AVERA ST. LUKE'S


Address: 815 1st Ave Se, Aberdeen, SD 57401
Phone: 6056225123

AVERA ST. LUKE'S (NPI# 1083051817) 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) 1083051817
Entity Type Organization
Organization Name AVERA ST. LUKE'S
Other Organization Name AVERA MEDICAL GROUP PAIN MANAGEMENT ABERDEEN
Practice Address 815 1st Ave Se
Aberdeen
SD 57401
Mailing Address Po Box 1460
Aberdeen
SD 57402-1460
Practice Telephone 6056225123
Practice Fax Number 6056225906
Mailing Telephone 6056222857
Mailing Fax Number 6056222859
Enumeration Date 2013-06-03
Last Update Date 2020-04-02
Authorized Official Name DEBBIE STREIER (VICE PRESIDENT)
Authorized Official Telephone 6056222807
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Avera Medical Group Pain Management 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
1912265489 Avera St. Luke's Internal Medicine 310 S Penn St, Ste 203, Aberdeen, SD 57401 2012-05-02
1891073003 Avera St. Luke's Anesthesiology 305 S State St, Aberdeen, SD 57401 2011-07-22

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 815 1ST AVE SE
City ABERDEEN
State SD
Zip Code 57401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275515736 Marie Quaschnick Nurse Practitioner 815 1st Ave Se, Aberdeen, SD 57401-4602 2005-11-18
1982030177 Avera St. Luke's Physician Assistant 815 1st Ave Se, Aberdeen, SD 57401-4602 2013-09-19
1386991412 Olawunmi Aabiodun Lawal Internal Medicine 815 1st Ave Se, Suite 104, Aberdeen, SD 57401-4602 2012-08-08
1871869172 Blake Anthony Heinz Internal Medicine 815 1st Ave Se, Suite 104, Aberdeen, SD 57401-4602 2012-03-30
1184893349 Arlin Monroe Myrmoe Internal Medicine 815 1st Ave Se, Suite E104, Aberdeen, SD 57401-4602 2008-02-21
1528255775 Avera St. Luke's Orthopaedic Surgery 815 1st Ave Se, Aberdeen, SD 57401-4602 2007-10-02
1770603888 Shawna M. Schmidt Anesthesiology 815 1st Ave Se, Aberdeen, SD 57401-4602 2007-03-30
1588715064 Kendall R. Goetz Pharmacist 815 1st Ave Se, Aberdeen, SD 57401-4602 2007-01-13
1407945918 Lisa Beth Wurnig-johnson Physician Assistant 815 1st Ave Se, Aberdeen, SD 57401-4602 2006-10-12
1588752463 Jennifer Joyce Daggett Pharmacist 815 1st Ave Se, #202, Aberdeen, SD 57401-4602 2006-10-10
Find all providers in the same location

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
Find all providers in zip 57401

Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356410161 Timothy J Metz Anesthesiology 911 E 20th St Ste 602, Sioux Falls, SD 57105-1048 2006-11-07
1205857901 Todd Christopher Johnson Anesthesiology 101 Tower Rd Ste 103, Dakota Dunes, SD 57049-5007 2006-07-21
1073508131 James T Brunz Anesthesiology 810 E 23rd St, Sioux Falls, SD 57105-2135 2005-09-14
1093736779 John Edward Cook Anesthesiology 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 2006-07-21
1841211471 Frederick Charles Fisher Anesthesiology 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 2006-07-21
1376588434 Patrick L Retterath Anesthesiology 1512 4th St Ne, Watertown, SD 57201-6824 2006-06-20
1508806704 Scott A Lockwood Anesthesiology 1301 S Cliff Ave, Sioux Falls, SD 57105-1005 2006-06-07

Competitor

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City ABERDEEN
Zip Code 57401

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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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