AVERA MEDICAL GROUP RADIATION ONCOLOGY – NPI #1477847861
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

AVERA MEDICAL GROUP RADIATION ONCOLOGY is a radiologist located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1477847861 to AVERA MEDICAL GROUP RADIATION ONCOLOGY on June 03, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA MEDICAL GROUP RADIATION ONCOLOGY” is a dba name, the actual legal business name for this organization is AVERA MCKENNAN. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation 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 RADIATION ONCOLOGY below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1477847861
Enumeration Date

(more than 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 RADIATION ONCOLOGY
Primary location
1000 E. 23RD ST.
STE. 100
SIOUX FALLS, SD 57105-2113
Phone: (605) 322-1625 Fax: (605) 322-1626
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
2085R0001X
- Radiology / Radiation 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.