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AVERA MCKENNAN
NPI 1679140396
Family Medicine in Flandreau, SD

Active since June 10, 2021
212 N PRAIRIE ST, FLANDREAU, SD 57028(605) 997-2471(605) 997-2418 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avera Mckennan NPPES

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

AVERA MCKENNAN (NPI 1679140396), doing business as Avera Medical Group Flandreau, is a healthcare organization registered as a family medicine in Flandreau, South Dakota and active in the NPI registry since June 2021. The organization lists David William Flicek, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1679140396
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAVERA MCKENNAN
Location Address212 N PRAIRIE STFlandreau, SD 57028-1243
Mailing AddressPo Box 5045 Pfs Prov Enrlmt Palm PlaceSioux Falls, SD 57117-5045 · (605) 322-6428
Phone(605) 997-2471
Fax(605) 997-2418
Organization SubpartNo
Authorized OfficialDavid William FlicekPresident/ceo · (605) 322-7915
Enumeration DateJune 10, 2021
NPPES CertifiedJune 10, 2021
✔ NPI 1679140396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
212 N PRAIRIE ST, Flandreau, SD 57028
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Other Names 1

Doing Business AsAvera Medical Group Flandreau

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

DR. JAMES EDSON POWELL M.D.
Family Medicine
212 N PRAIRIE ST
FLANDREAU, SD 57028
Moody County (605) 997-2471
MARIAH PETERSON CNP
Nurse Practitioner (Family)
212 N PRAIRIE ST
FLANDREAU, SD 57028
Moody County (605) 997-2433
MRS. CINDY DEUTSCHER PAC
Physician Assistant
212 N PRAIRIE ST
FLANDREAU, SD 57028
Moody County (605) 997-2471
SCOTT PETERSON MD
Family Medicine
212 N PRAIRIE ST
FLANDREAU, SD 57028
Moody County (605) 997-2471
JENNY RUCKDASCHEL CNP
Nurse Practitioner (Family)
212 N PRAIRIE ST
FLANDREAU, SD 57028
Moody County (605) 997-5490
OLIVIA JACKLYNNE BROWN DNP, CNP
Nurse Practitioner (Family)
212 N PRAIRIE ST
FLANDREAU, SD 57028
Moody County (605) 997-2471

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1679140396. It was assigned to this organization in the NPPES registry on June 10, 2021. The provider is doing business as Avera Medical Group Flandreau.

Where is Avera Mckennan located?

Avera Mckennan is located at 212 N Prairie St, Flandreau, SD 57028. The listed phone number is (605) 997-2471.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.