AVERA MEDICAL GROUP PEDIATRICS ABERDEEN - NPI 1245275189

Q: What is Avera St. Luke's's NPI number?

The NPI number for Avera St. Luke's is 1245275189. It was assigned to this organization in the NPPES registry on June 17, 2006. The provider is doing business as Avera Medical Group Pediatrics Aberdeen.

Q: What is Avera St. Luke's's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Avera St. Luke's was last updated on February 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Avera Medical Group Pediatrics Aberdeen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA MEDICAL GROUP PEDIATRICS ABERDEEN (NPI 1245275189) is a healthcare organization registered as a pediatrics in Aberdeen, South Dakota and active in the NPI registry since June 2006. The organization lists Todd Forkel, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1245275189

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameAVERA ST. LUKE'S

Location Address201 S LLOYD ST, E205Aberdeen, SD 57401-4552

Mailing AddressPo Box 1460Aberdeen, SD 57402-1460 · (605) 622-4050 · Fax (605) 622-4049

Phone(605) 622-4050

Fax(605) 622-4049

Organization SubpartNo

Authorized OfficialTodd ForkelPresident & Ceo · (605) 622-5125

Enumeration DateJune 17, 2006

Last NPPES UpdateFebruary 12, 2014

✔ NPI 1245275189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in SD · 10525

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

201 S LLOYD ST, Aberdeen, SD 57401

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Other Names 1

Doing Business AsAvera Medical Group Pediatrics Aberdeen

Other Identifiers 4

Other9237225SD · Dakotacare

Medicaid14000ND

Other4993532SD · Wellmark Bc/bs Of Sd

Medicare PINS100988SD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COSMETIC AND PLASTIC SURGERY SPECIALISTS, PC

Plastic Surgery

201 S LLOYD ST, W230
ABERDEEN, SD 57401

Brown County (605) 725-5030

DR. WARREN JOHN REDMOND MD

Dermatology

201 S LLOYD ST, E206
ABERDEEN, SD 57401

Brown County (605) 226-0560

AVERA ST. LUKE'S

Physical Medicine & Rehabilitation

201 S LLOYD ST, SUITE E202
ABERDEEN, SD 57401

Brown County (605) 622-2898

DR. PAUL C ECKRICH MD

Urology

201 S LLOYD ST, SUITE E105
ABERDEEN, SD 57401

Brown County (605) 225-7326

HEARING CARE PROFESSIONALS, INC

Audiologist

201 S LLOYD ST, PHYSICIANS PLAZA, SUITE W120
ABERDEEN, SD 57401

Brown County (605) 229-3688

XIAOLIN DENG M.D., PH.D.

Psychiatry & Neurology (Psychiatry)

201 S LLOYD ST, PHYSICIANS PLAZA, SUITE E201
ABERDEEN, SD 57401

Brown County (605) 622-2545

SANJAY MUKERJI MD PC

Surgery (Plastic and Reconstructive Surgery)

201 S LLOYD ST, SUITE W230
ABERDEEN, SD 57401

Brown County (605) 725-5030

BRENDA KAY DAVENPORT CNP

Nurse Practitioner

201 S LLOYD ST, SUITE E201
ABERDEEN, SD 57401

Brown County (605) 622-2545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera St. Luke's's NPI number?

The NPI number for Avera St. Luke's is 1245275189. It was assigned to this organization in the NPPES registry on June 17, 2006. The provider is doing business as Avera Medical Group Pediatrics Aberdeen.

Where is Avera St. Luke's located?

Avera St. Luke's is located at 201 S Lloyd St E205, Aberdeen, SD 57401. The listed phone number is (605) 622-4050.

What is Avera St. Luke's's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Avera St. Luke's was last updated on February 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.