AVERA MEDICAL GROUP PEDIATRICS ABERDEEN – NPI #1245275189
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

AVERA MEDICAL GROUP PEDIATRICS ABERDEEN is a provider located in ABERDEEN, SD. NPPES has assigned the NPI number 1245275189 to AVERA MEDICAL GROUP PEDIATRICS ABERDEEN on June 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA MEDICAL GROUP PEDIATRICS ABERDEEN” 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 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 12 years ago on Feb 12, 2014. 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 MEDICAL GROUP PEDIATRICS ABERDEEN below.

NPI Profile for
AVERA ST. LUKE'S

NPI Number
1245275189
Enumeration Date

(about 20 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): AVERA MEDICAL GROUP PEDIATRICS ABERDEEN
Primary location
201 S LLOYD ST
E205
ABERDEEN, SD 57401-4552
Phone: (605) 622-4050 Fax: (605) 622-4049
Mailing address
PO BOX 1460
ABERDEEN, SD 57402-1460
Phone: (605) 622-4050 Fax: (605) 622-4049
Organization Subpart
No
Authorized Official
TODD FORKEL
PRESIDENT & CEO
Phone: (605) 622-5125
Updated
Identifiers

Identifiers for AVERA MEDICAL GROUP PEDIATRICS ABERDEEN

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
OTHERDAKOTACARESD9237225
OTHERWELLMARK BC/BS OF SDSD4993532
MEDICAIDND14000
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
208000000X
- Pediatrics (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.