Avera St. Mary's

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

AVERA ST. MARY'S

Doing business as

Avera Medical Group Anesthesiology Pierre

Practice address

100 Mac LN
Pierre, SD 57501-3391

Phone

(605) 224-5901

NPI assigned

Oct 29, 2013

Last updated

Jul 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mikel Holland

Title

Cep/President

Phone

(605) 224-3144

Specialties & licenses 1

Addresses

Other names 1

• Avera Medical Group Anesthesiology Pierre Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Avera St Marys

  dba Avera St. Mary's Hospital

  • General Acute Care Hospital
  • Pierre, SD
  • NPI 1669457180

  Member Of

  NPD member

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1871921841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAC LN",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAC LN",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013391",
            "telephone_number": "605-224-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA ST. MARY'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "MIKEL",
        "authorized_official_title_or_position": "CEP/PRESIDENT",
        "authorized_official_telephone_number": "605-224-3144"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Medical Group Anesthesiology Pierre",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Medical Group Anesthesiology Pierre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avera St Marys (Avera St Marys Hospital -Swingbed)
• Avera St Marys (Avera Medical Group Pierre - a dept of Avera St Marys Hospital)
• Avera St Marys (Maryhouse Adult Day Care)
• Avera St Marys (Avera St. Mary's Hospital Swingbed)
• Avera St. Mary's (Avera St. Mary's Hospital)
• Avera St. Mary's (Avera St. Mary's Campus Pharmacy)
• Avera St. Mary's (Avera Therapy)
• Denise Badger, R.N.
• Bales Chiropractic P C
• Ryan R. Bales, D.C.

• Anesthesiology Physician in Pierre, SD
• Providers in Pierre, SD by specialty
• Anesthesiology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.