AVERA MCKENNAN (NPI# 1508387820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508387820 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Other Organization Name | AVERA MEDICAL GROUP INFECTIOUS DISEASE SPECIALISTS SIOUX FALLS |
| Practice Address |
6709 S Minnesota Ave Ste 102 Sioux Falls SD 57108-2593 |
| Practice Telephone | (605) 322-7250 |
| Practice Fax Number | 6053227251 |
| Mailing Telephone | 6053227250 |
| Mailing Fax Number | 6053227251 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2018-10-24 |
| Authorized Official Name | DAVID FLICEK (CEO/PRESIDENT) |
| Authorized Official Telephone | 6053228000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Avera Medical Group Infectious Disease Specialists Sioux Falls | 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 |
6709 S MINNESOTA AVE STE 102 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-2593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972579118 | Jawad Nazir | Internal Medicine | 6709 S Minnesota Ave Ste 102, Sioux Falls, SD 57108-2593 | 2006-02-27 |
| 1881178911 | Ashley Louise Attig | Physician Assistant | 6709 S Minnesota Ave Ste 102, Sioux Falls, SD 57108-2593 | 2018-09-25 |
| 1447697693 | Dayana Del Carmen Maita Coronel | Internal Medicine | 6709 S Minnesota Ave Ste 102, Sioux Falls, SD 57108-2593 | 2013-05-29 |
| 1700172855 | Asma S Syed | Internal Medicine | 6709 S Minnesota Ave Ste 102, Sioux Falls, SD 57108-2593 | 2011-06-27 |
| 1932368602 | Robert A Kessler | Internal Medicine | 6709 S Minnesota Ave Ste 102, Sioux Falls, SD 57108-2593 | 2008-06-06 |
| 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518151562 | Jeremy Storm | Internal Medicine | 7600 S Minnesota Ave Ste 201, Sioux Falls, SD 57108-2988 | 2007-09-04 |
| 1770538084 | Infectious Disease Specialists PC | Internal Medicine | 6709 S Minnesota Ave, Suite 102, Sioux Falls, SD 57108-2592 | 2006-05-24 |
| 1083670343 | Bertha S. Ayi | Internal Medicine | 1205 S Grange Ave Ste 401, Sioux Falls, SD 57105-0410 | 2006-04-25 |
| 1972579118 | Jawad Nazir | Internal Medicine | 6709 S Minnesota Ave Ste 102, Sioux Falls, SD 57108-2593 | 2006-02-27 |
| 1790225266 | Storm Clinic, Prof. LLC | Internal Medicine | 7600 S Minnesota Ave Ste 201, Sioux Falls, SD 57108-2988 | 2017-03-03 |
| 1447697693 | Dayana Del Carmen Maita Coronel | Internal Medicine | 6709 S Minnesota Ave Ste 102, Sioux Falls, SD 57108-2593 | 2013-05-29 |
| 1700172855 | Asma S Syed | Internal Medicine | 6709 S Minnesota Ave Ste 102, Sioux Falls, SD 57108-2593 | 2011-06-27 |
| 1790923100 | Srividya Srinivasan | Internal Medicine | 1205 S Grange Ave, Ste 401, Sioux Falls, SD 57105-0410 | 2009-01-23 |
| 1093909756 | Brian Sabado Pepito | Internal Medicine | 6709 S Minnesota Ave, Suite 102, Sioux Falls, SD 57108-2592 | 2007-09-05 |
| 1447266853 | Sanford Clinic | Internal Medicine | 1205 S Grange Ave, Suite 401, Sioux Falls, SD 57105-0410 | 2006-07-31 |
| 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.