Mercy Medical Services

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MERCY MEDICAL SERVICES

Doing business as

MercyOne Siouxland Internal Medicine Care

Practice address

801 5TH St
Suite 201
Sioux City, IA 51101-1326

Phone

(712) 279-2400

Fax

(712) 279-5883

NPI assigned

May 12, 2008

Last updated

Dec 7, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas Clark

Title

President

Phone

(712) 279-2018

Specialties & licenses 2

Addresses

Other names 1

• MercyOne Siouxland Internal Medicine Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1184891970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511020328",
            "telephone_number": "712-279-5830",
            "fax_number": "712-279-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "address_2": "SUITE 201",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011326",
            "telephone_number": "712-279-2400",
            "fax_number": "712-279-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-279-2018"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MercyOne Siouxland Internal Medicine Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mentor Abi, LLC (dba Neurorestorative Iowa)
• Mentor Abi, LLC
• Mercy Health Services-Iowa Corp. (MercyOne Siouxland Medical Center-SNF)
• Mercy Medical Lifeline
• Mercy Medical Services (Mercy Behavioral Care Clinic)
• Mercy Medical Services (Mercy Internal Medicine)
• Mercy Medical Services (Akron Mercy Medical Clinic)
• Mercy Medical Services (Mercy Rehab and Psychological Services)
• Mercy Medical Services
• Mercy Medical Services (Cardiology Outreach Clinics to Nebraska)

• Internal Medicine Physician in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.