AVERA MCKENNAN NPI 1396711016

NPI Information

NPI: 1396711016
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA MEDICAL GROUP ENDOCRINOLOGY AND DIABETES SIOUX FALLS

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
1315 S CLIFF AVE STE 3000
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-7600
Get Directions

AVERA MCKENNAN is an endocrinology and diabetes and metabolism internal medicine in Sioux Falls, SD. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. AVERA MCKENNAN NPI is 1396711016. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group Endocrinology And Diabetes Sioux Falls.

The provider's business location address is:

1315 S CLIFF AVE STE 3000
SIOUX FALLS, SD
ZIP 57105-061
Phone: (605) 322-7600
Fax: (605) 322-7601

The provider's authorized official is David Flicek .
The authorized official title is Ceo/president and has the following contact phone number (605) 322-8000.

The enumeration date for this NPI number is 2/23/2006 and was last updated on 10/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	321J0DA	OTHER	MINNESOTA	BCBS
2	370624200	OTHER	SOUTH DAKOTA	DEPT OF LABOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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