AVERA MCKENNAN NPI 1770558405

NPI Information

  • NPI: 1770558405
  • Provider Name: AVERA MCKENNAN
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: AVERA MEDICAL GROUP INTERNAL MEDICINE SIOUX FALLS
  • Address: 6100 S LOUISE AVE STE 1120
    SIOUX FALLS, SD
    ZIP 57108
  • Phone: (605) 504-1700

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NPI Details

AVERA MCKENNAN is an internal medicine in Sioux Falls, SD. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. AVERA MCKENNAN NPI is 1770558405. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group Internal Medicine Sioux Falls.

The provider's business location address is:

6100 S LOUISE AVE STE 1120
SIOUX FALLS, SD
ZIP 57108-021
Phone: (605) 504-1700

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 2/17/2006 and was last updated on 11/1/2019.

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 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
10532341MEDICAIDIOWA
292411422901OTHERMINNESOTAPRIMEWEST
3370624200OTHERSOUTH DAKOTADEPT OF LABOR
459767OTHERSOUTH DAKOTAHEALTHPARTNERS
5068417100MEDICAIDMINNESOTA
60006020OTHERSOUTH DAKOTABCBS
730B74GUOTHERMINNESOTABLUE PLUS
830B74GUOTHERMINNESOTABLUE CROSS

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: 3/30/2025

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