WOODBURY PHYSICIAN SERVICES, PC (NPI# 1194388074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194388074 |
| Entity Type | Organization |
| Organization Name | WOODBURY PHYSICIAN SERVICES, PC |
| Practice Address |
801 5th St Sioux City IA 51101-1326 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 7122792010 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | DR. DERIK K KING (PRESIDENT) |
| Authorized Official Telephone | 8008939698 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Street Address |
801 5TH ST |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51101-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285774 | Gary Lewis | Social Worker | 801 5th St, Sioux City, IA 51101-1394 | 2005-06-16 |
| 1275133027 | Bonnie Ivadell Ryan | Registered Nurse | 801 5th St, Sioux City, IA 51101-1326 | 2020-10-30 |
| 1720695224 | Justin Hargrave | Nurse Practitioner | 801 5th St, Sioux City, IA 51101-1326 | 2020-09-29 |
| 1619583010 | Michael Dennis Quinlivan | Nurse Practitioner | 801 5th St, Sioux City, IA 51101-1326 | 2020-09-21 |
| 1740890102 | Rocky Mountain Holdings, LLC | Ambulance | 801 5th St, Sioux City, IA 51101-1326 | 2020-07-31 |
| 1821618695 | Abbie Jo Ostrihonsky | Registered Nurse | 801 5th St, Sioux City, IA 51101-1326 | 2020-04-22 |
| 1104459924 | Amanda Ball | Nurse Practitioner | 801 5th St, Sioux City, IA 51101-1326 | 2020-02-20 |
| 1528608528 | Jennifer Lucart | Nurse Practitioner | 801 5th St, Sioux City, IA 51101-1326 | 2020-01-08 |
| 1639717275 | Kiel Grant | Pharmacist | 801 5th St, Sioux City, IA 51101-1326 | 2019-12-13 |
| 1831731231 | Rebecca Suzanne Mathine | Physical Therapist | 801 5th St, Sioux City, IA 51101-1326 | 2019-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215434691 | Dorcas Wambui Kamau | Nurse Practitioner | Jackson Recovery Centers, Inc., 800 5th Street, Sioux City, IA 51101 | 2018-04-11 |
| 1346763554 | Mercy Health Services - Iowa Corp | Skilled Nursing Facility | 801 5th St Fl 7, Sioux City, IA 51101 | 2017-07-19 |
| 1821427287 | Jason Leigh Wagner | Counselor | 505 5th St., Suite 520, Sioux City, IA 51101 | 2013-11-06 |
| 1124354352 | Carol Madsen Watchorn | Social Worker | Nseling Practice, 915 Pierce St, Sioux City, IA 51101 | 2009-10-22 |
| 1710024542 | Woodbury County, Iowa | Case Management | 620 Douglas, Rm B5, Sioux City, IA 51101 | 2007-01-31 |
| 1891863668 | Vivian Lea Miller | Counselor | 705 Douglas St, Suite 350, Sioux City, IA 51101 | 2006-12-01 |
| 1043265176 | Sharon K Fey | Internal Medicine | 700 4th Street, Ste 410, Sioux City, IA 51101 | 2006-05-24 |
| 1073009486 | Carly Alyssa Turner | Social Worker | 625 Court St, Sioux City, IA 51101 | 2018-07-09 |
| 1114419009 | Ryan Rudloff | Optometrist | 431 Pierce St, Sioux City, IA 51101 | 2018-06-05 |
| 1316435324 | Nitausha Ann Williams | Social Worker | Jackson Recovery Centers, Inc., 800 5th Street, Sioux City, IA 51101 | 2018-04-25 |
| Find all providers in zip 51101 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851796064 | Siouxland Internal Medicine Specialists, Plc | Hospitalist | 801 5th St, Sioux City, IA 51101-1326 | 2014-10-30 |
| 1730429408 | Sandeep Pulimi | Hospitalist | 801 5th St, 801 Fifth Street, Sioux City, IA 51101-1326 | 2013-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1063962710 | Oyakhire C Ofori | Hospitalist | 1577 25th Street, Davenport, IA 52722-0000 | 2016-10-06 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| 1881893253 | Quad Cities Infectious Diseases, LLC | Hospitalist | 3385 Dexter Ct Ste 140, Davenport, IA 52807-3471 | 2007-07-16 |
| 1265437081 | Richard L. Glenn Jr. | Hospitalist | 1215 Duff Ave, Ames, IA 50010-5400 | 2005-06-17 |
| 1841716651 | Monica D Wescott | Hospitalist | 1215 Pleasant St Ste 400, Des Moines, IA 50309-1418 | 2017-08-15 |
| 1548782964 | Laura Ann Armstrong | Hospitalist | 1200 1st Ave E, Spencer, IA 51301-4330 | 2017-07-07 |
| 1184150476 | Alan Sutton | Hospitalist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2017-05-04 |
| 1346796646 | Jonas Mieczyslaw Kwiatkowski | Hospitalist | 1000 4th St Sw, Mason City, IA 50401-2800 | 2016-08-28 |
| 1477904589 | Priyadarshini Gangula | Hospitalist | 1111 Duff Ave, Ames, IA 50010 | 2016-06-29 |
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| City | SIOUX CITY |
| Zip Code | 51101 |
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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.