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AVERA MEDICAL GROUP WORTHINGTON SURGERY CENTER
NPI 1922357839
Clinic/Center - Ambulatory Surgical in Worthington, MN

Active since September 06, 2012
1216 RYANS RD, SUITE 2, WORTHINGTON, MN 56187(507) 372-2921(507) 372-5789 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Avera Medical Group Worthington Surgery Center NPPES

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

AVERA MEDICAL GROUP WORTHINGTON SURGERY CENTER (NPI 1922357839) is a healthcare organization registered as an ambulatory surgical in Worthington, Minnesota and active in the NPI registry since September 2012. The organization lists Kelli Vangrouw, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1922357839
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAVERA MCKENNAN
Location Address1216 RYANS RD, SUITE 2Worthington, MN 56187-1722
Mailing Address1216 Ryans Rd, Suite 2Worthington, MN 56187-1722 · (507) 372-2921 · Fax (507) 372-5789
Phone(507) 372-2921
Fax(507) 372-5789
Organization SubpartYes
Authorized OfficialKelli VangrouwClinic Manager · (507) 372-2921
Enumeration DateSeptember 6, 2012
Last NPPES UpdateJune 3, 2015
✔ NPI 1922357839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1216 RYANS RD, Worthington, MN 56187
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Other Names 1

Doing Business AsAvera Medical Group Worthington Surgery Center

Other Providers at the Same Location NPPES 20

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

DR. LARRY D FOSTER DO
Family Medicine
1216 RYANS RD
WORTHINGTON, MN 56187
Nobles County (507) 372-2921
KEITH A TOWNE MD
Internal Medicine
1216 RYANS RD
WORTHINGTON, MN 56187
Nobles County (507) 372-2921
AVERA MCKENNAN
Clinic/Center
1216 RYANS RD, SUITE 1
WORTHINGTON, MN 56187
Nobles County (507) 372-2921
CONNIE L MORRISON MD
Surgery
1216 RYANS RD, SUITE 1
WORTHINGTON, MN 56187
Nobles County (507) 372-2921
LAURA J FODNESS CNP
Nurse Practitioner (Family)
1216 RYANS RD
WORTHINGTON, MN 56187
Nobles County (507) 372-2921
JAMES D HARRIS MD
Surgery
1216 RYANS RD
WORTHINGTON, MN 56187
Nobles County (507) 372-2921
DR. BENJAMIN ERNEST GAINES MD
Obstetrics & Gynecology
1216 RYANS RD
WORTHINGTON, MN 56187
Nobles County (507) 372-2921
AVERA MCKENNAN
Family Medicine
1216 RYANS RD, SUITE 1
WORTHINGTON, MN 56187
Nobles County (507) 372-2921

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 1922357839. It was assigned to this organization in the NPPES registry on September 6, 2012. The provider is doing business as Avera Medical Group Worthington Surgery Center.

Where is Avera Mckennan located?

Avera Mckennan is located at 1216 Ryans Rd Suite 2, Worthington, MN 56187. The listed phone number is (507) 372-2921.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on June 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.