AVERA ST. LUKE'S


Address: 201 S Lloyd St, Suite E202, Aberdeen, SD 57401-4552
Phone: 6056222605

AVERA ST. LUKE'S (NPI# 1881824977) 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) 1881824977
Entity Type Organization
Organization Name AVERA ST. LUKE'S
Other Organization Name AVERA MEDICAL GROUP NEUROLOGY ABERDEEN
Practice Address 201 S Lloyd St
Suite E202
Aberdeen
SD 57401-4552
Mailing Address Po Box 1460
Aberdeen
SD 57402-1460
Practice Telephone 6056222605
Practice Fax Number 6056222606
Mailing Telephone 6026222605
Mailing Fax Number 6056222606
Enumeration Date 2009-07-23
Last Update Date 2016-03-31
Authorized Official Name MR. TODD FORKEL (PRESIDENT & CEO)
Authorized Official Telephone 6026225125
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
10525 SD Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Avera Medical Group Neurology Aberdeen Doing Business As Name - Organization

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
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

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 201 S LLOYD ST
SUITE E202
City ABERDEEN
State SD
Zip Code 57401-4552

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487651477 Sanjay Mukerji Surgery 201 S Lloyd St, Suite W230, Aberdeen, SD 57401-4552 2005-07-05
1063805604 Cosmetic and Plastic Surgery Specialists, PC Plastic Surgery 201 S Lloyd St, W230, Aberdeen, SD 57401-4552 2015-03-06
1356740781 Joni Larson Counselor 201 S Lloyd St, Ste E201, Aberdeen, SD 57401-4552 2014-08-21
1538504832 Thomas G. Harbert Orthopaedic Surgery 201 S Lloyd St, Suite 110, Aberdeen, SD 57401-4552 2013-05-01
1790036580 Aberdeen Association of Orthopedic Orthopaedic Surgery 201 S Lloyd St, Suite W110, Aberdeen, SD 57401-4552 2012-09-20
1821363474 Becky R Schuldt Counselor 201 S Lloyd St, Suite E201, Aberdeen, SD 57401-4552 2012-03-15
1578882387 Aberdeen Asthma & Allergy PC Allergy & Immunology 201 S Lloyd St, W190, Aberdeen, SD 57401-4552 2010-05-19
1316279391 Great Plains Rehabilitation Medicine, PC Physical Medicine & Rehabilitation 201 S Lloyd St, Ste. W130, Aberdeen, SD 57401-4552 2010-02-02
1851547798 Avera St. Luke's Surgery 201 S Lloyd St, Suite W230, Aberdeen, SD 57401-4552 2008-08-12
1205001120 Xiaolin Deng Psychiatry & Neurology 201 S Lloyd St, Physicians Plaza, Suite E201, Aberdeen, SD 57401-4552 2008-04-23
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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
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841647823 Joshua Daniel Psychiatry & Neurology 58 W Aspen Way, Aberdeen, NJ 07747-1906 2016-05-19
1770535023 John James Miller Psychiatry & Neurology 105 South Broadway, Aberdeen, WA 98520 2006-05-16
1063636892 John J Miller Md Ps Psychiatry & Neurology 105 S Broadway St, Aberdeen, WA 98520-6211 2007-04-12
1013906759 Rene L. Mosada Psychiatry & Neurology 201 S Lloyd St, Ste E202, Aberdeen, SD 57401-4552 2005-10-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295187417 Avera Mckennan Psychiatry & Neurology 6709 S. Minnesota Ave., Ste. 103, Sioux Falls, SD 57108-2593 2016-07-12
1285993253 Andrew John Ridder Psychiatry & Neurology 1301 S Cliff Ave Ste 506, Sioux Falls, SD 57105 2012-05-11
1295701506 Jorge D Sanchez Psychiatry & Neurology 117 W 39th St, Sioux Falls, SD 57105-5732 2006-02-27
1942272778 Matthew E Simmons Psychiatry & Neurology 2929 5th Street, 240, Rapid City, SD 57701 2006-02-06
1992708853 James Lawrence Case Psychiatry & Neurology 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 2005-05-24
1689055428 Brian Westerhuis Psychiatry & Neurology 2929 5th St, Rapid City, SD 57701-7363 2015-06-17
1861809717 Nnamdi Uhegwu Psychiatry & Neurology 1210 W 18th St Ste 100, Sioux Falls, SD 57104-4650 2014-07-11
1821418666 Abdul Rahman Alchaki Psychiatry & Neurology 1210 W 18th St Ste 100, Sioux Falls, SD 57104 2014-04-20
1295173656 Barbara J Merriman Psychiatry & Neurology 2929 5th St, Rapid City, SD 57701-7363 2013-06-07
1538402037 Justin Persson Psychiatry & Neurology 1301 S Cliff Ave Ste 506, Sioux Falls, SD 57105 2013-04-03
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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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