NPIMap

Individual provider Active NPI

Michael Paul McLaury, PA

  • Physician Assistant
  • Sioux Falls, SD
National Provider Identifier
1942640461
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0872 Issued in SD
Practice address
1035 S Highline PL
Sioux Falls, SD 57110-1000
Phone
(605) 322-2945
NPI assigned
Jun 28, 2013
Last updated
Nov 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 53405 CA
Physician Assistant 363A00000X 0872 SD Primary

Addresses

Primary practice location

1035 S Highline PL
Sioux Falls, SD 57110-1000

Mailing address

1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 336-2140

Other practice location 1

1524 W Lacey Blvd
#101
Hanford, CA 93230-5965
Phone (559) 537-0305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130716000830 SD Practitioner - Physician Assistant 8921248824 Reassigns benefits to 3 organizations
I20180110003331 TX Practitioner - Physician Assistant 8921248824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 336-2140

1600 S Highline Ave
Sioux Falls, SD 57110-1008

1600 S Highline Ave
Suite 310
Sioux Falls, SD 57110-1007
Phone (605) 322-7600

1910 W 69TH St
Sioux Falls, SD 57108-5612
Phone (605) 322-5200

2100 S Marion Rd
Sioux Falls, SD 57106-3646
Phone (605) 322-5180

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
12621MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Jan 8, 2018 Accepting new patients
Avera McKennan CurrentSince Jan 8, 2018 Accepting new patients
Avera St. Luke's CurrentSince Mar 7, 2018 Accepting new patients
Avera St. Lukes CurrentSince Mar 7, 2018 Accepting new patients
Rural Health Care, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Avera McKennan PastSince Dec 15, 2019 Accepting new patients
Avera McKennan Physician Assistant Past Accepting new patients

Locations

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1035 S Highline Pl
Sioux Falls, SD 57110
Phone (605) 322-2925

1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140

410 W 16th Ave
Tyndall, SD 57066
Phone (605) 589-2158

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

Interoperability endpoints

  • Direct secure messaging: michael.mclaury@avera.sdhealthlink.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1942640461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S 7TH AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050900",
            "telephone_number": "605-336-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S HIGHLINE PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571101000",
            "telephone_number": "605-322-2945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1524 W Lacey Blvd",
            "address_2": "#101",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932305965",
            "country_code": "US",
            "telephone_number": "559-537-0305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLAURY",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53405",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.