AVERA MCKENNAN NPI 1376575514

NPI Information

  • NPI: 1376575514
  • Provider Name: AVERA MCKENNAN
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: AVERA MEDICAL GROUP MCGREEVY 7TH AVENUE
  • Address: 1200 S 7TH AVE
    SIOUX FALLS, SD
    ZIP 57105
  • Phone: (605) 336-2140

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NPI Details

AVERA MCKENNAN is a family medicine in Sioux Falls, SD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AVERA MCKENNAN NPI is 1376575514. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Avera Medical Group Mcgreevy 7th Avenue.

The provider's business location address is:

1200 S 7TH AVE
SIOUX FALLS, SD
ZIP 57105-912
Phone: (605) 336-2140

The provider's authorized official is Julie N Norton .
The authorized official title is Sr. Vice President Of Finance and has the following contact phone number (605) 322-7818.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 5/10/2012.

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
1207R00000XInternal MedicineNo
2207V00000XObstetrics & GynecologyNo
3208000000XPediatricsNo
4208600000XSurgeryNo
5363A00000XPhysician AssistantNo
6363L00000XNurse PractitionerNo
7207Q00000XFamily MedicineYes

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
1996421500MEDICAIDMINNESOTA
20716829MEDICAIDIOWA
31202730020MEDICARE NSCSOUTH DAKOTA
4DE2294MEDICARE ID-TYPE UNSPECIFIEDSOUTH DAKOTARR MEDICARE
5S100716MEDICARE ID-TYPE UNSPECIFIEDSOUTH DAKOTA

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: 11/21/2025

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