Avera McKennan

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

AVERA MCKENNAN

Doing business as

AveraNow

Practice address

3000 S Minnesota Ave
Sioux Falls, SD 57105-5647

Phone

(605) 332-1502

NPI assigned

Oct 30, 2015

Last updated

Oct 24, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Flicek

Title

Ceo/President

Phone

(605) 322-8000

Specialties & licenses 2

Addresses

Other names 1

• AveraNow Doing business as

Tax ID family

Presentation Health Sys105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Avera McKennan

  dba Avera Medical Group Addiction Medicine

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Sioux Falls, SD
  • NPI 1013668698
  NPD tax ID
• Avera McKennan

  dba Avera Dialysis Mitchell

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mitchell, SD
  • NPI 1023413093
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group McGreevy 69th & Minnesota Pediatrics

  • Pediatrics Physician
  • Sioux Falls, SD
  • NPI 1033405436
  NPD tax ID
• Avera McKennan

  dba Avera Prince of Peace Assisted Living

  • Assisted Living Facility
  • Sioux Falls, SD
  • NPI 1053556068
  NPD tax ID
• Avera McKennan

  dba Avera Interventional Radiology

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Brookings

  • Clinical Medical Laboratory
  • Brookings, SD
  • NPI 1063782373
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Health Care Clinic Sioux Falls

  • Internal Medicine Physician
  • Sioux Falls, SD
  • NPI 1083894067
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Milbank

  • Family Medicine Physician
  • Milbank, SD
  • NPI 1114594868
  NPD tax ID
• Avera McKennan

  dba Avera Children's

  • Pediatric Hematology & Oncology Physician
  • Sioux Falls, SD
  • NPI 1144488537
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group 69th and Cliff

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1144635863
  NPD tax ID
• Avera McKennan

  dba Avera McKennan Hospital and University Health Center - Diabetic Ed

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1154531630
  NPD tax ID
• Avera McKennan

  dba Avera Addiction Care Center

  • Substance Abuse Rehabilitation Facility
  • Sioux Falls, SD
  • NPI 1154979805
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1023480951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86370",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571186370",
            "telephone_number": "605-322-7510",
            "fax_number": "605-322-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055647",
            "telephone_number": "605-332-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MCKENNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "FLICEK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "605-322-8000"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AveraNow",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AveraNow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avera McKennan (Avera Medical Group Rheumatology Sioux Falls)
• Avera McKennan (Avera Medical Group)
• Avera McKennan (Avera Medical Group Addiction Medicine)
• Avera McKennan
• Avera McKennan (Avera Medical Group University Psychiatry Associates Sioux Falls)
• Avera McKennan (Avera Medical Group Oncology and Hematology Sioux Falls)
• Avera McKennan (Avera Medical Group McGreevy 69th & Minnesota Pediatrics)
• Avera McKennan (Avera Prince of Peace Assisted Living)
• Avera McKennan (Avera Interventional Radiology)
• Avera McKennan (Avera Neonatology Sioux Falls)

• Physician Assistant in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.