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AVERA ST. LUKE'S NPI 1376831933


NPI Information

NPI: 1376831933
Provider Name: AVERA ST. LUKE'S

Doing Business As: AVERA MEDICAL GROUP EAR, NOSE, AND THROAT ABERDEEN

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
820 1ST AVE SE STE 100
ABERDEEN, SD
ZIP 57401
Phone: (605) 225-1420
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AVERA ST. LUKE'S is an otolaryngology in Aberdeen, SD. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. AVERA ST. LUKE'S NPI is 1376831933. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group Ear, Nose, And Throat Aberdeen.

The provider's business location address is:

820 1ST AVE SE STE 100
ABERDEEN, SD
ZIP 57401-604
Phone: (605) 225-1420
Fax: (605) 225-3307

The provider's authorized official is Daniel J Bjerknes .
The authorized official title is President/ceo and has the following contact phone number (605) 622-5125.

The enumeration date for this NPI number is 7/18/2011 and was last updated on 4/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology10525SOUTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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