AVERA MCKENNAN – NPI #1821686932
Pediatrics

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Health Care Provider Taxonomy Code for Pediatrics

AVERA MCKENNAN is a provider located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1821686932 to AVERA MCKENNAN on January 05, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0203X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Critical Care Medicine

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

NPI Number
1821686932
Enumeration Date

(more than 5 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
Primary location
1417 S CLIFF AVE STE 201
SIOUX FALLS, SD 57105-1009
Phone: (605) 322-3440 Fax: (605) 322-3654
Mailing address
PO BOX 86370
SIOUX FALLS, SD 57118-6370
Phone: (605) 322-6408 Fax:
Organization Subpart
No
Authorized Official
DAVID FLICEK
PRESIDENT/CEO
Phone: (605) 322-7915
Updated
Certification Date
Jan 05, 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.

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
2080P0203X
- Pediatrics / Pediatric Critical Care Medicine (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.