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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
10525 | SD | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Avera Medical Group Neurology Aberdeen | Doing Business As Name - Organization |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | AVERA ST LUKE'S HOSPITAL | 305 S State, Aberdeen, SD 57401-4527 |
Street Address |
201 S LLOYD ST SUITE E202 |
City | ABERDEEN |
State | SD |
Zip Code | 57401-4552 |
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 |
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 | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
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] |
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on AVERA ST. LUKE'S.
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.