AVERA MEDICAL GROUP MCGREEVY 69TH & MINNESOTA PEDIATRICS – NPI #1033405436
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

AVERA MEDICAL GROUP MCGREEVY 69TH & MINNESOTA PEDIATRICS is a provider located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1033405436 to AVERA MEDICAL GROUP MCGREEVY 69TH & MINNESOTA PEDIATRICS on June 23, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA MEDICAL GROUP MCGREEVY 69TH & MINNESOTA PEDIATRICS” is a dba name, the actual legal business name for this organization is AVERA MCKENNAN. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 14 years ago on May 16, 2012. 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 MCGREEVY 69TH & MINNESOTA PEDIATRICS below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1033405436
Enumeration Date

(about 15 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 MCGREEVY 69TH & MINNESOTA PEDIATRICS
Primary location
116 W 69TH ST
SIOUX FALLS, SD 57108-6418
Phone: (605) 322-1530 Fax: (605) 322-1531
Mailing address
PO BOX 86430
SIOUX FALLS, SD 57118-6430
Phone: (605) 322-4900 Fax: (605) 322-4910
Organization Subpart
No
Authorized Official
JULIE NORTON
SENIOR VICE PRESIDENT OF FINANCE
Phone: (605) 322-6375
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
208000000X
- Pediatrics (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.