Prairie Pediatrics, PC

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

PRAIRIE PEDIATRICS, PC

Doing business as

Prairie Pediatrics & Adolescent Clinic, PC

Practice address

1125 Pierce St
Sioux City, IA 51105-1485

Phone

(712) 255-8901

Fax

(712) 255-9161

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Melanie Olsen

Title

Business Manager

Phone

(712) 255-8901

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prairie Pediatrics & Adolescent Clinic, PC Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gladys Eleanor R Alolod, MD

  • Pediatrics Physician
  • Clanton, AL
  • NPI 1952411464
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1306920319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051485",
            "telephone_number": "712-255-8901",
            "fax_number": "712-255-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051485",
            "telephone_number": "712-255-8901",
            "fax_number": "712-255-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "712-255-8901"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE ENTITY ID",
            "identifier": "51104A001",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Pediatrics & Adolescent Clinic, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Post Acute Care Leaders- Iowa, LLC
• Jaicee Post, DDS
• Robert E Powers, MD
• Jerry Curtis Prahl, DDS
• Prairie Pediatrics & Adolescent Clinic, P.C.
• Prairie River Counseling PLLC
• Cynthia Lorrayne Lane Prather, MSED.
• Elizabeth N Pratt, ARNP
• Premere Rehab LLC
• Premier Counseling Services, PLLC

• Pediatric Cardiology Physician in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Pediatric Cardiology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.