AVERA MEDICAL GROUP IPSWICH
NPI 1558624668
Family Medicine in Ipswich, SD

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

The NPI number for Avera St. Luke's is 1558624668. It was assigned to this organization in the NPPES registry on June 22, 2012. The provider is doing business as Avera Medical Group Ipswich.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Avera St. Luke's was last updated on June 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 22, 2012

501 BLOEMENDAAL DRIVE, IPSWICH, SD 57451(605) 622-2857(605) 622-2859 Get Directions Write a Review

NPPES record last updated: June 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Avera Medical Group Ipswich NPPES

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

AVERA MEDICAL GROUP IPSWICH (NPI 1558624668) is a healthcare organization registered as a family medicine in Ipswich, South Dakota and active in the NPI registry since June 2012. The organization lists Todd Forkel, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1558624668

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameAVERA ST. LUKE'S

Location Address501 BLOEMENDAAL DRIVEIpswich, SD 57451

Mailing AddressPo Box 1460Aberdeen, SD 57402-1460 · (605) 622-2857 · Fax (605) 622-2859

Phone(605) 622-2857

Fax(605) 622-2859

Organization SubpartNo

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

Enumeration DateJune 22, 2012

✔ NPI 1558624668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family 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.

501 BLOEMENDAAL DRIVE, Ipswich, SD 57451

Open in Google Maps ↗

Other Names 1

Doing Business AsAvera Medical Group Ipswich

Other Identifiers 1

Medicare PINS101808SD

Group Practice 1

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

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 1558624668. It was assigned to this organization in the NPPES registry on June 22, 2012. The provider is doing business as Avera Medical Group Ipswich.

Where is Avera St. Luke's located?

Avera St. Luke's is located at 501 Bloemendaal Drive, Ipswich, SD 57451. The listed phone number is (605) 622-2857.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Avera St. Luke's was last updated on June 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.