AVERA MCKENNAN
NPI 1316601743
Otolaryngology in Sioux Falls, SD

Q: What is Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1316601743. It was assigned to this organization in the NPPES registry on October 22, 2021. The provider is doing business as Avera Medical Group Ear, Nose & Throat.

Q: What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on October 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 22, 2021

1417 S CLIFF AVE STE 300, SIOUX FALLS, SD 57105(605) 504-3000(605) 504-3001 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Avera Mckennan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA MCKENNAN (NPI 1316601743), doing business as Avera Medical Group Ear, Nose & Throat, is a healthcare organization registered as an otolaryngology in Sioux Falls, South Dakota and active in the NPI registry since October 2021. The organization lists David William Flicek, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1316601743

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameAVERA MCKENNAN

Location Address1417 S CLIFF AVE STE 300Sioux Falls, SD 57105-1062

Mailing Address1417 S Cliff Ave Ste 300Sioux Falls, SD 57105-1062 · (605) 504-3000 · Fax (605) 504-3001

Phone(605) 504-3000

Fax(605) 504-3001

Organization SubpartNo

Authorized OfficialDavid William FlicekPresident/ceo · (605) 322-7915

Enumeration DateOctober 22, 2021

NPPES CertifiedOctober 22, 2021

✔ NPI 1316601743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1417 S CLIFF AVE STE 300, Sioux Falls, SD 57105

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Other Names 1

Doing Business AsAvera Medical Group Ear, Nose & Throat

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK JAMES JAMESON MD PHD

Otolaryngology