National Provider Identifier Database

AVERA MCKENNAN
Maternal & Fetal Medicine

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.


Contact Information

AVERA MCKENNAN
1417 S. CLIFF AVE.
STE. 100
SIOUX FALLS, SD57105-1063
Phone: 605-322-8937
Fax: 605-322-8938
Website:
Specialty Taxonomy Code
* Maternal & Fetal Medicine 207VM0101X

* Indicates primary specialty

NPI Profile & details for AVERA MCKENNAN

NPI Number 1205808748
Legal business name
LBN
AVERA MCKENNAN
Authorized official RONALD PLACE - (CEO/PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/07/2006
Last updated 03/12/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers
  • IA Medicaid: 0573360
  • MN Medicaid: 482413000
  • NE Medicaid: 10025040700
  • MN Other: 361ROPE BCBS
  • MN Other: 361R1WA BLUE PLUS
  • SD Other: 4994376 BCBS
  • SD Other: 370624200 DEPT OF LABOR
  • SD Other: 95736 HEALTHPARTNERS
  • SD Other: 924114229808 PRIMEWEST

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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