AVERA ABERDEEN FAMILY PHYSICIANS (AVERA ST. LUKE'S) NPI 1013143296

Family Medicine in Aberdeen, SD

NPI 1013143296 Organization Family Medicine CLIA Number 43D0881133 CLIA Certificate of Accreditation

About AVERA ABERDEEN FAMILY PHYSICIANS (AVERA ST. LUKE'S)

Avera Aberdeen Family Physicians (avera St. Luke's) is a primary care provider established in Aberdeen, South Dakota specializing in family medicine. The NPI number of Avera Aberdeen Family Physicians (avera St. Luke's) is 1013143296 and was assigned on June 2009. The practitioner's primary taxonomy code is 207Q00000X with license number 10525 (SD). The provider is registered as an organization and their NPI record was last updated 2 years ago. Avera Aberdeen Family Physicians (avera St. Luke's) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Avera Aberdeen Family Physicians. The authorized official of this NPI record is Debbie Streier (Vice Pesident)

A primary care provider (PCP) like Avera Aberdeen Family Physicians sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

The CLIA number of Avera Aberdeen Family Physicians is 43D0881133 registered as a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued to Avera Aberdeen Family Physicians on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

NPI

1013143296

Provider NameAVERA ABERDEEN FAMILY PHYSICIANS (AVERA ST. LUKE'S)
Provider Location Address105 S STATE ST STE 113 ABERDEEN, SD 57401
Provider Mailing AddressPO BOX 1460 ABERDEEN, SD 57402
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameAVERA ABERDEEN FAMILY PHYSICIANS
Other Name TypeDoing Business As (3)
Enumeration Date06-02-2009
Last Update Date04-02-2020


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.10525
License StateSD
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

AVERA ABERDEEN FAMILY PHYSICIANS
105 S STATE ST STE 113
ABERDEEN, SD
ZIP 57401
Phone: (605) 225-0378
Fax: (605) 225-7919

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Mailing Address

AVERA ABERDEEN FAMILY PHYSICIANS
PO BOX 1460
ABERDEEN, SD
ZIP 57402
Phone: (605) 622-2857
Fax: (605) 622-2859



Secondary Locations

105 S State St Ste 204
Aberdeen, SD 57401
(605) 622-2857

Authorized Official

Authorized Official Name DEBBIE STREIER
Authorized Official TitleVICE PESIDENT
Authorized Official Phone(605) 622-2807

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1013143296 is:

CLIA Number43D0881133
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Accreditation

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
9278116OTHER (01)
10643MEDICAID (05)ND

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881981561 JONATHAN JAMES OLSON M.D.
Individual
Family Medicine105 S STATE ST STE 113
ABERDEEN, SD 57401
(605) 225-0378
1184143232 MICHELE OLIVIA HOELLEIN PAC
Individual
Physician Assistant105 S STATE ST STE 113
ABERDEEN, SD 57401
(605) 225-0378
1023568516 MATTHEW R LUTJENS CNP
Individual
Nurse Practitioner (Family)105 S STATE ST STE 113
ABERDEEN, SD 57401
(605) 225-0378
1386906733 JULIE NICOLE JOHNSON NP
Individual
Nurse Practitioner (Family)105 S STATE ST STE 113
ABERDEEN, SD 57401
(605) 225-0378
1760968085 SARAH ANN SIEBERT CNP
Individual
Nurse Practitioner (Family)105 S STATE ST STE 113
ABERDEEN, SD 57401
(605) 225-0378
1043693849 KATHRYN MARY MARTINEZ MD
Individual
Family Medicine105 S STATE ST STE 113
ABERDEEN, SD 57401
(605) 225-0378
1184218208 KELSEY JO CUNNINGHAM CNP
Individual
Nurse Practitioner (Family)105 S STATE ST STE 113
ABERDEEN, SD 57401
(605) 225-0378

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.