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AVERA MEDICAL GROUP ORTHOPEDICS & SPORTS MEDICINE
NPI 1710184569
Prosthetic/Orthotic Supplier in Mitchell, SD

Active since June 27, 2007
625 N FOSTER ST, SUITE 200, MITCHELL, SD 57301(605) 996-3963(605) 996-0718 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avera Medical Group Orthopedics & Sports Medicine NPPES

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

AVERA MEDICAL GROUP ORTHOPEDICS & SPORTS MEDICINE (NPI 1710184569) is a healthcare organization registered as a prosthetic/orthotic supplier in Mitchell, South Dakota and active in the NPI registry since June 2007. The organization lists Douglas Ekeren, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1710184569
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameAVERA QUEEN OF PEACE
Location Address625 N FOSTER ST, SUITE 200Mitchell, SD 57301-2969
Mailing Address625 N Foster St, Suite 200Mitchell, SD 57301-2969 · (605) 995-2000 · Fax (605) 995-2441
Phone(605) 996-3963
Fax(605) 996-0718
Organization SubpartNo
Authorized OfficialDouglas EkerenPresident/ceo · (605) 668-8322
Enumeration DateJune 27, 2007
Last NPPES UpdateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
✔ NPI 1710184569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in SD · 100-1023
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
625 N FOSTER ST, Mitchell, SD 57301
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Other Names 1

Doing Business AsAvera Medical Group Orthopedics & Sports Medicine

Other Identifiers 1

Medicaid0100130SD

Other Providers at the Same Location NPPES 10

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

MS. ELIZABETH E CAMPBELL M.D.
Obstetrics & Gynecology
625 N FOSTER ST
MITCHELL, SD 57301
Davison County (605) 995-6350
DAKOTA FAMILY PRACTICE
Durable Medical Equipment & Medical Supplies
625 N FOSTER ST, SUITE 209
MITCHELL, SD 57301
Davison County (605) 996-2382
DAWN BOENDER MD
Obstetrics & Gynecology
625 N FOSTER ST, SUITE 107
MITCHELL, SD 57301
Davison County (605) 995-6350
ORTHOPEDIC ASSOCIATES PC
Orthopaedic Surgery
625 N FOSTER ST, SUITE 200
MITCHELL, SD 57301
Davison County (605) 996-3963
CHRIS C KROUSE DO
Orthopaedic Surgery
625 N FOSTER ST, SUITE 107
MITCHELL, SD 57301
Davison County (605) 996-3963
DR. WILLIAM NOBLE GRAHAM D.O.
Otolaryngology (Facial Plastic Surgery)
625 N FOSTER ST, SUITE 203
MITCHELL, SD 57301
Davison County (605) 996-8386
BRIAN DOUGLAS KAMPMANN MD
Orthopaedic Surgery
625 N FOSTER ST, SUITE 200
MITCHELL, SD 57301
Davison County (605) 996-3963
BRIAN L HILDEBRANDT ATC
Specialist/Technologist (Athletic Trainer)
625 N FOSTER ST, SUITE 107
MITCHELL, SD 57301
Davison County (605) 996-3963

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 Queen Of Peace's NPI number?

The NPI number for Avera Queen Of Peace is 1710184569. It was assigned to this organization in the NPPES registry on June 27, 2007. The provider is doing business as Avera Medical Group Orthopedics & Sports Medicine.

Where is Avera Queen Of Peace located?

Avera Queen Of Peace is located at 625 N Foster St Suite 200, Mitchell, SD 57301. The listed phone number is (605) 996-3963.

What is Avera Queen Of Peace's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Avera Queen Of Peace was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.