Tage E Born (NPI# 1063596245, PAC ID# 2961419916) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1063596245 |
| PAC ID by PECOS | 2961419916 |
| Professional Enrollment ID | I20060316000108 |
| Full Name | Tage E Born |
| Organization Legal Name | AVERA ST LUKES |
| Address |
310 S Pennsylvania St 204 Avera Medical Group Ob/gyn Aberdeen SD 57401-4553 |
| Phone Number | 6052251636 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 6406764927 |
| Number of Group Practice Members | 132 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430014 | AVERA ST LUKES |
| Address | Phone | Organization |
|---|---|---|
| 310 S Pennsylvania St, 204 Avera Medical Group Ob/gyn, Aberdeen, SD 57401-4553 | 6052251636 | AVERA ST LUKES |
| Organization Legal Name | AVERA ST LUKES |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Mary Martinez | Family Medicine | Avera St Lukes | 305 S State St, Aberdeen, SD 57401-4527 |
| Racheal Tushabe | Internal Medicine | Avera St Lukes | 815 1st Se Ave, Avera Med Grp Pain Mngmt, Aberdeen, SD 57401-4602 |
| Michael N Murphy | Nephrology | Avera St Lukes | 310 S Penn St, Suite 203, Aberdeen, SD 57401-4553 |
| Dalita L Meyer | Occupational Therapy | Avera St Lukes | 805 1st Se Ave, Avera St Lukes Therapy Group, Aberdeen, SD 57401-4611 |
| Jason D Gauer | Physical Therapy | Avera St Lukes | 701 8th Ave Nw, Avera Med Grp Ortho Surgery, Aberdeen, SD 57401-1865 |
| Xiaolin Deng | Psychiatry | Avera St Lukes | 201 S Lloyd St, E201 Avera Medical Group Psychiatric, Aberdeen, SD 57401-4509 |
| Sharon E Simon | Nurse Practitioner | Avera St Lukes | 8 E Us Hwy 12, Groton, SD 57445-2176 |
| Nancy A Rude | Physician Assistant | Avera St Lukes | 615 6th Ave Se, Avera Quick, Aberdeen, SD 57401-4538 |
| Lyle W Biegler | Family Medicine | Avera St Lukes | 105 S State St, 113 Avera Aberdeen Family Phys, Aberdeen, SD 57401-4502 |
| Gregg W Carlson | Obstetrics/gynecology | Avera St Lukes | 310 S Pennsylvania St, 204 Avera Medical Group Ob/gyn, Aberdeen, SD 57401-4553 |
| Street Address |
310 S PENNSYLVANIA ST 204 AVERA MEDICAL GROUP OB/GYN |
| City | ABERDEEN |
| State | SD |
| Zip | 57401-4553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregg W Carlson | Obstetrics/gynecology | Avera St Lukes | 310 S Pennsylvania St, 204 Avera Medical Group Ob/gyn, Aberdeen, SD 57401-4553 |
| Alisa L Hogue | Nurse Practitioner | Avera St Lukes | 310 S Pennsylvania St, Suite 203, Aberdeen, SD 57401-4553 |
| Chelsea R Westerman | Nurse Practitioner | Avera St Lukes | 310 S Pennsylvania St, 204 Avera Medical Group Ob/gyn, Aberdeen, SD 57401-4553 |
| Scott H Berry | Obstetrics/gynecology | Avera St Lukes | 310 S Pennsylvania St, 204 Avera Medical Group Ob/gyn, Aberdeen, SD 57401-4553 |
| Tiffany J Bruckner | Nurse Practitioner | Avera St Lukes | 310 S Pennsylvania St, Suite 203, Aberdeen, SD 57401-4553 |
| Christine A Stehly | Obstetrics/gynecology | Avera St Lukes | 310 S Pennsylvania St, 204 Avera Medical Group Ob/gyn, Aberdeen, SD 57401-4553 |
| Richard J Conklin | Hematology/oncology | Avera St Lukes | 310 S Pennsylvania St, 105 Amg Radiation Oncology, Aberdeen, SD 57401-4553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger W Werth | General Surgery | Avera St Lukes | 310 S Pennysylvania St, 201 Avera Surgical Associates, Aberdeen, SD 57401 |
| David Ring | General Surgery | Avera St Lukes | 310 S Pennysylvania St, 201 Avera Surgical Associates, Aberdeen, SD 57401 |
| Jason D Gauer | Physical Therapy | Avera St Lukes | 701 8th Ave Nw, Avera Med Grp Ortho Surgery, Aberdeen, SD 57401-1865 |
| Paul A Bormes | Anesthesiology | Avera St Lukes | 701 8th Ave Nw, Avera Med Grp Ortho Surgery, Aberdeen, SD 57401-1865 |
| Stephanie L Lenards | Physical Therapy | Avera St Lukes | 701 8th Ave Nw, Avera Med Grp Ortho Surgery, Aberdeen, SD 57401-1865 |
| Patrick J Miller | Orthopedic Surgery | Avera St Lukes | 701 8th Ave Nw, Avera Med Grp Ortho Surgery, Aberdeen, SD 57401-1865 |
| Seth Anderson | Physician Assistant | Avera St Lukes | 701 8th Ave Nw, Avera Med Grp Ortho Surgery, Aberdeen, SD 57401-1865 |
| Chad A Falken | Physical Therapy | Avera St Lukes | 701 8th Ave Nw, Avera Med Grp Ortho Surgery, Aberdeen, SD 57401-1865 |
| Matthew C Reynen | Orthopedic Surgery | Avera St Lukes | 701 8th Ave Nw, Avera Med Grp Ortho Surgery, Aberdeen, SD 57401-1865 |
| Angela Marie Mackner | Nurse Practitioner | Avera St Lukes | 701 8th Ave Nw, Avera Med Grp Ortho Surgery, Aberdeen, SD 57401-1865 |
| Find all physicians in zip 57401 | |||
| City | ABERDEEN |
| Zip Code | 57401 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ABERDEEN + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Tage E Born.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.