Active NPI
Paul Yovanovich Neskow, MD
- Emergency Medicine Physician
- Sioux City, IA
National Provider Identifier
1366488959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD-39174
- Practice address
- 801 5TH St
Sioux City, IA 51101-1326 - Phone
- (712) 279-2010
- Fax
- (712) 279-2034
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01050585A | IN | |
| Emergency Medicine Physician | 207P00000X | MD-39174 | IA | Primary |
Addresses
Primary practice location
801 5TH St
Sioux City, IA 51101-1326
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
Other practice location 1
3700 Washington Ave
Evansville, IN 47714-0541
Phone (330) 493-4443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01050585A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conemaugh Valley Memorial Hospital | Emergency Medicine | Past | Accepting new patients |
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Vanderburgh County, PC | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- pneskow9989@ahs.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Johnstown, PA
- NPI 1346200920
-
- Emergency Medicine Physician
- Evansville, IN
- NPI 1063451946
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1366488959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182545",
"telephone_number": "330-493-4443",
"fax_number": "330-493-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 5TH ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011326",
"telephone_number": "712-279-2010",
"fax_number": "712-279-2034"
}
],
"practiceLocations": [
{
"address_1": "3700 Washington Ave",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477140541",
"country_code": "US",
"telephone_number": "330-493-4443",
"fax_number": "330-493-8677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NESKOW",
"first_name": "PAUL",
"middle_name": "YOVANOVICH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01050585A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "MD-39174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.