ABERDEEN INTERNAL MEDICINE – NPI #1477750289
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

ABERDEEN INTERNAL MEDICINE is a provider located in ABERDEEN, SD. NPPES has assigned the NPI number 1477750289 to ABERDEEN INTERNAL MEDICINE on June 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ABERDEEN INTERNAL MEDICINE” is a dba name, the actual legal business name for this organization is AVERA ST. LUKE'S. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 15 years ago on Jun 30, 2011. 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 ABERDEEN INTERNAL MEDICINE below.

NPI Profile for
AVERA ST. LUKE'S

NPI Number
1477750289
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVERA ST. LUKE'S
Doing Business As (dba): ABERDEEN INTERNAL MEDICINE
Primary location
201 S LLOYD ST
SUITE W270
ABERDEEN, SD 57401-4552
Phone: (605) 225-4070 Fax: (605) 725-2416
Mailing address
PO BOX 1460
ABERDEEN, SD 57402-1460
Phone: (605) 225-4070 Fax: (605) 725-2416
Organization Subpart
No
Authorized Official
RON JACOBSON
PRESIDENT & CEO
Phone: (605) 622-5125
Updated
Identifiers

Identifiers for ABERDEEN INTERNAL MEDICINE

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.

DescriptionIssuerStateIdentifier
OTHERDAKOTACARESD9251433
MEDICAIDND14389
Taxonomy Code(s)

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
207R00000X
- Internal Medicine (Primary)
SD 10525

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.