SURGICAL ASSOCIATES ENDOSCOPY CLINIC LLC (NPI# 1033195912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033195912 |
| Entity Type | Organization |
| Organization Name | SURGICAL ASSOCIATES ENDOSCOPY CLINIC LLC |
| Other Organization Name | AVERA ENDOSCOPY/SURGICAL CENTER |
| Practice Address |
310 S Pennsylvania St Suite 201 Aberdeen SD 57401-4553 |
| Practice Telephone | 6052291367 |
| Practice Fax Number | 6052291002 |
| Mailing Telephone | 6052291367 |
| Mailing Fax Number | 6052291002 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2009-04-14 |
| Authorized Official Name | MR. BRADLEY W OLSON (GENERAL MANAGER) |
| Authorized Official Telephone | 6052291367 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
48090 | SD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5490320 | 05 |
| Other Name | Type Code |
|---|---|
| AVERA ENDOSCOPY/SURGICAL CENTER | Doing Business As Name - Organization |
| Street Address |
310 S PENNSYLVANIA ST SUITE 201 |
| City | ABERDEEN |
| State | SD |
| Zip Code | 57401-4553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992017222 | David Ring | Surgery | 310 S Pennsylvania St, Ste 201, Aberdeen, SD 57401-4553 | 2010-07-01 |
| 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... |
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| 1922055235 | Seidenberg Protzko Surgery Center LLC | Clinic/Center | 1111 Beards Hill Rd, Suite 700, Aberdeen, MD 21001-2232 | 2006-05-30 |
| 1831504711 | Avera St Lukes | Clinic/Center | 310 S Penn St, Ste 201, Aberdeen, SD 57401 | 2014-06-30 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.