AVERA MCKENNAN – NPI #1336111962
Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
AVERA MCKENNAN is a provider located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1336111962 to AVERA MCKENNAN on February 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.
The NPI profile was last updated on Mar 12, 2026. 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 20 years ago)
All associated names:
Avera Medical Group Womens Health Specialists Sioux Falls
Avera Obstetrics & Gynecology
SIOUX FALLS, SD 57105-1064 Phone: (605) 322-8920 Fax: (605) 322-8919
2 Other location(s):
Sioux Falls, SD 57110-1008
Phone: (605) 504-5800
Fax: (605) 504-5801
Sioux Falls, SD 57106-3650
Phone: (605) 322-8920
Fax: (605) 322-6721
SIOUX FALLS, SD 57118-6370 Phone: (605) 322-7510 Fax: (605) 322-6475
CEO/PRESIDENT
Phone: (605) 322-8000
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 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.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | BC/IA | IA | 33583 |
| other | BC/IA | IA | 33582 |
| other | BC/IA | IA | 04235 |
| other | BC/IA | IA | 33581 |
| other | BC/IA | IA | 70000 |
| other | BCBS | MN | 48D59OB |
| other | BCBS | SD | 0007994 |
| other | BLUE PLUS | MN | 48D59OB |
| other | DAKOTACARE | SD | 9177835 |
| other | DEPT OF LABOR | SD | 370624200 |
| other | HEALTHPARTNERS | SD | 77716 |
| other | PRIMEWEST | SD | 040115001 |
| medicaid | IA | 0548537 | |
| medicaid | MN | 194898900 |
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 |
|---|---|---|
| 207V00000X - Obstetrics & Gynecology (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.