AVERA QUEEN OF PEACE – NPI #1881049484
Dermatology
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
AVERA QUEEN OF PEACE is a dermatologist located in MITCHELL, SD. NPPES has assigned the NPI number 1881049484 to AVERA QUEEN OF PEACE on May 02, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.
The NPI profile was last updated on Jan 22, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERA QUEEN OF PEACE below.
NPI Profile for
AVERA QUEEN OF PEACE
(more than 10 years ago)
All associated names:
Avera Dermatology Mitchell
Avera Medical Group Dermatology Mitchell
MITCHELL, SD 57301-6205 Phone: (605) 995-7000 Fax: (605) 995-7018
SIOUX FALLS, SD 57118-6370 Phone: (605) 322-4933 Fax: (605) 504-9489
REGIONAL PRESIDENT / CEO
Phone: (605) 995-2200
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for AVERA QUEEN OF PEACE
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | MEDICARE PTAN | SD | S1639 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207N00000X - Dermatology (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.