Avera Mckennan
Avera Mckennan is a healthcare organization registered as Neurological Surgery Physician in Sioux Falls, SD, holding Type 2 (organization) NPI 1114113693 since 2007. The authorized official on file is Ronald Place, Ceo/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114113693 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 1301 S. CLIFF AVE., Sioux Falls, SD, 57105 |
| Phone | 6053228860 |
| Fax | 6053228868 |
| Enumeration date | 2007-09-19 |
| Last updated in NPPES | 2024-10-28 |
Authorized official
| Name | Ronald Place |
|---|---|
| Title | Ceo/President |
| Phone | 6053228000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167009 | Other | SD | HEALTHPARTNERS |
| 46L90AV | Other | MN | BLUE PLUS |
| 9251037 | Other | SD | DAKOTACARE |
| 4992512 | Other | SD | BLUE CROSS/SOUTH DAKOTA |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1114113693 Taxonomy: 207T00000X (Neurological Surgery Physician) Address: 1301 S. CLIFF AVE., Sioux Falls, SD, 57105
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1194723924 | Henry Travers | Individual | Anatomic Pathology & Clinical Pathology Physician | Sioux Falls, SD |
| 1356349179 | Diane Sneed | Individual | Anatomic Pathology & Clinical Pathology Physician | Sioux Falls, SD |
| 1962400788 | Raed Sulaiman | Individual | Anatomic Pathology & Clinical Pathology Physician | Sioux Falls, SD |
| 1912973785 | Fady Jamous | Individual | Pulmonary Disease Physician | Sioux Falls, SD |
| 1700852480 | Brian Hurley | Individual | Pulmonary Disease Physician | Sioux Falls, SD |
| 1134195332 | Avera Mckennan | Organization | Physical Medicine & Rehabilitation Physician | Sioux Falls, SD |
| 1720054091 | Thomas Ripperda | Individual | Physical Medicine & Rehabilitation Physician | Sioux Falls, SD |
| 1073564019 | Birgit Heeren | Individual | Nurse Practitioner | Sioux Falls, SD |
Verify this record
Cross-check NPI 1114113693 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
Who is the authorized official for Avera Mckennan?
What is the NPI number for Avera Mckennan?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2024-10-28.