Avera McKennan

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

AVERA MCKENNAN

Doing business as

Avera CNOS Northside DME

Practice address

2735 Outer Dr N
Sioux City, IA 51104-1590

Phone

(605) 217-2667

NPI assigned

Aug 10, 2026

Last updated

Aug 31, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

AVERA MCKENNANAs reported in NPPES

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

Authorized official

Name

Ronald Place, MD

Title

Regional President/Ceo

Phone

(605) 322-7903

Specialties & licenses 2

Addresses

Other names 1

• Avera CNOS Northside DME Doing business as

Tax ID family

Presentation Health Sys105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Avera McKennan

  dba Avera Merrill Pioneer Hospital Swingbed

  • Medicare Defined Swing Bed Hospital Unit
  • Rock Rapids, IA
  • NPI 1093288292
  NPD tax ID
• Avera McKennan

  dba Avera CNOS Sunnybrook DME

  • Orthopaedic Surgery Physician
  • Sioux City, IA
  • NPI 1467376608
  NPD tax ID
• Avera McKennan

  dba Avera Merrill Pioneer Hospital

  • Critical Access Hospital
  • Rock Rapids, IA
  • NPI 1750854956
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group George

  • Rural Health Clinic/Center
  • George, IA
  • NPI 1790258044
  NPD tax ID

Locations

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1619891850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 N SIOUX POINT RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495312",
            "telephone_number": "605-217-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 OUTER DR N",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041590",
            "telephone_number": "605-217-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MCKENNAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVERA MCKENNAN",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "PLACE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "REGIONAL PRESIDENT/CEO",
        "authorized_official_telephone_number": "605-322-7903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera CNOS Northside DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lyn Ashley, PTA
• Associates for Psychiatric Services PC
• Emily Atkinson
• Ravinder Aujla
• Avera McKennan (Avera CNOS Sunnybrook DME)
• Rena Avery, D.O.
• Wendy Christina Avina, CADC
• Michelle Axdahl
• Nicole Bacan, MA, CCC-SLP
• Mary E Bachman, LMSW

• Orthopaedic Surgery Physician in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Orthopaedic Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.