Patrick B Beck, MD
Individual provider Active NPI Pediatrics Physician · Sioux City, IA
NPI 1568469880 · NPPES record last updated May 2, 2017
Key facts
- NPI
- 1568469880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 27125 (IA)
- Practice address
- 1125 Pierce St
Sioux City, IA 51105-1485 - Phone
- (712) 255-8901
- Fax
- (712) 255-9161
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27127 | IA | MD | Clinical Pathology/Laboratory Medicine Physician |
| 27125 | IA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Care of Siouxland PLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 27125 | IA | Yes |
Addresses
Primary practice location
1125 Pierce St
Sioux City, IA 51105-1485
Mailing address
1125 Pierce St
Ste 100
Sioux City, IA 51105-1484
Phone (712) 255-8901
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2057950 | Medicaid | IA |
Other providers in Sioux City, IA
- Jordan Lynn Bauer
- Kelsey Nicole Bauer
- Mitchel D Bauman
- Danielle Beach
- Nicholas C. Bechtold
- Jeanna Becker
- Olivia Becker
- Dawn Beckwith
- Become, Behavioral & Educational Services & Training, LLC
- Become, Behavioral & Educational Services & Training, LLC
All providers in Sioux City, IA · Pediatrics Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.