Individual provider Active NPI

Stanley Ziomek, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Sikeston, MO
National Provider Identifier
1639124647
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
2005014706 Issued in MO
Practice address
1015 N Main St
Sikeston, MO 63801-5043
Phone
(573) 472-7120
Fax
(573) 472-7129
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2005014706 MO Primary

Addresses

Primary practice location

1015 N Main St
Sikeston, MO 63801-5043

Mailing address

1015 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-7120

Other identifiers 1

IdentifierTypeStateIssuer
203899208MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, ND2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050719000005 MO Practitioner - Thoracic SurgeryPractitioner - General SurgeryPractitioner - Vascular SurgeryPractitioner - Cardiac Surgery 2769424522 Reassigns benefits to 3 organizations
I20200122000454 ND Practitioner - Thoracic Surgery 2769424522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Vascular Surgery
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

802 N Riverside Rd
210 Mosaic Life Care
St Joseph, MO 64057-2553
Phone (816) 271-6200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)29
Pacemaker insertion or repair1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center CurrentSince Jul 16, 2019 Accepting new patients
St Alexius Medical Center CurrentSince Dec 28, 2019 Accepting new patients
St. Alexius Medical Center CurrentSince Dec 28, 2019 Accepting new patients
Missouri Delta Medical Center CurrentSince Jul 1, 2017 Accepting new patients
Missouri Delta Medical Center CurrentSince Jul 1, 2017 Accepting new patients
Southeast Missouri Hospital Physicians, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 1, 2018 Accepting new patients
Heartland Regional Medical Center CurrentSince Jul 16, 2019 Accepting new patients
Heartland Regional Medical Center Past Accepting new patients

Locations

1723 Broadway St
Ste 210
Cape Girardeau, MO 63701
Phone (573) 331-7840

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

802 N Riverside Rd
Ste 210
Saint Joseph, MO 64507
Phone (816) 271-1225

1015 N Main St
Sikeston, MO 63801
Phone (573) 472-7120

1012 N Main St
Sikeston, MO 63801
Phone (573) 471-0330

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

Interoperability endpoints

  • Direct secure messaging: sziomek565822@achce.catholichealth.net

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1639124647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015043",
            "telephone_number": "573-472-7120",
            "fax_number": "573-472-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015043",
            "telephone_number": "573-472-7120",
            "fax_number": "573-472-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIOMEK",
        "first_name": "STANLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "2005014706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203899208",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

Verify at the official NPI Registry.