Active NPI
Avera McKennan
Doing business as Avera Medical Group McGreevy West Benson Road
- Family Medicine Physician
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- AVERA MCKENNAN
- Doing business as
- Avera Medical Group McGreevy West Benson Road
- Practice address
- 4011 W Benson Rd
Sioux Falls, SD 57107-0104 - Phone
- (605) 322-1500
- Fax
- (605) 322-1510
- NPI assigned
- Jul 1, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
4011 W Benson Rd
Sioux Falls, SD 57107-0104
Mailing address
PO Box 86430
Sioux Falls, SD 57118-6430
Phone (605) 322-4900
Other names 1
- Avera Medical Group McGreevy West Benson Road
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D2031493 | Avera Medical Group McGreevy W Benson Road | Accreditation | Nov 13, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Presentation Health Sys
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Avera McKennan Outpatient Therapy Services - Brandon
- Physical Therapy Clinic/Center
- Brandon, SD
- NPI 1346494697
-
dba Avera Medical Group McGreevy Dawley Farm
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1346512266
-
dba Avera Medical Group Palliative Medicine Sioux Falls
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Sioux Falls, SD
- NPI 1356629497
-
dba Avera Medical Group Kennebec Area
- Family Medicine Physician
- Kennebec, SD
- NPI 1356788491
-
dba Avera Healthworks
- Occupational Medicine Clinic/Center
- Sioux Falls, SD
- NPI 1376662825
-
dba Avera Medical Group Integrative Medicine Sioux Falls
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1386081883
-
dba Avera Dermatology Pharmacy
- Community/Retail Pharmacy
- Sioux Falls, SD
- NPI 1407141344
-
dba Avera Gregory Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Gregory, SD
- NPI 1417215740
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1437579919
Locations
4011 W Benson Rd
Sioux Falls, SD 57107
Phone (605) 322-1500
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1710249248
-
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1063480390
-
- Medical Physician Assistant
- Sioux Falls, SD
- NPI 1194797423
-
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1447441647
-
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1770719122
-
- Physician Assistant
- Sioux Falls, SD
- NPI 1861894651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337126400000",
"number": "1457648149",
"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": "4011 W BENSON RD",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571070104",
"telephone_number": "605-322-1500",
"fax_number": "605-322-1510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVERA MCKENNAN",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-01",
"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": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avera Medical Group McGreevy West Benson Road",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sioux Falls, SD
- Avera McKennan (Avera Medical Group Eye Care)
- Avera McKennan (Avera Medical Group Certified Nurse Midwifery Sioux Falls)
- Avera McKennan
- Avera McKennan (AveraNow Empire)
- Avera McKennan (Avera Medical Group Comprehensive Weight Management)
- Avera McKennan (Avera Breast Center)
- Avera McKennan (Avera Compounding Pharmacy)
- Avera McKennan (CORE Orthopedics Avera Medical Group)
- Avera McKennan (Avera Prince of Peace Outpatient Therapy)
- Avera McKennan (Avera McGreevy Clinic)
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.
- 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.