AVERA MEDICAL GROUP GYNECOLOGIC ONCOLOGY SIOUX FALLS – NPI #1932346251
Obstetrics & Gynecology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

AVERA MEDICAL GROUP GYNECOLOGIC ONCOLOGY SIOUX FALLS is a provider located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1932346251 to AVERA MEDICAL GROUP GYNECOLOGIC ONCOLOGY SIOUX FALLS on January 08, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA MEDICAL GROUP GYNECOLOGIC ONCOLOGY SIOUX FALLS” is a dba name, the actual legal business name for this organization is AVERA MCKENNAN. The primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

The NPI profile was previously updated about 8 years ago on Oct 24, 2018. 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 GYNECOLOGIC ONCOLOGY SIOUX FALLS below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1932346251
Enumeration Date

(more than 17 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 GYNECOLOGIC ONCOLOGY SIOUX FALLS
Primary location
1000 E. 23RD ST.
STE. 350
SIOUX FALLS, SD 57105-2140
Phone: (605) 322-7535 Fax: (605) 322-7540
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
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
207VX0201X
- Obstetrics & Gynecology / Gynecologic 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.