STACEY MARIE PARKER-BRUEGGEMANN (NPI# 1811169972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811169972 |
Entity Type | Individual |
Full Name | STACEY MARIE PARKER-BRUEGGEMANN |
Credential | M.D. |
Practice Address |
1 Edmundson Pl Ste 100 Council Bluffs IA 51503-4658 |
Mailing Address |
1 Edmundson Pl Ste 100 Po Box 26509 Council Bluffs IA 51503-4658 |
Practice Telephone | 7123224136 |
Practice Fax Number | 7123228129 |
Mailing Telephone | 7123224136 |
Mailing Fax Number | 7123228129 |
Enumeration Date | 2008-03-28 |
Last Update Date | 2020-05-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
2011011830 | MO | Allopathic & Osteopathic Physicians |
Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MD42742 | IA | Allopathic & Osteopathic Physicians |
Street Address |
1 EDMUNDSON PL STE 100 |
City | COUNCIL BLUFFS |
State | IA |
Zip Code | 51503-4658 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336798750 | American Oncology Partners, P.a. | Internal Medicine | 1 Edmundson Pl Ste 100, Council Bluffs, IA 51503-4658 | 2019-09-09 |
1588050116 | Kristin Elizabeth Markel | Nurse Practitioner | 1 Edmundson Pl Ste 100, Council Bluffs, IA 51503-4658 | 2015-04-10 |
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 | 207RX0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Medical Oncology |
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336798750 | American Oncology Partners, P.a. | Internal Medicine | 1 Edmundson Pl Ste 100, Council Bluffs, IA 51503-4658 | 2019-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
1568585206 | Ann Louise Stroh | Internal Medicine | 701 10th St Se Fl Hpcc3, Cedar Rapids, IA 52403-1251 | 2007-04-09 |
1518970748 | Costas L Constantinou | Internal Medicine | 1409 E Kimberly Rd, Davenport, IA 52807-1923 | 2006-08-15 |
1386127025 | Lakes Regional Healthcare | Internal Medicine | 2301 Highway 71, Spirit Lake, IA 51360-1184 | 2018-09-10 |
1366707242 | Vignesh Thamilarasu Packiam | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2012-07-06 |
1902175615 | Jun Zhang | Internal Medicine | 200 Hawkins Dr, Department of Internal Medicine, Iowa City, IA 52242-1009 | 2011-12-26 |
1588827778 | Kamal Kant Singh Abbi | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2008-07-08 |
1922184175 | Shelby County Chris A. Myrtue Memorial Hospital | Internal Medicine | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2006-10-31 |
1578667960 | Robert Wayne Horowitz | Internal Medicine | 230 Nebraska St, Sioux City, IA 51101-1733 | 2006-09-07 |
1972610376 | North Iowa Mercy Clinic | Internal Medicine | 1000 4th St Sw, Mason City, IA 50401-2800 | 2006-08-23 |
Find all providers with the same taxonomy |
City | COUNCIL BLUFFS |
Zip Code | 51503 |
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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.