AVERA MCKENNAN


Address: 1000 E 23rd St Ste 360, Sioux Falls, SD 57105-2140
Phone: 6053223950

AVERA MCKENNAN (NPI# 1932477098) 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) 1932477098
Entity Type Organization
Organization Name AVERA MCKENNAN
Other Organization Name AVERA MEDICAL GROUP COMPREHENSIVE BREAST CARE SIOUX FALLS
Practice Address 1000 E 23rd St Ste 360
Sioux Falls
SD 57105-2140
Mailing Address Po Box 86370
Sioux Falls
SD 57118-6370
Practice Telephone 6053223950
Practice Fax Number 6053321617
Mailing Telephone 6053227510
Mailing Fax Number 6053226475
Enumeration Date 2011-12-05
Last Update Date 2018-10-24
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
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Avera Medical Group Comprehensive Breast Care Sioux Falls Doing Business As Name - Organization

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 1000 E 23RD ST STE 360
City SIOUX FALLS
State SD
Zip Code 57105-2140

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417449562 Austin Jay Huber Genetic Counselor, MS 1000 E 23rd St Ste 360, Sioux Falls, SD 57105-2140 2018-06-05
1891050597 Traci Marie Redmond Nurse Practitioner 1000 E 23rd St Ste 360, Sioux Falls, SD 57105-2140 2012-07-09

Providers in the same zip code

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 Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730410465 Philip Felix Winskunas Surgery 6019 E. Powderhouse Circle, Sioux Falls, SD 57110-7468 2010-01-20
1295991370 Comprehensive Breast Care PC Surgery 911 E 20th St Ste 400, Sioux Falls, SD 57105-1046 2008-07-29
1740490499 Laura M Figura Surgery 1417 S Cliff Ave Ste 200, Sioux Falls, SD 57105-1009 2007-05-23
1184724742 Gail Waldby Surgery 3700 S Westport Ave # 3014, Sioux Falls, SD 57106-6360 2006-09-24
1750332110 Robert K Dahl Surgery 911 E 20th St Ste 501, Sioux Falls, SD 57105-1047 2006-05-12
1255317038 Jason Knudtson Surgery 1508 W 22nd St, Ste 101, Sioux Falls, SD 57105-1508 2005-12-22
1235796533 Upper Midwest Medical Inc Surgery 4201 S Minnesota Ave Ste 112, Sioux Falls, SD 57105-6706 2019-05-22
1407194996 Hassan Al Turaihi Surgery 1508 W 22nd St Ste 101, Sioux Falls, SD 57105-1514 2013-01-18
1467744201 Stephanie Y Hung Surgery 2501 W. 22nd Street, Att: Dr. Hung, Sioux Falls, SD 57105 2011-05-12
1750680286 Michael Joseph Brozik Surgery 911 E 20th St Ste 700, Sioux Falls, SD 57105 2011-03-23
Find all providers in SIOUX FALLS

Competitor

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City SIOUX FALLS
Zip Code 57105

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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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