Pathology Medical Services of Siouxland PC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

23374 Issued in IA

Legal business name

PATHOLOGY MEDICAL SERVICES OF SIOUXLAND PC

Practice address

2720 Stone Park Blvd
Sioux City, IA 51104-3734

Phone

(712) 279-3226

Fax

(712) 279-7034

NPI assigned

Apr 4, 2006

Last updated

Jan 15, 2008By 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

Dr. Michael Todd Kafka, M.D.NPI 1164484713

Title

President

Phone

(712) 279-3226

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 5

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.

• Julie Ann Breiner, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Sioux City, IA
  • NPI 1417919671
  Medicare reassignment Care Compare group NPD
• James Thomas Quesenberry, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Sioux City, IA
  • NPI 1669434783
  Medicare reassignment Care Compare group NPD
• David John Jaskierny Jr., M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Omaha, NE
  • NPI 1205913126

  IA

  Medicare reassignment Care Compare group NPD
• Michael Todd Kafka, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Sioux City, IA
  • NPI 1164484713
  Authorized official Same address or phone
• Penny L Vanderveer, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Salem, OR
  • NPI 1518028869
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1255393427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100559",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295010559",
            "telephone_number": "843-664-4300",
            "fax_number": "843-664-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 STONE PARK BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043734",
            "telephone_number": "712-279-3226",
            "fax_number": "712-279-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY MEDICAL SERVICES OF SIOUXLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "KAFKA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-279-3226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IA",
            "license": "23374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0175448",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP#",
            "identifier": "32972",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Marie Parman
• Jennifer D Parra
• Parrinello Specialized Therapy Services, Inc
• Partner Medical Home Care SC LLC (Partner Medical Home Care)
• Thomas Patrick Patera, O.D.
• Kunal K Patra, M.D.
• Patrick a. Walding DC PC
• Brian Paugh, PA-C
• Kristina Pauley
• Jaclyn Joann Paulson, LMHC

• Anatomic Pathology & Clinical Pathology Physician in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.