WOODBURY EMERGENCY GROUP, PC (NPI# 1447813316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447813316 |
| Entity Type | Organization |
| Organization Name | WOODBURY EMERGENCY GROUP, 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 | DERIK K KING (PRESIDENT) |
| Authorized Official Telephone | 8008939698 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | 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 | 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 |
|---|---|---|---|---|
| 1730407545 | Randall Glen Wood | Emergency Medicine | 2720 Stone Park Blvd., Sioux City, IA 51104 | 2010-05-04 |
| 1790760262 | Kurt Andre Rosenkrans | Emergency Medicine | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 | 2005-12-07 |
| 1831451012 | Andrew J. Mueting | Emergency Medicine | 2501 Pierce St, Sioux City, IA 51104-3725 | 2012-06-13 |
| 1982960662 | Suman Tandra | Emergency Medicine | 801 5th St, Sioux City, IA 51101-1326 | 2012-04-06 |
| 1639203276 | Fady F Jabre | Emergency Medicine | 2720 Stone Park Blvd, Unity Point Health - St. Luke's, Sioux City, IA 51104-3734 | 2007-03-15 |
| 1457435760 | Scott Murray | Emergency Medicine | 801 5th St, Sioux City, IA 51101-1326 | 2006-10-24 |
| 1538258041 | Jo Marie Neubauer | Emergency Medicine | 801 5th St, Sioux City, IA 51101 | 2006-10-12 |
| 1598788416 | Johnathan Lawrence Colling | Emergency Medicine | 801 5th St, Sioux City, IA 51101-1326 | 2006-07-25 |
| 1871519207 | Northwest Iowa Emergency Physicians, PC | Emergency Medicine | 801 5th St, Sioux City, IA 51101-1326 | 2006-07-15 |
| 1295766871 | Anthony Galloway | Emergency Medicine | 801 5th St, Sioux City, IA 51101-1326 | 2006-07-05 |
| Find all providers in SIOUX CITY | ||||
| City | SIOUX CITY |
| Zip Code | 51101 |
Please comment or provide details below to improve the information on WOODBURY EMERGENCY GROUP, PC.
| 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.