AVERA ST MARYS (NPI# 1720326713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720326713 |
| Entity Type | Organization |
| Organization Name | AVERA ST MARYS |
| Other Organization Name | AVERA MEDICAL GROUP PIERRE A DEPARTMENT OF AVERA ST MARYS HOSPITAL |
| Practice Address |
801 E Sioux Ave Pierre SD 57501-3323 |
| Mailing Address |
100 Mac Ln Pierre SD 57501-3391 |
| Practice Telephone | 6052245901 |
| Practice Fax Number | 6059453244 |
| Mailing Telephone | 6052245901 |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2020-04-01 |
| Authorized Official Name | KARL RICHARDS (VP CLINIC DIVISION) |
| Authorized Official Telephone | 6059455220 |
| Is Organization Subpart | Y |
| Parent Organization Name | AVERA ST MARYS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| AVERA MEDICAL GROUP PIERRE A DEPARTMENT OF AVERA ST MARYS HOSPITAL | 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 |
| 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 |
| 1144238619 | Avera St Marys | Clinic/Center | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2006-08-03 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780829283 | Avera Mckennan | Clinic/Center | 100 Mac Ln, Pierre, SD 57501-3391 | 2008-12-11 |
| 1518900125 | Medical Associates Clinic LLP | Clinic/Center | 100 Mac Lane, Pierre, SD 57501 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1144707472 | Pure Medical Aesthetics | Clinic/Center | 525 Kansas City St, Rapid City, SD 57701-3673 | 2018-07-19 |
| 1982057246 | City of Brookings | Clinic/Center | 310 22nd Avenue, Brookings, SD 57006 | 2016-07-21 |
| 1811381817 | Premise Health of South Dakota PC | Clinic/Center | 2200 E Benson Rd, Sioux Falls, SD 57104-7023 | 2015-03-27 |
| 1700090560 | Regional Health Physicians Inc | Clinic/Center | 101 East Third Street, Newell, SD 57760-0468 | 2007-05-10 |
| 1770502460 | Monument Health Network, Inc. | Clinic/Center | 2140 Junction Avenue, Sturgis, SD 57785-2358 | 2006-07-19 |
| 1063458263 | Regional Health Physicians Inc | Clinic/Center | 557 E Main Street, Hill City, SD 57745-0000 | 2006-06-22 |
| 1174569347 | Monument Health Network, Inc. | Clinic/Center | 1440 N Main Street, Spearfish, SD 57783-1505 | 2006-06-22 |
| 1609849165 | Dakota Hills Family Practice | Clinic/Center | 1010 Ballpark Rd, Suite 2, Sturgis, SD 57785-2364 | 2006-02-07 |
| 1841706686 | Monument Health Network, Inc. | Clinic/Center | 2140 Junction Ave, Sturgis, SD 57785-2358 | 2017-12-15 |
| 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.