AVERA MEDICAL GROUP HEMATOLOGY, TRANSPLANT & CELLULAR THERAPY SIOUX FA – NPI #1538135447
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

AVERA MEDICAL GROUP HEMATOLOGY, TRANSPLANT & CELLULAR THERAPY SIOUX FA is a provider located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1538135447 to AVERA MEDICAL GROUP HEMATOLOGY, TRANSPLANT & CELLULAR THERAPY SIOUX FA on February 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA MEDICAL GROUP HEMATOLOGY, TRANSPLANT & CELLULAR THERAPY SIOUX FA” is a dba name, the actual legal business name for this organization is AVERA MCKENNAN. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 5 years ago on Jan 18, 2021. 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 MEDICAL GROUP HEMATOLOGY, TRANSPLANT & CELLULAR THERAPY SIOUX FA below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1538135447
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVERA MCKENNAN
Doing Business As (dba): AVERA MEDICAL GROUP HEMATOLOGY, TRANSPLANT & CELLULAR THERAPY SIOUX FA
Primary location
1000 E. 23RD ST.
STE. 200
SIOUX FALLS, SD 57105-2122
Phone: (605) 322-3035 Fax: (605) 322-3036
Mailing address
PO BOX 86370
SIOUX FALLS, SD 57118-6370
Phone: (605) 322-7510 Fax: (605) 322-6475
Organization Subpart
No
Authorized Official
DAVID FLICEK
CEO/PRESIDENT
Phone: (605) 322-8000
Updated
Certification Date
Jan 18, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AVERA MEDICAL GROUP HEMATOLOGY, TRANSPLANT & CELLULAR THERAPY SIOUX FA

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBCBSMN68B91LE
OTHERBCBSSD0007442
OTHERBLUE PLUSMN68B91LE
OTHERDAKOTACARESD9174731
OTHERDEPT OF LABORSD370624200
OTHERHEALTHPARTNERSSD71664
OTHERPRIMEWESTMN92411422911
MEDICAIDIA0573931
MEDICAIDMN306918400
Taxonomy Code(s)

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
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

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.