Avera McKennan

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

AVERA MCKENNAN

Doing business as

Avera Medical Group McHale Institute

Practice address

3720 W 69TH St
Sioux Falls, SD 57108-8192

Phone

(605) 339-4464

Fax

(605) 339-0309

NPI assigned

Apr 26, 2012

Last updated

Apr 26, 2012By 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

Julie N Norton

Title

Senior VP Finance

Phone

(605) 322-6375

Specialties & licenses 1

Addresses

Other names 1

• Avera Medical Group McHale Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in SD, MN2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 21

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Avera McKennan

  dba Avera Medical Group Urogynecology Sioux Falls

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1003188269

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Medical Group University Psychiatry Associates Sioux Falls

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1013980598

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Oncology and Hematology Sioux Falls

  • Hematology & Oncology Physician
  • Sioux Falls, SD
  • NPI 1033185582

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Interventional Radiology

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
  • NPI 1093262131

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Nephrology

  • Nephrology Physician
  • Sioux Falls, SD
  • NPI 1104892892

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Physical Medicine and Rehabilitation Sioux Falls

  • Physical Medicine & Rehabilitation Physician
  • Sioux Falls, SD
  • NPI 1134195332

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Maternal Fetal Medicine Sioux Falls

  • Maternal & Fetal Medicine Physician
  • Sioux Falls, SD
  • NPI 1205808748

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Womens Health Specialists Sioux Falls

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1336111962

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Dermatology

  • Dermatology Physician
  • Sioux Falls, SD
  • NPI 1346216074

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Pulmonary and Sleep Medicine Sioux Falls

  • Pulmonary Disease Physician
  • Sioux Falls, SD
  • NPI 1386610004

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Midwest Psychiatric Medicine Sioux Falls

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1407829781

  O20040109001102

  Same enrollment

Locations

Practitioners 5

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.

• Michael Stephen McHale, MD

  • Hematology & Oncology Physician
  • Sioux Falls, SD
  • NPI 1124017256
  NPD
• Elizabeth Ann O'Neill, MS ARNP-BC

  • Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1215135348
  NPD
• Michael E Peterson, M.D.

  • Radiation Oncology Physician
  • Yankton, SD
  • NPI 1336238757
  NPD
• Nancy Jean Terveen, CNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1609198126
  NPD
• Sophia Mae Edwards-Bennett, MD, PH.D

  • Radiation Oncology Physician
  • Huntington, WV
  • NPI 1942468426
  NPD

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1164780201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S MINNESOTA AVE",
            "address_2": "STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571053761",
            "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": "3720 W 69TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088192",
            "telephone_number": "605-339-4464",
            "fax_number": "605-339-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MCKENNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SENIOR VP FINANCE",
        "authorized_official_telephone_number": "605-322-6375"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Medical Group McHale Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avera McKennan (Avera Medical Group 69th and Cliff)
• Avera McKennan (Avera McKennan Hospital and University Health Center - Diabetic Ed)
• Avera McKennan (Avera Addiction Care Center)
• Avera McKennan
• Avera McKennan (Avera McKennan Home Infusion)
• Avera McKennan
• Avera McKennan (Avera Gastroenterology Sioux Falls)
• Avera McKennan (Avera on Louise Pharmacy)
• Avera McKennan (The Link)
• Avera McKennan (Avera Maternal Fetal Medicine Sioux Falls)

• Hematology & Oncology Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Hematology & Oncology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.