AVERA MCKENNAN


Address: 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021
Phone: 6055041100

AVERA MCKENNAN (NPI# 1093262131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093262131
Entity Type Organization
Organization Name AVERA MCKENNAN
Other Organization Name AVERA MEDICAL GROUP ORTHOPEDICS AND SPORTS MEDICINE
Practice Address 6100 S Louise Ave Ste 2100
Sioux Falls
SD 57108-6021
Mailing Address Po Box 86370
Sioux Falls
SD 57118-6370
Practice Telephone 6055041100
Mailing Telephone 6053227510
Enumeration Date 2016-09-07
Last Update Date 2020-07-15
Authorized Official Name DAVID FLICEK (CEO/PRESIDENT)
Authorized Official Telephone 6053228000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Avera Medical Group Orthopedics and Sports Medicine Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
911 E. 20th St., Ste. 300, Sioux Falls, SD 571051045 6053221300 6053221301

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154979805 Avera Mckennan Substance Abuse Rehabilitation Facility 6140 S Curae Lane, Sioux Falls, SD 57108-3047 2019-08-27
1205311628 Avera Mckennan Pharmacy 6100 S Louise Ave Ste 1100, Sioux Falls, SD 57108-6021 2018-10-02
1316463219 Avera Mckennan Pharmacy 1200 S. 7th Avenue, Suite 101, Sioux Falls, SD 57105 2017-08-22
1851848444 Avera Mckennan Durable Medical Equipment & Medical Supplies 2100 S Marion Road, Ste 125, Sioux Falls, SD 57106-3645 2016-09-01
1295187417 Avera Mckennan Psychiatry & Neurology 6709 S. Minnesota Ave., Ste. 103, Sioux Falls, SD 57108-2593 2016-07-12
1669871000 Avera Mckennan Durable Medical Equipment & Medical Supplies 3820 N Potsdam Ave Ste 2, Sioux Falls, SD 57104-7057 2014-08-21
1922413806 Avera Mckennan Clinic/Center 400 2nd Ave, Brookings, SD 57006 2014-06-30
1629499132 Avera Mckennan Occupational Therapist 1601 W 44th Pl, Sioux Falls, SD 57105-6376 2013-12-31
1700146396 Avera Mckennan Clinic/Center 1035 South Highline Pl, Ste #4, Sioux Falls, SD 57110 2012-05-17
1467711739 Avera Mckennan Pharmacy 1301 S Cliff Ave Ste 225, Sioux Falls, SD 57105-1068 2012-05-08

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations AVERA MCKENNAN 1325 S Cliff Ave, Sioux Falls, SD 57105-1007
Iowa Business Entities AVERA MCKENNAN 1325 S. Cliff St., Sioux Falls, SD 57105
System for Award Management (SAM) Entities AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER 1325 S Cliff Ave, Sioux Falls, SD 57105-1007

Office Location

Street Address 6100 S LOUISE AVE STE 2100
City SIOUX FALLS
State SD
Zip Code 57108-6021

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982821898 Michael Coale Devish Orthopaedic Surgery 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 2007-04-20
1124437595 Ruth Ranum Moen Podiatrist 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6029 2014-08-10
1326461088 Tyler Ray Krome Physician Assistant 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 2014-01-30
1447509203 Rocio Carolina Fuentes Barrow Orthopaedic Surgery 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 2012-09-07
1679860548 Brian Thomas Dix Podiatrist 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 2011-06-29
1386975530 Kerry Louise Vanoverbeke Physician Assistant 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 2010-01-27
1467654509 Garrison Lawrence Whitaker Orthopaedic Surgery 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 2007-06-01
1730396904 Matthew Blake Orthopaedic Surgery 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 2007-05-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134735764 Faith Carlson Counselor 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 2020-09-18
1063020196 Emily Mensen Physical Therapist 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 2020-07-15
1528695798 Allison Mcentee Physician Assistant 3620 East Prairiewind Street, Sioux Falls, SD 57108 2020-03-26
1265935829 Sioux Falls Audiology Associates Clinic/Center 4948 E. 57th Street, Sioux Falls, SD 57108 2018-03-09
1184124935 Haley Elizabeth Luond Chiropractor 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 2018-02-19
1770098881 Yinan Zhao Acupuncturist 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 2017-12-12
1447780796 Sioux Falls Specialty Hospital, LLP Special Hospital 7600 South Minnesota Ave, Sioux Falls, SD 57108 2017-06-19
1952831786 Brock T Nelsen Dentist 5121 S Solberg Ave #120, Sioux Falls, SD 57108 2017-06-14
1629517552 Sarah Kenyon Chiropractor 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 2017-02-12
1386029460 Michelle Anne Pliska Counselor 5621 Southeastern Ave, Sioux Falls, SD 57108 2015-07-30
Find all providers in zip 57108

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598325375 Osd Care of Sd, LLC Orthopaedic Surgery 519 W 22nd St Ste 100, Sioux Falls, SD 57105-1745 2019-06-14
1982821898 Michael Coale Devish Orthopaedic Surgery 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 2007-04-20
1861615155 Patrick Mark O'brien Orthopaedic Surgery 911 E 20th St Ste 300, Sioux Falls, SD 57105-1045 2007-04-11
1144232042 Travis Richard Liddell Orthopaedic Surgery 2908 E. 26th St., Sioux Falls, SD 57103-4034 2006-08-12
1679524805 Thomas A Ambrose II Orthopaedic Surgery 911 E. 20th St., Ste. 300, Sioux Falls, SD 57105-1045 2006-05-12
1437123320 Erik Douglas Peterson Orthopaedic Surgery 810 E 232rd St, Sioux Falls, SD 57105 2006-02-15
1275530644 Timothy L Walker Orthopaedic Surgery 1210 W 18th St Ste G01, Sioux Falls, SD 57104-4651 2005-06-30
1861022543 Manus, LLC Orthopaedic Surgery 810 E 23rd St, Sioux Falls, SD 57105-2135 2020-01-22
1669735676 Harvey Anthony Oliver IIi Orthopaedic Surgery 1210 W 18th St Ste G01, Sioux Falls, SD 57104-4651 2012-06-25
1366702326 Jonathon Ross Geisinger Orthopaedic Surgery 810 E 23rd St, Sioux Falls, SD 57105 2012-05-24
Find all providers in SIOUX FALLS

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City SIOUX FALLS
Zip Code 57108

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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