NPI 1467376608 · live from the CMS NPI Registry
Avera Mckennan
Orthopaedic Surgery in Sioux City, IA. National Provider Identifier 1467376608, active.
NPI record
| NPI | 1467376608 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 5708 Sunnybrook Ct, Sioux City, IA 51106 |
| Practice phone | 605-217-2867 |
| Mailing address | Po Box 1430, Dakota Dunes, SD 57049 |
| Enumerated | August 10, 2026 |
| Last updated | August 31, 2026 |
| Authorized official | Ronald Place, Regional President/Ceo |
| Other names | Avera Cnos Sunnybrook Dme |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Rheumatology | 207RR0500X | — |
| Neurological Surgery | 207T00000X | — |
| Orthopaedic Surgery primary | 207X00000X | — |
| Plastic Surgery | 208200000X | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — |
| Podiatrist | 213E00000X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.