AVERA BREAST CENTER
NPI 1467695767
Clinic/Center - Medical Specialty in Sioux Falls, SD

NPI Status: Active since April 16, 2009

Contact Information

1000 E 23RD ST
SUITE 330
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-7465
Fax: (605) 322-1789

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  • Organization
  • Clinic/Center
  • Medical Specialty
  • Accepts Insurance

About AVERA BREAST CENTER

This page provides the complete NPI Profile along with additional information for Avera Breast Center, a provider established in Sioux Falls, South Dakota operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1467695767 assigned on April 2009. The practitioner's primary taxonomy code is 261QM2500X with license number 10563 (SD). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Avera Breast Center. The authorized official of this NPI record is David Flicek (President/ceo)

NPI
1467695767
Provider Legal Name
AVERA MCKENNAN
Other Organization Name
AVERA BREAST CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1000 E 23RD ST SUITE 330 SIOUX FALLS, SD 57105
Location Phone
(605) 322-7465
Location Fax
(605) 322-1789
Mailing Address
PO BOX 5045 ATTN: PT FINAN SERVICES SIOUX FALLS, SD 57117
Mailing Phone
(605) 322-6400
Mailing Fax
(605) 322-1789
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-16-2009
Last Update Date
01-08-2021
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Location Map

Secondary Locations

  • 2100 S Marion Rd Ste 305
    Sioux Falls, SD 57106
    (605) 322-1567

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
10563
License State
SD
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Avera $1800 - PPO
  • Avera $2000 - PPO
  • Avera $4000 - PPO
  • Avera $4500 - PPO
  • Avera $6000 - PPO
  • Avera $7500 HSA Eligible HDHP - PPO
  • Avera $9200 - PPO
  • Avera Standard $1500 - PPO
  • Avera Standard $5000 - PPO
  • Avera Standard $7500 - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Wellmark Bronze HDHP HMO HSA Qualified - HMO
  • Wellmark Bronze Traditional HMO - HMO
  • Wellmark Gold Traditional HMO - HMO
  • Wellmark Silver Traditional HMO - HMO
  • Wellmark Standard Bronze HMO - HMO
  • Wellmark Standard Gold HMO - HMO
  • Wellmark Standard Silver HMO - HMO
  • Wellmark Bronze HDHP EPO HSA Qualified - EPO
  • Wellmark Bronze Traditional EPO - EPO
  • Wellmark Gold Traditional EPO - EPO
  • Wellmark Silver Traditional EPO - EPO
  • Wellmark Standard Bronze EPO - EPO
  • Wellmark Standard Gold EPO - EPO
  • Wellmark Standard Silver EPO - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID FLICEK

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(605) 322-7916

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1467695767MEDICAID (05)IA 
9286132OTHER (01)DAKOTACARE
10025807100MEDICAID (05)NE 
1467695767MEDICAID (05)MN 
7290280MEDICAID (05)SD 

Reviews for AVERA BREAST CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467695767
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2412712910712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 2 + 9 + 1 + 0 + 7 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1467695767 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760484570 JAMES H SIMON MD
Individual
Radiology (Radiation Oncology)1000 E 23RD ST STE 100
SIOUX FALLS, SD 57105
(605) 322-1625
1467548727DR. TRICIA LAWRENCE MERRIGAN M.D.
Individual
Surgery1000 E 23RD ST STE 360
SIOUX FALLS, SD 57105
(605) 322-3950
1598755001 SALLY A WILLIAMS DO
Individual
Family Medicine1000 E 23RD ST
SIOUX FALLS, SD 57105
(605) 322-3241
1063488310 KRISTEN DAWN HURLEY CNP
Individual
Nurse Practitioner (Family)1000 E 23RD ST STE. 200
SIOUX FALLS, SD 57105
(605) 322-3035
1215135348MRS. ELIZABETH ANN O'NEILL MS ARNP-BC
Individual
Nurse Practitioner1000 E 23RD ST SUITE #230
SIOUX FALLS, SD 57105
(605) 322-7334
1386005056 LAURA HOFER
Individual
Physician Assistant1000 E 23RD ST 230
SIOUX FALLS, SD 57105
(605) 322-6900
1174686547DR. BRIAN LEYLAND-JONES M.D
Individual
Internal Medicine (Medical Oncology)1000 E 23RD ST SUITE 200
SIOUX FALLS, SD 57105
(605) 322-4673
1639172349DR. CASEY BENJAMIN WILLIAMS PHARM.D., BCOP
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)1000 E 23RD ST SUITE 200
SIOUX FALLS, SD 57105
(605) 322-3588
1700833712 JULIANN MARIE REILAND MD FACS
Individual
Surgery1000 E 23RD ST STE 300
SIOUX FALLS, SD 57105
(605) 322-3950
1265930184 BRENDA LEE LING MSW, CSW-PIP
Individual
Social Worker (Clinical)1000 E 23RD ST
SIOUX FALLS, SD 57105
(605) 322-1554
1891757290MRS. KATHLEEN LYNNE SCHNEEKLOTH MD
Individual
Radiology (Radiation Oncology)1000 E 23RD ST STE 100
SIOUX FALLS, SD 57105
(605) 322-1625
1134206949 BARBARA ANNE SCHLAGER MD
Individual
Radiology (Radiation Oncology)1000 E 23RD ST STE 100
SIOUX FALLS, SD 57105
(605) 322-1625
1386081883AVERA MCKENNAN
Organization
Family Medicine1000 E 23RD ST STE. 140
SIOUX FALLS, SD 57105
(605) 322-3241
1225300312 JESSICA DAWN KLEIN CNP
Individual
Nurse Practitioner1000 E 23RD ST
SIOUX FALLS, SD 57105
(605) 322-3035
1124409495 ALEXANDRA ERICKSON DPT
Individual
Physical Therapist1000 E 23RD ST
SIOUX FALLS, SD 57105
(605) 322-2100
1760059182 JESSICA TISHER
Individual
Genetic Counselor, MS1000 E 23RD ST
SIOUX FALLS, SD 57105
(605) 322-8000
1255063897 ALYSSA WILLIAMS
Individual
Genetic Counselor, MS1000 E 23RD ST
SIOUX FALLS, SD 57105
(605) 322-3000
1518582253 SYDNEY ANN HELGELIEN MS, CGC
Individual
Genetic Counselor, MS1000 E 23RD ST
SIOUX FALLS, SD 57105
(605) 868-2113
1467189308 RACHEL ELSEY PHARM.D.
Individual
Pharmacist1000 E 23RD ST
SIOUX FALLS, SD 57105
(605) 322-3225
1518681436DR. CRYSTAL HATTUM PHARMD
Individual
Pharmacist (Oncology)1000 E 23RD ST
SIOUX FALLS, SD 57105
(605) 322-3893

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467695767, enumerated in the NPI registry as an "organization" on April 16, 2009

The provider is located at 1000 E 23rd St Suite 330 Sioux Falls, Sd 57105 and the phone number is (605) 322-7465

This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty

The provider might be accepting Accepts: Avera Health Plans, Medica, Wellmark Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 16, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.