AVERA MCKENNAN (NPI# 1457648149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457648149 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Other Organization Name | AVERA MEDICAL GROUP MCGREEVY WEST BENSON ROAD |
| Practice Address |
4011 W Benson Rd Sioux Falls SD 57107-0104 |
| Mailing Address |
Po Box 86430 Sioux Falls SD 57118-6430 |
| Practice Telephone | 6053221500 |
| Practice Fax Number | 6053221510 |
| Mailing Telephone | 6053224900 |
| Mailing Fax Number | 6053224910 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2012-05-16 |
| Authorized Official Name | MS. JULIE N NORTON (SENIOR VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 6053226375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Avera Medical Group McGreevy West Benson Road | 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 |
4011 W BENSON RD |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57107-0104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194797423 | Dawn M Peterson | Physician Assistant | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2006-02-02 |
| 1861894651 | Mary Wipf | Physician Assistant | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2014-09-23 |
| 1710249248 | Muna Ashraf | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2012-06-11 |
| 1770719122 | Kirsten H Stotz | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2009-05-29 |
| 1447441647 | Demetre P Skliris | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2007-08-05 |
| 1063480390 | Shawn R Culey | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2006-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962991232 | Danae Lynn Mutchelknaus | Counselor | 57107, Sioux Falls, SD 57107 | 2018-05-02 |
| 1588819783 | Brookings Family Planning | Clinic/Center | 1440 N Campus Dr, Wellness Center, Brookings, SD 57107-0001 | 2008-12-02 |
| 1730624297 | Nicole Adams | Spec/Tech, Cardiovascular | 6308 W 10th St, Sioux Falls, SD 57107-0404 | 2016-12-19 |
| 1386044980 | Animal Health International, Inc. | Pharmacy | 4305 N Westport Ave, Sioux Falls, SD 57107-0711 | 2014-09-02 |
| 1578649612 | Laurie Ann Tidemann | Pharmacist | 2707 S Carolyn Ave, Sioux Falls, SD 57107-0736 | 2006-10-31 |
| 1437566189 | Kjk Vision LLC | Optometrist | 5824 W Pineridge Dr, Sioux Falls, SD 57107-0960 | 2014-07-15 |
| 1184242612 | Turner David Serr | Specialist/Technologist | 5808 W Oakcrest Dr, Sioux Falls, SD 57107-0997 | 2020-07-10 |
| 1083886428 | Jenny Holmes | Speech-Language Pathologist | 5816 W Oakcrest Dr, Sioux Falls, SD 57107-0997 | 2008-03-26 |
| 1538619598 | Barbara Milbauer | Occupational Therapist | 400 N Valley View Rd, Sioux Falls, SD 57107-1022 | 2016-10-13 |
| 1508103243 | City of Sioux Falls | Clinic/Center | 410 N Valley View Rd, Sioux Falls, SD 57107-1022 | 2013-01-15 |
| Find all providers in zip 57107 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1023524741 | Quick Health Urgent Care LLC | Family Medicine | 7600 S Louise Ave Ste 150, Sioux Falls, SD 57108-5999 | 2017-12-18 |
| 1104246297 | Kayla Norenberg | Family Medicine | 6110 S. Minnesota Avenue, Sioux Falls, SD 57108-2571 | 2014-04-16 |
| 1427492206 | Nelly O Boyt | Family Medicine | 3524 S Spencer Blvd, Sioux Falls, SD 57103-4653 | 2013-04-23 |
| 1346512266 | Avera Mckennan | Family Medicine | 1035 South Highline Place, Sioux Falls, SD 57110-1000 | 2012-02-08 |
| 1699005074 | Avera Mckennan | Family Medicine | 930 E 6th St, Sioux Falls, SD 57103-1306 | 2010-01-06 |
| 1508196981 | Avera Mckennan | Family Medicine | 1200 E 3rd St, Sioux Falls, SD 57103-0901 | 2010-01-06 |
| 1912153578 | Avera Mckennan | Family Medicine | 501 N Sycamore Ave, Sioux Falls, SD 57110-5752 | 2008-08-14 |
| 1538315353 | Michael P. Crandell | Family Medicine | 300 Cherapa Pl, Suite 201, Sioux Falls, SD 57103-2269 | 2008-08-12 |
| 1225293996 | Jerry Leroi Walton | Family Medicine | 4310 S Minnesota Ave, Sioux Falls, SD 57105-6747 | 2008-07-22 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57107 |
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.