AVERA MCKENNAN NPI 1396945267

NPI Information

  • NPI: 1396945267
  • Provider Name: AVERA MCKENNAN
  • Classification: Internal Medicine - 207RI0008X
  • Specialization: Hepatology
  • Entity Type: Organization
  • :
  • Address: 1600 S HIGHLINE AVE STE 220
    SIOUX FALLS, SD
    ZIP 57110
  • Phone: (605) 322-8535

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NPI Details

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 .

The provider's business location address is:

1600 S HIGHLINE AVE STE 220
SIOUX FALLS, SD
ZIP 57110-008
Phone: (605) 322-8535
Fax: (605) 322-8536

The provider's authorized official is Ronald Place .
The authorized official title is Ceo/president and has the following contact phone number (605) 322-7903.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 8/14/2025.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11396945267MEDICAIDIOWA
28G749AVOTHERMINNESOTABLUE PLUS
3164563OTHERSOUTH DAKOTAHEALTHPARTNERS
49250205OTHERSOUTH DAKOTADAKOTACARE
58G749AVOTHERMINNESOTABCBS

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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