AVERA MEDICAL GROUP UROLOGY ABERDEEN
NPI 1205090206
Urology in Aberdeen, SD
NPI Status: Active since July 18, 2008
Contact Information
310 S PENN ST STE 203
ABERDEEN, SD
ZIP 57401
Phone: (605) 225-7326
Fax: (605) 229-2774
- Organization
- Urology
- Accepts Insurance
About AVERA MEDICAL GROUP UROLOGY ABERDEEN
This page provides the complete NPI Profile along with additional information for Avera Medical Group Urology Aberdeen, a provider established in Aberdeen, South Dakota operating as a Urology. The healthcare provider is registered in the NPI registry with number 1205090206 assigned on July 2008. The practitioner's primary taxonomy code is 208800000X with license number 10525 (SD). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Avera Medical Group Urology Aberdeen. The authorized official of this NPI record is Daniel J Bjerknes (President/ceo)
- NPI
- 1205090206
- Provider Legal Name
- AVERA ST. LUKE'S
- Other Organization Name
- AVERA MEDICAL GROUP UROLOGY ABERDEEN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 310 S PENN ST STE 203 ABERDEEN, SD 57401
- Location Phone
- (605) 225-7326
- Location Fax
- (605) 229-2774
- Mailing Address
- PO BOX 86370 SIOUX FALLS, SD 57118
- Mailing Phone
- (605) 322-4933
- Mailing Fax
- (605) 229-2774
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-18-2008
- Last Update Date
- 05-23-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 10525
- License State
- SD
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Avera $1800 - PPO
- Avera $2000 - PPO
- Avera $4000 - PPO
- Avera $4500 - PPO
- Avera $6000 - PPO
- Avera $7500 HSA Eligible HDHP - PPO
- Avera $9200 - PPO
- Avera Standard $1500 - PPO
- Avera Standard $5000 - PPO
- Avera Standard $7500 - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9262425 | OTHER (01) | DAKOTACARE | |
| 14895 | MEDICAID (05) | ND |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 0 | 9 | 0 | 2 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 0 | 9 | 0 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 0 + 9 + 0 + 2 + 0 + 24 = 44 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 44 = 6 | 6 | ||||||||
The NPI number 1205090206 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1952438996 | CHAD EDWARD STAPP DPM Individual | Podiatrist | 310 S PENN ST STE 203 ABERDEEN, SD 57401 (605) 622-2570 |
| 1083354393 | KRISTINE LYNN FASTENAU NP Individual | Nurse Practitioner (Adult Health) | 310 S PENN ST STE 203 ABERDEEN, SD 57401 (605) 225-7326 |
| 1871771279 | AVERA ST. LUKE'S Organization | Podiatrist | 310 S PENN ST STE 203 ABERDEEN, SD 57401 (605) 622-2570 |
| 1477594430 | AVERA ST. LUKES Organization | Internal Medicine (Nephrology) | 310 S PENN ST STE 203 ABERDEEN, SD 57401 (605) 622-2895 |
| 1295822104 | ERIC SAMUEL LEICHTER MD Individual | Urology | 310 S PENN ST STE 203 ABERDEEN, SD 57401 (605) 622-5475 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205090206, enumerated in the NPI registry as an "organization" on July 18, 2008
The provider is located at 310 S Penn St Ste 203 Aberdeen, Sd 57401 and the phone number is (605) 225-7326
This medical organization specializes in Urology with taxonomy code 208800000X
The provider might be accepting Accepts: Avera Health Plans, Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 18, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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