STACI ELAINE MCKEON (NPI# 1346293768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346293768 |
| Entity Type | Individual |
| Full Name | STACI ELAINE MCKEON |
| Other Name | STACI ELAINE HILL |
| Credential | M.D. |
| Practice Address |
1000 Langworthy St Dubuque IA 52001-7313 |
| Mailing Address |
1500 Associates Dr Dubuque IA 52002-2201 |
| Practice Telephone | 5635843455 |
| Practice Fax Number | 5635843177 |
| Mailing Telephone | 5635844100 |
| Mailing Fax Number | 5635844110 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2011-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 36023 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0469742 | 05 |
| Street Address |
1000 LANGWORTHY ST |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52001-7313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205837408 | Marc E Dicklin | Physician Assistant | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2005-08-10 |
| 1902328057 | Bridget Lynn Schmidt | Nurse Practitioner | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2017-07-11 |
| 1487183281 | Karena Anne Sauser | Nurse Practitioner | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2017-06-06 |
| 1689109969 | Meghan Wendland | Pediatrics | 1000 Langworthy St, Dubuque, IA 52001-7365 | 2017-04-25 |
| 1942740113 | Madeline Smith | Physician Assistant | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2017-03-07 |
| 1548637887 | Joy V Schwobe | Physician Assistant | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2015-08-21 |
| 1881094795 | Lauren Elizabeth White | Nurse Practitioner | 1000 Langworthy St, Dubuque, IA 52001 | 2014-08-27 |
| 1467867598 | Amy Marie Winsky | Internal Medicine | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2014-06-27 |
| 1851704480 | John Michael Callahan | Pediatrics | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2014-06-11 |
| 1114346921 | Raymond Farlow Roewe Jr. | Urology | 1000 Langworthy St, Dubuque, IA 52001-7365 | 2014-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
| 1710496427 | Ryan Michael Chatfield | Counselor | 799 Main St. Suite 110, Dubuque, IA 52001 | 2017-09-26 |
| 1396274791 | Patricia Ochs | Social Worker | 200 Mercy Dr., Ste. 200, Dubuque, IA 52001 | 2017-06-08 |
| 1770025264 | Young Men's Christian Association of Dubuque, Iowa | Health Educator | 35 North Booth Street, Dubuque, IA 52001 | 2016-11-15 |
| 1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
| 1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
| 1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
| 1376815209 | Umeka Latasha Lewis | Adult Companion | 1308 1/2 Jackson St, Dubuque, IA 52001 | 2012-02-08 |
| 1861777450 | Kevin Joseph Natzke | Pharmacist | 250 Mercy Drvie, Mercy Family Pharmacy, Dubuque, IA 52001 | 2011-10-15 |
| 1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881040269 | Frederick Osborne Liaboe | Emergency Medicine | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2016-05-04 |
| 1982801114 | Amy K Engelman | Emergency Medicine | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2007-06-29 |
| 1467670059 | Nicole Felice Mancha | Emergency Medicine | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2007-04-22 |
| 1538105945 | Mark A Mckeon | Emergency Medicine | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2006-06-22 |
| 1336185156 | Mark J Singsank | Emergency Medicine | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2006-06-21 |
| 1447295365 | Dubuque Emergency Physicians PC | Emergency Medicine | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2006-06-17 |
| 1538103791 | Tami Sue Gudenkauf | Emergency Medicine | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2006-06-16 |
| 1538103221 | Richard L Koehler | Emergency Medicine | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2006-06-15 |
| 1891746657 | Joseph G. Garrity | Emergency Medicine | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2006-05-15 |
| 1639129281 | Frederick Simon Isaak | Emergency Medicine | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2006-05-12 |
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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.