Avera McKennan

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

AVERA MCKENNAN

Doing business as

Avera CNOS South Sioux City DME

Practice address

201 E 4TH St Ste 202
South Sioux City, NE 68776-9928

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 South Sioux City DME Doing business as

Tax ID family

Amg Radiology105 organizations share this tax ID, including this one

Part of

Amg Radiology

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": "1891619037",
    "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": "201 E 4TH ST STE 202",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687769928",
            "telephone_number": "605-217-2667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E 4th St",
            "address_purpose": "LOCATION",
            "city": "South Sioux City",
            "state": "NE",
            "postal_code": "687761706",
            "country_code": "US",
            "telephone_number": "605-217-2667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera CNOS South Sioux City DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Renee Arndt-Ramirez
• Jane Arnold, OTR
• Jeanna Elizabeth-Joy Atwell
• Melissa N. Austreim-Krell, M.D.
• Leidy Avalos
• Lauren E Avery
• B.L.T. & Associates
• Reagan Bahrke
• Esynce Bailey
• Hanima A Bakar

• Orthopaedic Surgery Physician in South Sioux City, NE
• Providers in South Sioux City, NE by specialty
• Orthopaedic Surgery Physician in Nebraska

• 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.