NPIMap

Organization Active NPI

Aberdeen Surgical Associates LLP

  • Surgery Physician
  • Aberdeen, SD
National Provider Identifier
1629057989
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ABERDEEN SURGICAL ASSOCIATES LLP
Practice address
310 S Penn St
Aberdeen, SD 57401-4553
Phone
(605) 229-1367
Fax
(605) 229-1002
NPI assigned
Jan 13, 2006
Last updated
Jan 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Bradley W Olson
Title
Clinic Administrator
Phone
(605) 229-1367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

310 S Penn St
Aberdeen, SD 57401-4553

Mailing address

310 S Penn St
Aberdeen, SD 57401-4553
Phone (605) 229-1367

National Provider Directory

National Provider Directory

Locations

310 S Pennsylvania St
Aberdeen, SD 57401
Phone (605) 229-1367

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1629057989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S PENN ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014553",
            "telephone_number": "605-229-1367",
            "fax_number": "605-229-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S PENN ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014553",
            "telephone_number": "605-229-1367",
            "fax_number": "605-229-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABERDEEN SURGICAL ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "605-229-1367",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.