AVERA ST MARYS (NPI# 1144238619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144238619 |
| Entity Type | Organization |
| Organization Name | AVERA ST MARYS |
| Other Organization Name | AVERA ST MARYS HOSPITAL - ESRD |
| Practice Address |
801 E Sioux Ave Pierre SD 57501-3323 |
| Mailing Address |
Po Box 5045 Attn: P.f.s.-prov. Enrollment Sioux Falls SD 57117-5045 |
| Practice Telephone | 6052243100 |
| Mailing Telephone | 6053226428 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2017-07-31 |
| Authorized Official Name | TODD FORKEL (CEO) |
| Authorized Official Telephone | 6052243100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
432305 | SD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Avera St Marys Hospital - ESRD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992713457 | Avera St Marys | Medicare Defined Swing Bed Unit | 801 East Sioux Ave, Pierre, SD 57501-3323 | 2006-08-03 |
| 1669457180 | Avera St Marys | General Acute Care Hospital | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2005-12-07 |
| 1720326713 | Avera St Marys | General Acute Care Hospital | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2013-01-25 |
| 1841505807 | Avera St Marys | General Acute Care Hospital | 100 Mac Ln, Pierre, SD 57501-3391 | 2010-08-16 |
| 1841511904 | Avera St Marys | Custodial Care Facility | 801 E Sioux Ave, Pierre, SD 57501 | 2010-06-11 |
| 1063654648 | Avera St Marys | Skilled Nursing Facility | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2009-03-30 |
| 1710995626 | Avera St Marys | Home Health | 801 E Sioux Ave, Pierre, SD 57501 | 2006-08-04 |
| 1629086533 | Avera St Marys | Hospice Care, Community Based | 801 E Sioux Ave, Pierre, SD 57501 | 2006-08-04 |
| Street Address |
801 E SIOUX AVE |
| City | PIERRE |
| State | SD |
| Zip Code | 57501-3323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669457180 | Avera St Marys | General Acute Care Hospital | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2005-12-07 |
| 1952902165 | Kenna Wieczorek | Occupational Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2020-11-04 |
| 1811519325 | Deborah Ann Holland | Physical Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2020-05-07 |
| 1750900528 | Sierra Irwin | Physical Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2020-04-13 |
| 1780240994 | Michael Patrick Murphy | Nurse Anesthetist, Certified Registered | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2019-05-13 |
| 1114406261 | Amy Weller | Physical Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2018-08-09 |
| 1467807917 | Joseph Swedzinski | Family Medicine | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2016-05-03 |
| 1396199337 | Ann Shoup | Physical Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2016-04-15 |
| 1508220724 | Carrie J Larson | Occupational Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2016-04-13 |
| 1104280296 | Erica Trebesch | Nurse Anesthetist, Certified Registered | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2016-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518420694 | Shawna K Fullerton | Social Worker | 1309 E Wells Ave, Pierre, SD 57501 | 2019-04-07 |
| 1841779758 | Joanne Sarringar | Physical Therapist | 801 E. Sioux Avenue, Pierre, SD 57501 | 2018-08-10 |
| 1003234832 | Katherine Bonnichsen | Dermatology | Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave, Pierre, SD 57501 | 2014-03-29 |
| 1417232166 | Louis J Van Roekel | Pharmacist | 100 E Sioux, Pierre, SD 57501 | 2011-10-13 |
| 1508164401 | Bechtold Thompson Dental Clinic | Dentist | 640 E. Sioux Ave, Pierre, SD 57501 | 2011-03-02 |
| 1417180969 | Dentistry At The St. Charles LLC | Dentist | 207 E. Capitol Ave. Ste 201, Pierre, SD 57501 | 2009-09-01 |
| 1063663995 | Buron O. Lindbloom | Family Medicine | 3200 E. Hwy 34, S.d. Womens Prison, Pierre, SD 57501 | 2008-10-09 |
| 1831221522 | Curt C Kuehl | Chiropractor | 430 W Sioux Ave, Pierre, SD 57501 | 2007-03-09 |
| 1376603092 | Tim Wald | Physical Therapist | 1012 Woodview Dr #20, Pierre, SD 57501 | 2006-12-11 |
| 1184702540 | Tami Lynn Hogie-lorenzen | Nurse Practitioner | 1714 Abbey Road, Pierre, SD 57501 | 2006-11-02 |
| Find all providers in zip 57501 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437502614 | Total Renal Care Inc | Clinic/Center | 3313 6th Ave Se, Aberdeen, SD 57401-5504 | 2016-07-22 |
| 1922318666 | Dialysis Management Group LLC | Clinic/Center | Hcr 49, Porcupine, SD 57772-0000 | 2010-10-15 |
| 1255415246 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 132 Yankee St, Spearfish, SD 57783-2948 | 2006-10-25 |
| 1184711061 | Total Renal Care | Clinic/Center | 400 Park, Gregory, SD 57533 | 2006-10-10 |
| 1710087713 | Black Hills Dialysis, LLC | Clinic/Center | 100 Dialysis Drive, Pine Ridge, SD 57770-3013 | 2006-09-22 |
| 1356301519 | Total Renal Care Inc | Clinic/Center | 1 Soldier Creek Rd, Rosebud, SD 57570-0610 | 2006-03-23 |
| 1033178660 | Total Renal Care Inc | Clinic/Center | 2326 W 69th St, Sioux Falls, SD 57108-5600 | 2006-03-22 |
| 1477512093 | Total Renal Care Inc | Clinic/Center | 819 E Spruce St, Ste 100, Mitchell, SD 57301-4800 | 2006-03-22 |
| 1487621116 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 640 Flormann St Ste 401, Rapid City, SD 57701-4679 | 2006-03-01 |
| 1881110484 | Sanford Medical Center | Clinic/Center | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2017-08-16 |
| 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.