AVERA MCKENNAN


Address: 1301 S. Cliff Ave., Ste. 401, Sioux Falls, SD 57105-1053
Phone: 6053227300

AVERA MCKENNAN (NPI# 1134195332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134195332
Entity Type Organization
Organization Name AVERA MCKENNAN
Other Organization Name AVERA MEDICAL GROUP PHYSICAL MEDICINE AND REHABILITATION SIOUX FALLS
Practice Address 1301 S. Cliff Ave.
Ste. 401
Sioux Falls
SD 57105-1053
Mailing Address Po Box 86370
Sioux Falls
SD 57118-6370
Practice Telephone 6053227300
Practice Fax Number 6053227301
Mailing Telephone 6053227510
Mailing Fax Number 6053226475
Enumeration Date 2006-02-27
Last Update Date 2018-10-24
Authorized Official Name DAVID FLICEK (CEO/PRESIDENT)
Authorized Official Telephone 6053228000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN 600045200 05
SD BCBS 0007817 01
MN BCBS 49D15RE 01
SD HP 77752 01
SD DEPT OF LABOR 37624200 01
SD DC 9177484 01
MN PRIMEWEST 92411422907 01
IA 0548487 05

Other Provider/Organization Names

Other Name Type Code
Avera Medical Group Physical Medicine and Rehabilitation Sioux Falls Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154979805 Avera Mckennan Substance Abuse Rehabilitation Facility 6140 S Curae Lane, Sioux Falls, SD 57108-3047 2019-08-27
1205311628 Avera Mckennan Pharmacy 6100 S Louise Ave Ste 1100, Sioux Falls, SD 57108-6021 2018-10-02
1316463219 Avera Mckennan Pharmacy 1200 S. 7th Avenue, Suite 101, Sioux Falls, SD 57105 2017-08-22
1851848444 Avera Mckennan Durable Medical Equipment & Medical Supplies 2100 S Marion Road, Ste 125, Sioux Falls, SD 57106-3645 2016-09-01
1295187417 Avera Mckennan Psychiatry & Neurology 6709 S. Minnesota Ave., Ste. 103, Sioux Falls, SD 57108-2593 2016-07-12
1669871000 Avera Mckennan Durable Medical Equipment & Medical Supplies 3820 N Potsdam Ave Ste 2, Sioux Falls, SD 57104-7057 2014-08-21
1922413806 Avera Mckennan Clinic/Center 400 2nd Ave, Brookings, SD 57006 2014-06-30
1629499132 Avera Mckennan Occupational Therapist 1601 W 44th Pl, Sioux Falls, SD 57105-6376 2013-12-31
1700146396 Avera Mckennan Clinic/Center 1035 South Highline Pl, Ste #4, Sioux Falls, SD 57110 2012-05-17
1467711739 Avera Mckennan Pharmacy 1301 S Cliff Ave Ste 225, Sioux Falls, SD 57105-1068 2012-05-08

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations AVERA MCKENNAN 1325 S Cliff Ave, Sioux Falls, SD 57105-1007
Iowa Business Entities AVERA MCKENNAN 1325 S. Cliff St., Sioux Falls, SD 57105
System for Award Management (SAM) Entities AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER 1325 S Cliff Ave, Sioux Falls, SD 57105-1007

Office Location

Street Address 1301 S. CLIFF AVE.
STE. 401
City SIOUX FALLS
State SD
Zip Code 57105-1053

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386610004 Avera Mckennan Internal Medicine 1301 S. Cliff Ave., Ste. 601, Sioux Falls, SD 57105-1032 2006-02-23
1669752358 Amy Sue Thompson Nurse Practitioner 1301 S. Cliff Ave., Ste. 401, Sioux Falls, SD 57105-1023 2011-08-25
1346482890 Margaret A Carmody Neurological Surgery 1301 S. Cliff Ave., Ste. 610, Sioux Falls, SD 57105-1032 2009-03-30
1114113693 Avera Mckennan Neurological Surgery 1301 S. Cliff Ave., Sioux Falls, SD 57105-1032 2007-09-19
1912973785 Fady Ghassan Jamous Internal Medicine 1301 S. Cliff Ave., Ste. 601, Sioux Falls, SD 57105-1032 2006-02-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871117549 Ashlesha Ravindra Bagwe Student in an Organized Health Care Education/Training Program Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 2020-05-29
1306494489 Kelsey Elaine Kruse Counselor 3101 West 41st, Sioux Falls, SD 57105 2019-08-30
1902388341 Sarah Tacke Nurse Practitioner 1301 West 18th Street, Sioux Falls, SD 57105 2018-09-02
1235624727 Mahum Shahid Student in an Organized Health Care Education/Training Program 1400 W. 22nd St, Sioux Falls, SD 57105 2018-06-27
1942790126 Smitha Narayana Gowda Student in an Organized Health Care Education/Training Program 1400 22nd Street, Sioux Falls, SD 57105 2018-05-14
1326538554 Mali Elizabeth Teller Speech-Language Pathologist 2501 W. 26th Street, Sioux Falls, SD 57105 2018-05-14
1871081505 Abdelmohaymin Abdalla Abufatima Abdalla Student in an Organized Health Care Education/Training Program Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 2018-04-27
1710474697 Moataz Ellithi Student in an Organized Health Care Education/Training Program 1400 W. 22nd St., Sioux Falls, SD 57105 2018-04-17
1366948663 Holly Ahlers Registered Nurse 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 2018-04-04
1558864124 Darcy Lee Jensen Counselor 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 2018-03-09
Find all providers in zip 57105

Taxonomy Information

Taxonomy Code 208100000X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation

Taxonomy Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386261980 Kate Beacom Physical Medicine & Rehabilitation 1000 N West Ave Ste 201, Sioux Falls, SD 57104-1374 2020-06-29
1386050342 Adil Khalid Shaikh Physical Medicine & Rehabilitation 1301 South Cliff Ave, Suite 601, Avera Medical Group, Physical Medicine and Rehabilitation, Sioux Falls, SD 57105 2014-07-10
1124280847 Frederick Radcliffe Entwistle Physical Medicine & Rehabilitation 4404 Hypointe Circle, Sioux Falls, SD 57105 2008-06-25
1497952162 Judith R. Peterson, M.d., P.C. Physical Medicine & Rehabilitation 5023 S Bur Oak Pl, Sioux Falls, SD 57108-2228 2007-06-27
1497806798 Richard Farnham Physical Medicine & Rehabilitation 101 W 37th St Ste 111, Sioux Falls, SD 57105-5733 2007-01-15
1235286600 Jerry J Blow Physical Medicine & Rehabilitation 101 W 69th Str, Ste 103, Sioux Falls, SD 57108-2440 2007-01-05
1093862039 Myung Joo Cho Physical Medicine & Rehabilitation 3934 South Western Ave, Sioux Falls, SD 57105 2007-01-04
1225059074 Teamwork Physical Therapy Physical Medicine & Rehabilitation 5132 S Cliff Ave # 4, Sioux Falls, SD 57108 2006-07-21
1255988531 Stephanie Kelley Physical Medicine & Rehabilitation 1000 N West Ave Ste 210, Sioux Falls, SD 57104-1314 2019-08-21
1700430543 Jena Rae Haigh Physical Medicine & Rehabilitation 810 E 23rd St, Sioux Falls, SD 57105-2135 2019-07-30
Find all providers in SIOUX FALLS

Competitor

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City SIOUX FALLS
Zip Code 57105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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