Avera Mckennan
Avera Mckennan is a healthcare organization registered as Neonatal-Perinatal Medicine Physician in Sioux Falls, SD, holding Type 2 (organization) NPI 1073585949 since 2006. The authorized official on file is Ronald Place, Ceo/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073585949 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 1325 S. CLIFF AVE., Sioux Falls, SD, 57105 |
| Phone | 6053224425 |
| Fax | 6053224499 |
| Enumeration date | 2006-02-06 |
| Last updated in NPPES | 2026-03-12 |
Authorized official
| Name | Ronald Place |
|---|---|
| Title | Ceo/President |
| Phone | 6053228000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2080N0001X | Neonatal-Perinatal Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065778600 | Medicaid | MN | — |
| 61598 | Other | SD | HEALTHPARTNERS |
| 370624200 | Other | SD | DEPT OF LABOR |
| 6701090 | Medicaid | SD | — |
| 7F824MA | Other | MN | BLUE PLUS |
| 4999723 | Other | SD | BCBS |
| 6701340 | Medicaid | SD | — |
| 6701500 | Medicaid | SD | — |
| 6701790 | Medicaid | SD | — |
| 0555367 | Medicaid | IA | — |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1073585949 Taxonomy: 2080N0001X (Neonatal-Perinatal Medicine Physician) Address: 1325 S. CLIFF AVE., Sioux Falls, SD, 57105
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1760308290 | Nicholas Tieszen | Individual | Flight Registered Nurse | Sioux Falls, SD |
| 1568460772 | Avera Mckennan | Organization | General Acute Care Hospital | Sioux Falls, SD |
| 1841285707 | Jeffrey Bard | Individual | Certified Registered Nurse Anesthetist | Sioux Falls, SD |
| 1669469821 | Thomas Johnson | Individual | Pharmacotherapy Pharmacist | Sioux Falls, SD |
| 1427032572 | Kevin Turneau | Individual | Diagnostic Radiology Physician | Sioux Falls, SD |
| 1861477200 | Tami Wolbrink | Individual | Physician Assistant | Sioux Falls, SD |
| 1104896083 | Jose Marius Dosado | Individual | Neonatal-Perinatal Medicine Physician | Sioux Falls, SD |
| 1952371825 | Kandi Mcmenamy | Individual | Neonatal-Perinatal Medicine Physician | Sioux Falls, SD |
Verify this record
Cross-check NPI 1073585949 against the authoritative CMS record: view Avera Mckennan on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Avera Mckennan?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2026-03-12.