AVERA ST. LUKE'S – NPI #1336483551
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Health Care Provider Taxonomy Code for Internal Medicine

AVERA ST. LUKE'S is a provider located in ABERDEEN, SD. NPPES has assigned the NPI number 1336483551 to AVERA ST. LUKE'S on November 15, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is AMG ONCOLOGY & HEMATOLOGY ABERDEEN. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 2 years ago on May 23, 2024. 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 ST. LUKE'S below.

NPI Profile for
AVERA ST. LUKE'S

NPI Number
1336483551
Enumeration Date

(more than 13 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
Former Legal Business Name: AMG ONCOLOGY & HEMATOLOGY ABERDEEN
Primary location
310 S PENN ST STE 106
ABERDEEN, SD 57401-4553
Phone: (605) 622-5613 Fax: (605) 622-5056
Mailing address
PO BOX 86370
SIOUX FALLS, SD 57118-6370
Phone: (605) 322-4933 Fax:
Organization Subpart
No
Authorized Official
DANIEL BJERKNES
PRESIDENT/CEO
Phone: (605) 622-5215
Updated
Certification Date
May 23, 2024

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.

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
207RH0003X
- Internal Medicine / Hematology & Oncology (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.