AVERA MCKENNAN (NPI# 1841427770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841427770 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Other Organization Name | AVERA REHABILITATION ASSOCIATES |
| Practice Address |
1100 E 21st St Ste 610 Sioux Falls SD 57105-1020 |
| Mailing Address |
Po Box 86370 Sioux Falls SD 57118-6370 |
| Practice Telephone | 6053228860 |
| Practice Fax Number | 6053228868 |
| Mailing Telephone | 6053227510 |
| Mailing Fax Number | 6053226475 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2010-03-30 |
| Authorized Official Name | JULIE N NORTON (SENIOR VP OF FINANCE) |
| Authorized Official Telephone | 6053226375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Avera Rehabilitation Associates | 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 |
1100 E 21ST ST STE 610 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750355236 | Mark Warren Fox | Neurological Surgery | 1100 E 21st St, Ste 220, Sioux Falls, SD 57105-1020 | 2006-02-14 |
| 1073131405 | Nicole Westra | Nurse Practitioner | 1100 E 21st St, Sioux Falls, SD 57105-1033 | 2020-07-13 |
| 1003064767 | Paula Jean Jones | Physical Therapist | 1100 E 21st St, Sioux Falls, SD 57105-1020 | 2008-09-05 |
| 1083862486 | Michelle L Schuman | Physical Therapist | 1100 E 21st St, Suite 402, Sioux Falls, SD 57105-1020 | 2008-08-28 |
| 1366613473 | Mark W Fox Md PC | Neurological Surgery | 1100 E 21st St, Suite 220, Sioux Falls, SD 57105-1020 | 2008-03-17 |
| 1093908501 | Avera Mckennan | Neurological Surgery | 1100 E 21st St, Ste 220, Sioux Falls, SD 57105-1020 | 2007-08-20 |
| 1063604650 | Avera Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 1100 E 21st St, 2nd Floor, Sioux Falls, SD 57105-1020 | 2007-08-16 |
| 1649461369 | Avera Mckennan | Neurological Surgery | 1100 E 21st St, Ste 600, Sioux Falls, SD 57105-1020 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261980 | Kate Beacom | Physical Medicine & Rehabilitation | 1000 N West Ave Ste 201, Sioux Falls, SD 57104-1374 | 2020-06-29 |
| 1386050342 | Adil Khalid Shaikh | Physical Medicine & Rehabilitation | 1301 South Cliff Ave, Suite 601, Avera Medical Group, Physical Medicine and Rehabilitation, Sioux Falls, SD 57105 | 2014-07-10 |
| 1124280847 | Frederick Radcliffe Entwistle | Physical Medicine & Rehabilitation | 4404 Hypointe Circle, Sioux Falls, SD 57105 | 2008-06-25 |
| 1497952162 | Judith R. Peterson, M.d., P.C. | Physical Medicine & Rehabilitation | 5023 S Bur Oak Pl, Sioux Falls, SD 57108-2228 | 2007-06-27 |
| 1497806798 | Richard Farnham | Physical Medicine & Rehabilitation | 101 W 37th St Ste 111, Sioux Falls, SD 57105-5733 | 2007-01-15 |
| 1235286600 | Jerry J Blow | Physical Medicine & Rehabilitation | 101 W 69th Str, Ste 103, Sioux Falls, SD 57108-2440 | 2007-01-05 |
| 1093862039 | Myung Joo Cho | Physical Medicine & Rehabilitation | 3934 South Western Ave, Sioux Falls, SD 57105 | 2007-01-04 |
| 1225059074 | Teamwork Physical Therapy | Physical Medicine & Rehabilitation | 5132 S Cliff Ave # 4, Sioux Falls, SD 57108 | 2006-07-21 |
| 1255988531 | Stephanie Kelley | Physical Medicine & Rehabilitation | 1000 N West Ave Ste 210, Sioux Falls, SD 57104-1314 | 2019-08-21 |
| 1700430543 | Jena Rae Haigh | Physical Medicine & Rehabilitation | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2019-07-30 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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| 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.