Active NPI
Avera McKennan
Doing business as Avera Medical Group McGreevy 69th & Minnesota Pediatrics
- Pediatrics Physician
- Sioux Falls, SD
National Provider Identifier
1033405436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- AVERA MCKENNAN
- Doing business as
- Avera Medical Group McGreevy 69th & Minnesota Pediatrics
- Practice address
- 116 W 69TH St
Sioux Falls, SD 57108-6418 - Phone
- (605) 322-1530
- Fax
- (605) 322-1531
- NPI assigned
- Jun 23, 2011
- Last updated
- May 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Julie N Norton
- Title
- Senior Vice President of Finance
- Phone
- (605) 322-6375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
116 W 69TH St
Sioux Falls, SD 57108-6418
Mailing address
PO Box 86430
Sioux Falls, SD 57118-6430
Phone (605) 322-4900
Other names 1
- Avera Medical Group McGreevy 69th & Minnesota Pediatrics
National Provider Directory
National Provider Directory- Tax ID family
- Presentation Health Sys
Organizations with this tax ID in the same state 15
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Avera Medical Group Addiction Medicine
- Addiction Medicine (Psychiatry & Neurology) Physician
- Sioux Falls, SD
- NPI 1013668698
-
dba Avera Dialysis Mitchell
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Mitchell, SD
- NPI 1023413093
-
dba Avera Prince of Peace Assisted Living
- Assisted Living Facility
- Sioux Falls, SD
- NPI 1053556068
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
dba Avera Medical Group Brookings
- Clinical Medical Laboratory
- Brookings, SD
- NPI 1063782373
-
dba Avera Medical Group Health Care Clinic Sioux Falls
- Internal Medicine Physician
- Sioux Falls, SD
- NPI 1083894067
-
dba Avera Children's
- Pediatric Hematology & Oncology Physician
- Sioux Falls, SD
- NPI 1144488537
-
dba Avera Medical Group 69th and Cliff
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1144635863
-
dba Avera McKennan Hospital and University Health Center - Diabetic Ed
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
dba Avera Addiction Care Center
- Substance Abuse Rehabilitation Facility
- Sioux Falls, SD
- NPI 1154979805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337126400000",
"number": "1033405436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86430",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571186430",
"telephone_number": "605-322-4900",
"fax_number": "605-322-4910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 W 69TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571086418",
"telephone_number": "605-322-1530",
"fax_number": "605-322-1531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVERA MCKENNAN",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-23",
"last_updated": "2012-05-16",
"status": "A",
"authorized_official_last_name": "NORTON",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT OF FINANCE",
"authorized_official_telephone_number": "605-322-6375",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avera Medical Group McGreevy 69th & Minnesota Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sioux Falls, SD
- Avera McKennan (Avera Medical Group Addiction Medicine)
- Avera McKennan
- Avera McKennan (Avera Medical Group University Psychiatry Associates Sioux Falls)
- Avera McKennan (AveraNow)
- Avera McKennan (Avera Medical Group Oncology and Hematology Sioux Falls)
- Avera McKennan (Avera Prince of Peace Assisted Living)
- Avera McKennan (Avera Interventional Radiology)
- Avera McKennan (Avera Neonatology Sioux Falls)
- Avera McKennan (Avera Medical Group Health Care Clinic Sioux Falls)
- Avera McKennan (Avera Medical Group Hospitalists Sioux Falls)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.