PRAIRIE PEDIATRICS & ADOLESCENT CLINIC, P.C. (NPI# 1740491489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740491489 |
Entity Type | Organization |
Organization Name | PRAIRIE PEDIATRICS & ADOLESCENT CLINIC, P.C. |
Practice Address |
2534 Glenn Ave Sioux City IA 51106 |
Mailing Address |
1125 Pierce St Sioux City IA 51105 |
Practice Telephone | 7122747822 |
Practice Fax Number | 7122742556 |
Mailing Telephone | 7122558901 |
Mailing Fax Number | 7122559161 |
Enumeration Date | 2007-05-24 |
Last Update Date | 2012-09-17 |
Authorized Official Name | PATRICK B BECK (OWNER) |
Authorized Official Telephone | 7122558901 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | PRAIRIE PEDIATRICS & ADOLESCENT CLINIC, P.C. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | PRAIRIE PEDIATRICS & ADOLESCENT CLINIC, P.C. | 1125 Pierce Street, Suite 100, Sioux City, IA 51105 |
Street Address |
2534 GLENN AVE |
City | SIOUX CITY |
State | IA |
Zip Code | 51106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629430293 | Alice Meng | Pediatrics | 2534 Glenn Ave, Sioux City, IA 51106-2768 | 2016-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912534876 | Kimberly Pilar | Hearing Instrument Specialist | 4129 Gordon Dr, Sioux City, IA 51106 | 2020-03-23 |
1548810625 | Morgan Elizabeth Spielman | Registered Nurse | 4527 Hawthorne Drive, Sioux City, IA 51106 | 2019-09-19 |
1316476062 | Atalie Elise Arnold | Behavioral Analyst | 5610 Myers Avenue, Sioux City, IA 51106 | 2017-06-07 |
1033507207 | Juan Pablo Munoz | Chiropractor | 3206 Singing Hills Blvd, Sioux City, IA 51106 | 2014-12-22 |
1649554932 | Samuel John Huff | Pharmacist | 6734 Kokopelli Pl, Sioux City, IA 51106 | 2011-10-05 |
1821386616 | Jennifer Lynae Smith | Dentist | 5708 Sunnybrook Dr., Sioux City, IA 51106 | 2011-07-14 |
1942597323 | Keith Roed | Physical Therapist | 4295 Sergeant Rd, Sioux City, IA 51106 | 2011-07-06 |
1639475239 | Northland Hearing Centers, Inc. | Audiologist | 4301 Sergeant Rd., Suite 109, Sioux City, IA 51106 | 2011-01-31 |
1588895023 | Kelly Ann Hancock | Nurse Practitioner | 2467 Sergeant Road, Sioux City, IA 51106 | 2009-07-31 |
1346419447 | Jean Marie Duran | Hearing Instrument Specialist | 4301 Sergeant Rd Ste 109, Sioux City, IA 51106 | 2008-02-22 |
Find all providers in zip 51106 |
Taxonomy Code | 2080P0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Cardiology |
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306920319 | Prairie Pediatrics, PC | Pediatrics | 1125 Pierce St, Sioux City, IA 51105-1485 | 2006-10-25 |
1013914423 | Eyad K Najdawi | Pediatrics | 1125 Pierce St, Sioux City, IA 51105-1485 | 2005-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952721409 | Dilli Raj Bhurtel | Pediatrics | 855 A Ave Ne Ste 310, Cedar Rapids, IA 52402-5064 | 2014-04-23 |
1629465802 | Omar A Abu Anza | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2015-04-25 |
1801289954 | Kaitlin S Carr | Pediatrics | 200 Hawkins Dr, Department of Pediatric Cardiology, Iowa City, IA 52242-1009 | 2015-03-13 |
1477811222 | Deidra Ansah | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2012-04-30 |
1386817054 | Luis Alberto Ochoa Nunez | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2008-04-02 |
1043482912 | Bijoy Damodaran Thattaliyath | Pediatrics | 200 Hawkins Dr, Department of Pediatrics, Iowa City, IA 52242-1009 | 2008-03-31 |
1972579233 | Benjamin Evers Reinking | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2006-02-27 |
1003882374 | Vickie Diamandakis Pyevich | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2006-02-27 |
1730163858 | Aaron K Olson | Pediatrics | 200 Hawkins Drive, University of Iowa Hospitals & Clinics, Iowa City, IA 52242-1082 | 2005-12-01 |
1477535185 | Thomas Edward Becker | Pediatrics | 330 Laurel St, Suite 2200, Des Moines, IA 50314-3034 | 2005-11-17 |
Find all providers with the same taxonomy |
City | SIOUX CITY |
Zip Code | 51106 |
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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.