Aberdeen, MD 21001-2232 | 2006-05-30 |
| 1033195912 | Surgical Associates Endoscopy Clinic LLC | Clinic/Center | 310 S Pennsylvania St, Suite 201, Aberdeen, SD 57401-4553 | 2005-12-21 |
| 1194960732 | Isurgery, LLC | Clinic/Center | 905 N 3rd St, Aberdeen, SD 57401 | 2008-12-11 |
| 1922171461 | Sanford Clinic | Clinic/Center | 3015 3rd Ave Se, Aberdeen, SD 57401 | 2006-11-15 |
| 1871609834 | Spine Intervention Center, LLC | Clinic/Center | 998 Hospitality Way, Suite A, Aberdeen, MD 21001-1779 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518129576 | Usc Ambulatory Surgical Center Prof LLC | Clinic/Center | 201 West 69th Street, Sioux Falls, SD 57108-2424 | 2008-06-30 |
| 1184660151 | Innovative Procedural Center LLC | Clinic/Center | 1512 4th St Ne, Watertown, SD 57201-6824 | 2006-06-20 |
| 1427009034 | Prairie States Surgical Center LLC | Clinic/Center | 2908 E 26th St Ste B, Sioux Falls, SD 57103-4034 | 2006-05-16 |
| 1013968718 | Rushmore Ambulatory Surgery Center | Clinic/Center | 620 Sheridan Lake Rd, Suite 104, Rapid City, SD 57702-2406 | 2006-05-15 |
| 1093792244 | Cj Elmwood Partners L P | Clinic/Center | 3801 S Elmwood Ave, Sioux Falls, SD 57105-6565 | 2005-12-29 |
| 1760465207 | Plastic Surgical Center of Rapid City, Prof. L.L.C. | Clinic/Center | 3615 5th St, Suite 100, Rapid City, SD 57701-6014 | 2005-11-29 |
| 1871581876 | Ophthalmology Ltd Eye Surgery Center LLC | Clinic/Center | 6601 S. Minnesota Avenue, Suite 100, Sioux Falls, SD 57108-2564 | 2005-10-12 |
| 1205171295 | Vance Thompson Vision Surgery Center Prof LLC | Clinic/Center | 3101 W 57th St, Sioux Falls, SD 57108-3162 | 2012-12-03 |
| 1285936641 | Rivers Edge Aesthetic Surgery, LLC | Clinic/Center | 4201 South Minnesota Avenue, Ste. 111, Sioux Falls, SD 57105-6742 | 2010-11-17 |
| 1083859532 | Avera Mckennan | Clinic/Center | 100 Mac Ln, Pierre, SD 57501-3391 | 2008-12-12 |
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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.