Avera Mckennan
Avera Mckennan is a healthcare organization registered as Obstetrics & Gynecology Physician in Sioux Falls, SD, holding Type 2 (organization) NPI 1336111962 since 2006. The authorized official on file is Ronald Place, Ceo/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1336111962 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 1417 S CLIFF AVE STE 401, Sioux Falls, SD, 57105 |
| Phone | 6053228920 |
| Fax | 6053228919 |
| Enumeration date | 2006-02-07 |
| 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 |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040115001 | Other | SD | PRIMEWEST |
| 370624200 | Other | SD | DEPT OF LABOR |
| 0007994 | Other | SD | BCBS |
| 0548537 | Medicaid | IA | — |
| 33583 | Other | IA | BC/IA |
| 04235 | Other | IA | BC/IA |
| 48D59OB | Other | MN | BCBS |
| 48D59OB | Other | MN | BLUE PLUS |
| 33582 | Other | IA | BC/IA |
| 70000 | Other | IA | BC/IA |
| 194898900 | Medicaid | MN | — |
| 33581 | Other | IA | BC/IA |
| 77716 | Other | SD | HEALTHPARTNERS |
| 9177835 | Other | SD | DAKOTACARE |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1336111962 Taxonomy: 207V00000X (Obstetrics & Gynecology Physician) Address: 1417 S CLIFF AVE STE 401, Sioux Falls, SD, 57105
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1346556156 | Emily Winterton | Individual | Obstetrics & Gynecology Physician | Sioux Falls, SD |
| 1164084190 | Joy Roth | Individual | Family Nurse Practitioner | Sioux Falls, SD |
| 1902525983 | Avera Mckennan | Organization | Community Health Worker | Sioux Falls, SD |
Verify this record
Cross-check NPI 1336111962 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
Where is Avera Mckennan located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-03-12.