Avera McKennan
NPI 1093262131ActiveOrganization· Orthopaedic Surgery· Sioux Falls, SD
Orthopaedic Surgery in Sioux Falls, South Dakota, registered in NPPES in September 2016. The authorized official on file is Ronald Place, Ceo/President. Enrolled in Medicare as part b supplier - clinic/group practice and dme supplier - physician - orthopedic/orthopedic surgery.
Overview
| NPI | 1093262131 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 7, 2016 |
| Last updated in NPPES | Jan 30, 2024 |
| Certified by provider | Jan 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN); DME Supplier - Physician - Orthopedic/Orthopedic Surgery (SD) |
|---|
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