NPIMap

Organization Active NPI

Avera McKennan

Doing business as Avera Medical Group 69th and Cliff

  • Family Medicine Physician
  • Sioux Falls, SD
National Provider Identifier
1144635863
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AVERA MCKENNAN
Doing business as
Avera Medical Group 69th and Cliff
Practice address
6215 South Cliff Avenue
Sioux Falls, SD 57108-8589
Phone
(605) 322-3300
Fax
(605) 322-3301
NPI assigned
Jun 23, 2014
Last updated
Jun 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Julie Norton
Title
Cfo
Phone
(605) 322-6375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

6215 South Cliff Avenue
Sioux Falls, SD 57108-8589

Mailing address

PO Box 86430
Sioux Falls, SD 57118-6430
Phone (605) 322-4901

Other identifiers 1

IdentifierTypeStateIssuer
100716OtherSDMEDICARE ID

Other names 1

  • Avera Medical Group 69th and Cliff Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D0935209Avera Medical Group McGreevy 69TH and Cliff6215 South Cliff, Sioux Falls, SD 57108AccreditationMar 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Amg Radiology105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

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 AveraNow

    • Physician Assistant
    • Sioux Falls, SD
    • NPI 1023480951
    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 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
View all 22

Locations

4011 W Benson Rd
Sioux Falls, SD 57107
Phone (605) 322-1500

Practitioners & affiliated clinicians

Practitioners 436

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 436

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1144635863",
    "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": "605-322-4901",
            "fax_number": "605-322-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 SOUTH CLIFF AVENUE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088589",
            "telephone_number": "605-322-3300",
            "fax_number": "605-322-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MCKENNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-322-6375"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "100716",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Medical Group 69th and Cliff",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.