Avera McKennan

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

AVERA MCKENNAN

Doing business as

CORE Orthopedics Avera Medical Group

Practice address

2908 E. 26TH St.
Sioux Falls, SD 57103-4034

Phone

(605) 336-2638

Fax

(605) 334-3500

NPI assigned

Nov 2, 2010

Last updated

Aug 29, 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 of Finance

Phone

(605) 322-6375

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CORE Orthopedics Avera Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in SD, MN, IA3 enrollments

Enrollment records 3

Other NPIs on the same Medicare enrollment 35

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 Rheumatology Sioux Falls

  • Rheumatology Physician
  • Sioux Falls, SD
  • NPI 1013177393

  O20040206000384

  Same enrollment
• Avera McKennan

  dba Avera Medical Group University Psychiatry Associates Sioux Falls

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1013980598

  O20040109001102, O20040206000384

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Oncology and Hematology Sioux Falls

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

  O20040109001102, O20040206000384

  Same enrollment
• Avera McKennan

  dba Avera Interventional Radiology

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

  O20040109001102, O20040206000384

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Orthopedics and Sports Medicine

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

  O20040109001102, O20040206000384

  Same enrollment
• Avera McKennan

  dba Avera Nephrology

  • Nephrology Physician
  • Sioux Falls, SD
  • NPI 1104892892

  O20040109001102, O20040206000384

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Brain and Spine Institute

  • Neurological Surgery Physician
  • Sioux Falls, SD
  • NPI 1114113693

  O20040206000384

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Physical Medicine and Rehabilitation Sioux Falls

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

  O20040109001102, O20040206000384

  Same enrollment
• Avera McKennan

  dba Avera Medical Group McHale Institute

  • Hematology & Oncology Physician
  • Sioux Falls, SD
  • NPI 1164780201

  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, O20040206000384

  Same enrollment

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Avera Home Medical Equipment, LLC

  • Durable Medical Equipment & Medical Supplies
  • Pierre, SD
  • NPI 1669548616

  Member Of

  NPD member
• Avera Home Medical Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Marshall, MN
  • NPI 1790793933

  Member Of

  NPD member

Locations

Practitioners 15

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.

• Nathan Scott Elg, DO

  • Emergency Medicine Physician
  • Sioux Falls, SD
  • NPI 1043747249
  NPD
• Bassel Jabbour, M.D

  • Hospitalist Physician
  • Sioux Falls, SD
  • NPI 1417212119
  NPD
• Nicole Marie Kress, MD

  • Emergency Medicine Physician
  • Sioux Falls, SD
  • NPI 1184827560
  NPD
• Dayana Del Carmen Maita Coronel, MD

  • Infectious Disease Physician
  • Sioux Falls, SD
  • NPI 1447697693
  NPD
• Brian Sabado Pepito, M.D.

  • Infectious Disease Physician
  • Sioux Falls, SD
  • NPI 1093909756
  NPD
• James J. Plorde, M.D.

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1225061252
  NPD
• Alan James Sazama

  • Emergency Medicine Physician
  • Sioux Falls, SD
  • NPI 1962816660
  NPD
• Samuel Sean Schimelpfenig, M.D.

  • Pediatrics Physician
  • Sioux Falls, SD
  • NPI 1508037920
  NPD
• Romai Werede Sebhatu

  • Internal Medicine Physician
  • Sioux Falls, SD
  • NPI 1548623713
  NPD
• Janell L Simpkins, MD

  • Internal Medicine Physician
  • Sioux Falls, SD
  • NPI 1619989605
  NPD
• Mark Anthony Antonio Diaz, MD

  • Infectious Disease Physician
  • Jacksonville, FL
  • NPI 1417364563
  NPD
• Kwabena A Kwakye, MD

  • Nephrology Physician
  • Minneapolis, MN
  • NPI 1417215252
  NPD

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1467752899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 E. 26TH ST.",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571034034",
            "telephone_number": "605-336-2638",
            "fax_number": "605-334-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 E. 26TH ST.",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571034034",
            "telephone_number": "605-336-2638",
            "fax_number": "605-334-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MCKENNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SENIOR VP OF FINANCE",
        "authorized_official_telephone_number": "605-322-6375"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD MEDICARE DME",
            "identifier": "1202730029",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORE Orthopedics Avera Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avera McKennan (AveraNow Empire)
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• Avera McKennan (Avera Breast Center)
• Avera McKennan (Avera Compounding Pharmacy)
• Avera McKennan (Avera Prince of Peace Outpatient Therapy)
• Avera McKennan (Avera McGreevy Clinic)
• Avera McKennan (Avera Medical Group Radiation Oncology)
• Avera McKennan (Avera Medical Group McGreevy Joe Foss)
• Avera McKennan (Avera Medical Group Infectious Disease Specialists Sioux Falls)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.