Ray C Sturdevant, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

19856 Issued in IA

Practice address

2800 Pierce St
Suite 207
Sioux City, IA 51104-3755

Phone

(712) 255-8901

Fax

(712) 255-9161

NPI assigned

Jun 30, 2005

Last updated

Apr 27, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Health Care of Siouxland PLC

  • Family Medicine Physician
  • Sioux City, IA
  • NPI 1437170685
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1326045808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 PIERCE ST",
            "address_2": "STE 100",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051484",
            "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": "2800 PIERCE ST",
            "address_2": "SUITE 207",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043755",
            "telephone_number": "712-255-8901",
            "fax_number": "712-255-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURDEVANT",
        "first_name": "RAY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "19856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128470",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemary Dorothy Stronck, LISW
• Rebecca Strong, PHARMD
• Tamera Struvve, CADC
• Mardell Gladys Stuerman, RPH
• Marlene R. Sturdevant, ARNP
• Jorge Suarez III
• Cory Sueper
• Stephanie Sundling, BS, CADC
• Deena Sunny, MD
• Sunnybrook Physicians and Rehab Gropup PC

• Pediatrics Physician in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Pediatrics Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.