DR. JOHN G SOUTHARD (NPI# 1104967090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104967090 |
| Entity Type | Individual |
| Full Name | DR. JOHN G SOUTHARD |
| Credential | MD |
| Practice Address |
1 Edmundson Pl Suite 312 Council Bluffs IA 51503-4658 |
| Practice Telephone | 7123964295 |
| Practice Fax Number | 7123964298 |
| Mailing Telephone | 7123964295 |
| Mailing Fax Number | 7123964298 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
22453 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BLUE CROSS BLUE SHIELD | 47244 | 01 |
| IA | 1133413 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649267535 | John K Southard Jr. | Specialist | 1345b Westgate Center Dr, Winston-salem, NC 27103-2934 | 2005-10-05 |
| Street Address |
1 EDMUNDSON PL SUITE 312 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-4658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036916 | Clifford Kent Boese | Orthopaedic Surgery | 1 Edmundson Pl, Ste 500, Council Bluffs, IA 51503-4619 | 2005-07-07 |
| 1457992497 | Andrea Celeste White | Registered Nurse | 1 Edmundson Pl, Council Bluffs, IA 51503-4658 | 2019-10-01 |
| 1821554007 | Alexandria A Leu | Nurse Practitioner | 1 Edmundson Pl, Council Bluffs, IA 51503-4658 | 2019-02-13 |
| 1265813232 | Hayley Mignonne Timm | Pediatrics | 1 Edmundson Pl, Council Bluffs, IA 51503-4658 | 2015-06-15 |
| 1477989499 | Michelle E Misek Saub | Nurse Practitioner | 1 Edmundson Pl, Ste. 310, Council Bluffs, IA 51503-4658 | 2013-09-23 |
| 1326471517 | Margaret E Kinney | Registered Nurse | 1 Edmundson Pl, Council Bluffs, IA 51503-4658 | 2013-08-12 |
| 1396177036 | Kimberli Christine Greiner | Physical Therapist | 1 Edmundson Pl, Suite 500, Council Bluffs, IA 51503-4658 | 2013-08-05 |
| 1831437235 | Nadia Lynn Tymkowych | Family Medicine | 1 Edmundson Pl, Council Bluffs, IA 51503-4658 | 2013-01-21 |
| 1972899730 | Danielle M Starr | Audiologist | 1 Edmundson Pl, Council Bluffs, IA 51503-4658 | 2011-06-21 |
| 1053600296 | Jessica Mccool | Family Medicine | 1 Edmundson Pl, Council Bluffs, IA 51503-4658 | 2011-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154647568 | Sumit Mukherjee | Internal Medicine | 1 Edmundson Pl, Ste. 306, Council Bluffs, IA 51503-4658 | 2010-04-09 |
| 1083755821 | Pulmonary Infectious Disease Associates PC | Internal Medicine | 1 Edmundson Pl, Suite 312, Council Bluffs, IA 51503-4658 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231229 | Melissa Sue Wright | Internal Medicine | 2730 Pierce St Ste 401, Sioux City, IA 51104-3766 | 2018-07-15 |
| 1871849208 | Brian Mccullagh | Internal Medicine | 200 Hawkins Drive, C33 Gh, Iowa, IA 52242 | 2012-08-03 |
| 1184988453 | Hassan Sajjad | Internal Medicine | 788 8th Ave Se Ste 200, Cedar Rapids, IA 52401 | 2012-07-01 |
| 1821280207 | Vijaya Kumar Gogineni | Internal Medicine | 855 A Ave Ne Ste 400, Cedar Rapids, IA 52402-5064 | 2007-08-09 |
| 1902810575 | William Lister Dull | Internal Medicine | 321 E Market St, Ste 106, Iowa City, IA 52245-2176 | 2006-07-28 |
| 1912950205 | James Patrick Cafaro | Internal Medicine | 146 W Dale St Ste 203, Waterloo, IA 50703-1901 | 2006-05-18 |
| 1407819816 | Steven K Zorn | Internal Medicine | 4060 Westown Pkwy, West Des Moines, IA 50266 | 2006-04-07 |
| 1104891704 | Akshay Kantilal Mahadevia | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1578542155 | Quad City Pulmonary Consultants Plc | Internal Medicine | 1230 E Rusholme St Ste 105, Davenport, IA 52803-2400 | 2006-01-12 |
| 1083604748 | Sugata Sensarma | Internal Medicine | 540 E Jefferson St Ste 301, Iowa City, IA 52245-2460 | 2005-10-25 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on DR. JOHN G SOUTHARD.
| 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.