AVERA MCKENNAN (NPI# 1164780201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164780201 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Other Organization Name | AVERA MEDICAL GROUP MCHALE INSTITUTE |
| Practice Address |
3720 W 69th St Sioux Falls SD 57108-8192 |
| Mailing Address |
2400 S Minnesota Ave Ste 100 Sioux Falls SD 57105-3761 |
| Practice Telephone | 6053394464 |
| Practice Fax Number | 6053390309 |
| Mailing Telephone | 6053227510 |
| Mailing Fax Number | 6053226475 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |
| Authorized Official Name | JULIE N NORTON (SENIOR VP FINANCE) |
| Authorized Official Telephone | 6053226375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Avera Medical Group McHale Institute | Doing Business As Name - Organization |
| 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 |
| 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 |
| Street Address |
3720 W 69TH ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-8192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851361216 | Laurie C. Gromer | Nurse Practitioner | 3720 W 69th St, Sioux Falls, SD 57108 | 2006-01-26 |
| 1528627361 | Avera Mckennan | Clinical Medical Laboratory | 3720 W 69th St, Sioux Falls, SD 57108-8192 | 2019-06-06 |
| 1790018935 | Theresa Ann Mehrman | Nurse Practitioner | 3720 W 69th St, Sioux Falls, SD 57108-8192 | 2009-09-04 |
| 1235196056 | Mchale Institute, P.C. | Internal Medicine | 3720 W 69th St, Sioux Falls, SD 57108 | 2006-04-26 |
| 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 Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184935652 | Houman Nourkeyhani | Internal Medicine | 1000 E 23rd St Ste 230, Sioux Falls, SD 57105-2122 | 2010-06-29 |
| 1124017256 | Michael Stephen Mchale | Internal Medicine | 1000 E. 23rd St., Ste. 230, Sioux Falls, SD 57105-2122 | 2005-10-20 |
| 1437155140 | Miroslaw A Mazurczak | Internal Medicine | 1309 W 17th St, Ste 101, Sioux Falls, SD 57104-8805 | 2005-06-27 |
| 1174686547 | Brian Leyland-jones | Internal Medicine | 1000 E 23rd St, Suite 200, Sioux Falls, SD 57105-2108 | 2006-12-18 |
| 1235196056 | Mchale Institute, P.C. | Internal Medicine | 3720 W 69th St, Sioux Falls, SD 57108 | 2006-04-26 |
| 1538135447 | Avera Mckennan | Internal Medicine | 1000 E. 23rd St., Ste. 200, Sioux Falls, SD 57105-2122 | 2006-02-28 |
| 1295701522 | Kelly George Mccaul | Internal Medicine | 1000 E. 23rd St., Ste. 200, Sioux Falls, SD 57105-2122 | 2006-02-27 |
| 1013983352 | Vinod Parameswaran | Internal Medicine | 1000 E. 23rd St., Ste. 200, Sioux Falls, SD 57105-2122 | 2006-02-27 |
| 1750357299 | Mark R Huber | Internal Medicine | 1000 E. 23rd St., Ste. 230, Sioux Falls, SD 57105-2122 | 2006-02-24 |
| 1033185582 | Avera Mckennan | Internal Medicine | 1000 E. 23rd St., Ste. 230, Sioux Falls, SD 57105-2122 | 2006-02-24 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57108 |
Please comment or provide details below to improve the information on AVERA MCKENNAN.
| 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.