Pierce Street Same Day Surgery, LC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PIERCE STREET SAME DAY SURGERY, LC

Practice address

2730 Pierce St
Sioux City, IA 51104-3796

Phone

(712) 294-7773

Fax

(712) 279-7958

NPI assigned

Jun 11, 2007

Last updated

Jan 14, 2026By 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

Mr. Craig Bryan

Title

Chief Executive Officer

Phone

(712) 294-8911

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pierce Street Same Day Surgery, LC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Listed as

Pierce Street Same Day Surgery LCCCN 16C0001028

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Northwest Iowa Hospital Corporation

  dba St Lukes Clinic Network

  • Internal Medicine Physician
  • Sioux City, IA
  • NPI 1194764001

  Member Of

  NPD member

Interoperability endpoints

• FHIR API: https://b99bfe22-cb9d-4128-ace6-6c2045dee050.gastro.prod.fhir.ema-api.com/fhir/r4/

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David V Wagner, MD

  • Otolaryngology Physician
  • Sioux City, IA
  • NPI 1508836123
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1205030731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 S WESTERN AVE STE 150",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083411",
            "telephone_number": "712-317-8402",
            "fax_number": "605-274-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043796",
            "telephone_number": "712-294-7773",
            "fax_number": "712-279-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE STREET SAME DAY SURGERY, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "712-294-8911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025588200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205030731",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pierce Street Same Day Surgery, LC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Physical Therapy Specialists PC
• Physiotherapy Associates Inc (Physio)
• Ann M Pick, ARNP
• Shayna Ann Pickell
• Jody Pickering
• Kelli Diann Pierce, LMHC, IADC
• Jerome Pierson, MD
• Kimberly Pilar
• Manju G Pillai, MD
• Michael A Piplani, MD

• Ambulatory Surgical Clinic/Center in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Ambulatory Surgical Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.