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AVERA MCKENNAN NPI 1396945267


NPI Information

NPI: 1396945267
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA MEDICAL GROUP LIVER DISEASE SIOUX FALLS

Classification: Internal Medicine - 207RI0008X
Entity Type: Organization

Specialization: Hepatology

Address:
1315 S. CLIFF AVE.
STE. 1200
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-8535
Get Directions

AVERA MCKENNAN is a hepatology internal medicine in Sioux Falls, SD. The provider is the discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs. AVERA MCKENNAN NPI is 1396945267. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group Liver Disease Sioux Falls.

The provider's business location address is:

1315 S. CLIFF AVE.
STE. 1200
SIOUX FALLS, SD
ZIP 57105-057
Phone: (605) 322-8535
Fax: (605) 322-8536

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 7/19/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0008XInternal MedicineHepatologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18G749AVOTHERMINNESOTABLUE PLUS
21396945267MEDICAIDIOWA
38G749AVOTHERMINNESOTABCBS
49250205OTHERSOUTH DAKOTADAKOTACARE
5164563OTHERSOUTH DAKOTAHEALTHPARTNERS

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

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