AVERA MCKENNAN – NPI #1306939806
Family Medicine
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 is a provider located in WORTHINGTON, MN. NPPES has assigned the NPI number 1306939806 to AVERA MCKENNAN on October 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is AVERA MCKENNAN DBA AVERA WORTHINGTON SPECIALTY CLINICS. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 9 years ago on May 31, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERA MCKENNAN below.
NPI Profile for
AVERA MCKENNAN
(more than 19 years ago)
All associated names:
AVERA MCKENNAN DBA AVERA WORTHINGTON SPECIALTY CLINICS
Avera Medical Group Worthington
SUITE 1
WORTHINGTON, MN 56187-1722 Phone: (507) 372-2921 Fax: (507) 372-5789
CFO/SVP
Phone: (605) 322-7818
Identifiers for AVERA MCKENNAN
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | MN | 951015000 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
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| 363LP0808X - Nurse Practitioner / Psychiatric/Mental Health |
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| 208600000X - Surgery |
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| 208000000X - Pediatrics |
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| 207V00000X - Obstetrics & Gynecology |
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| 207R00000X - Internal Medicine |
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| 103T00000X - Psychologist |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.