Active NPI
Sandra Kay Swedean Granger, MD
- Pediatrics Physician
- Sioux City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD-43891
- Practice address
- 5885 Sunnybrook Dr Ste E100
Sioux City, IA 51106-4250 - Phone
- (712) 662-2700
- Fax
- (712) 266-2666
- NPI assigned
- Jun 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD-43891 | IA | Primary |
| Pediatrics Physician | 208000000X | 25531 | NE |
Addresses
Primary practice location
5885 Sunnybrook Dr Ste E100
Sioux City, IA 51106-4250
Mailing address
5885 Sunnybrook Dr Ste E100
Sioux City, IA 51106-4250
Phone (712) 266-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-43891 | IA | MD | Pediatrics Physician |
| 25531 | NE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Father Flanagan's Boys' Home | Pediatrics | Current | Accepting new patients |
| Iowa Physicians Clinic Medical Foundation | Pediatrics | Current | Accepting new patients |
| Northwest Iowa Hospital Corporation | Pediatrics | Current | Accepting new patients |
| St Luke's Methodist Hospital | Current | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
2534 Glenn Ave
Sioux City, IA 51106
Phone (712) 274-7822
2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000
5885 Sunnybrook Dr
Ste E100
Sioux City, IA 51106
Phone (712) 266-2700
14000 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6000
14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900
Interoperability endpoints
- sgranger492946@direct.unitypoint.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Pediatrics
-
dba St. Luke's Regional Medical Center
- Emergency Medical Services (Emergency Medicine) Physician
- Sioux City, IA
- NPI 1215962550
Pediatrics
-
dba Boys Town Professional Services
- Pediatrics Physician
- Omaha, NE
- NPI 1295821825
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1023277597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5885 SUNNYBROOK DR STE E100",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511064250",
"telephone_number": "712-266-2700",
"fax_number": "712-266-2666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5885 SUNNYBROOK DR STE E100",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511064250",
"telephone_number": "712-662-2700",
"fax_number": "712-266-2666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANGER",
"first_name": "SANDRA",
"middle_name": "KAY SWEDEAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "MD-43891",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "25531",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.