AVERA DOCTORS PLAZA IMAGING CENTER – NPI #1548233885
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

AVERA DOCTORS PLAZA IMAGING CENTER is a radiologic technologist located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1548233885 to AVERA DOCTORS PLAZA IMAGING CENTER on February 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA DOCTORS PLAZA IMAGING CENTER” is a dba name, the actual legal business name for this organization is AVERA MCKENNAN. The primary taxonomy selected by this provider is 247100000X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist.

The NPI profile was previously updated about 14 years ago on Mar 12, 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 DOCTORS PLAZA IMAGING CENTER below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1548233885
Enumeration Date

(more than 20 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 DOCTORS PLAZA IMAGING CENTER
Primary location
1001 E 21ST ST
STE. 403
SIOUX FALLS, SD 57105-1033
Phone: (605) 322-1745 Fax: (605) 322-1746
Mailing address
PO BOX 86370
SIOUX FALLS, SD 57118-6370
Phone: (605) 322-7510 Fax: (605) 322-6475
Organization Subpart
No
Authorized Official
JULIE NORTON
SENIOR VP OF FINANCE
Phone: (605) 322-6375
Updated
Identifiers

Identifiers for AVERA DOCTORS PLAZA IMAGING CENTER

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.

DescriptionIssuerStateIdentifier
OTHERBLUE PLUSMN543R6AV
OTHERDEPT OF LABORSD370624200
MEDICAIDNE10025121100
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
247100000X
- Radiologic Technologist (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.