RAUL C BANAGALE (NPI# 1043271406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043271406 |
| Entity Type | Individual |
| Full Name | RAUL C BANAGALE |
| Credential | M.D. |
| Practice Address |
2720 Stone Park Blvd Sioux City IA 51104-3734 |
| Practice Telephone | 7122793789 |
| Practice Fax Number | 7122793613 |
| Mailing Telephone | 7122793789 |
| Mailing Fax Number | 7122793613 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2009-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 21075 | IA | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
21075 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1149385 | 05 |
| Street Address |
2720 STONE PARK BLVD |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51104-3734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285694497 | Eric Luebbert | Radiology | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2006-03-23 |
| 1972100618 | David Tillman | Nurse Practitioner | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-10-06 |
| 1609487867 | Kay Lynn Erickson | Nurse Practitioner | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-08-12 |
| 1790301182 | Allen Cogswell | Anesthesiology | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-06-22 |
| 1063038420 | Patrick Menke | Nurse Anesthetist, Certified Registered | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-06-22 |
| 1215550165 | Emily London | Nurse Anesthetist, Certified Registered | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-05-27 |
| 1083243000 | Brianna Lynn Sommervold | Social Worker | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-04-02 |
| 1851921332 | Amanda Joy Versteeg | Nurse Anesthetist, Certified Registered | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-01-23 |
| 1710534219 | Rebekah A Morgan | Physician Assistant | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2019-08-20 |
| 1902452030 | Erin Michelle Mothershead | Nurse Practitioner | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578944435 | Family First Dental Associates of Iowa, P.C. | Dentist | 2100 Indian Hills Drive, Sioux City, IA 51104 | 2015-06-16 |
| 1740590785 | Khatu Vivienne Erlbacher | Pharmacist | 515 North Briar Path, Sioux City, IA 51104 | 2010-10-08 |
| 1730407545 | Randall Glen Wood | Emergency Medicine | 2720 Stone Park Blvd., Sioux City, IA 51104 | 2010-05-04 |
| 1790811024 | Fred R Rizk | Dentist | 1923 Nebraska Street, Siuox City, IA 51104 | 2007-02-23 |
| 1255474029 | Edilia Maria Marshall | Dentist | Summit Dental, 2114 Pierce St, Sioux City, IA 51104 | 2007-02-14 |
| 1063553410 | Thomas Leonard Tiedeman | Dentist | 2918 Hamilton Blvd, Upper D Suite 1, Sioux City, IA 51104 | 2007-02-09 |
| 1336209188 | Shawn Robert Walton | Dentist | 2410 Pierce Street, Sioux City, IA 51104 | 2006-12-11 |
| 1477649556 | Timothy R Kuntz | Dentist | 3012 Hamilton Blvd, Sioux City, IA 51104 | 2006-10-05 |
| 1528162732 | Duane Kent Nelson | Orthopaedic Surgery | 2800 Peirce St, Suite 101, Sioux City, IA 51104 | 2006-09-08 |
| 1659482206 | Shawn R Walton | Dentist | 2928 Hamilton Blvd, Suite 102, Sioux City, IA 51104 | 2006-08-31 |
| Find all providers in zip 51104 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932447034 | Robert D. Shaw | Pediatrics | 13921 Lake Shore Dr, Des Moines, IA 50325-8643 | 2013-01-24 |
| 1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
| 1790778777 | Norma J Hirsch | Pediatrics | 401 Railroad Pl, West Des Moines, IA 50265-4730 | 2005-08-25 |
| 1568997674 | Stephania Paulette Cavallaro-moronta | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2017-04-26 |
| 1861861775 | Trassanee Chatmethakul | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242 | 2015-09-21 |
| 1376943175 | Ranjani Ananth | Pediatrics | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2014-08-28 |
| 1467895474 | Shaliz Pourkaviani | Pediatrics | 701 10th St Se, Cedar Rapids, IA 52403-1292 | 2013-04-09 |
| 1356636740 | Angela Jo Hanson | Pediatrics | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2011-06-14 |
| 1275823924 | Olajide Olabanjo Dolapo | Pediatrics | 200 Hawkins Dr, Department of Pediatrics, Iowa City, IA 52242-1009 | 2011-04-14 |
| 1306158456 | Brady J'nee Thomas | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2010-07-06 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX CITY |
| Zip Code | 51104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.