ABERDEEN PLASTIC SURGERY ASSOCIATES – NPI #1851547798
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

ABERDEEN PLASTIC SURGERY ASSOCIATES is a surgeon located in ABERDEEN, SD. NPPES has assigned the NPI number 1851547798 to ABERDEEN PLASTIC SURGERY ASSOCIATES on August 12, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ABERDEEN PLASTIC SURGERY ASSOCIATES” 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 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 13 years ago on Aug 27, 2013. 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 PLASTIC SURGERY ASSOCIATES below.

NPI Profile for
AVERA ST. LUKE'S

NPI Number
1851547798
Enumeration Date

(about 18 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 PLASTIC SURGERY ASSOCIATES
Primary location
201 S LLOYD ST
SUITE W230
ABERDEEN, SD 57401-4552
Phone: (605) 725-5030 Fax: (605) 725-5028
Mailing address
PO BOX 1460
ABERDEEN, SD 57402-1460
Phone: (605) 725-5030 Fax: (605) 725-5028
Organization Subpart
No
Authorized Official
TODD FORKEL
PRESIDENT & CEO
Phone: (605) 622-5125
Updated
Identifiers

Identifiers for ABERDEEN PLASTIC SURGERY ASSOCIATES

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
MEDICAIDND14893
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (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.