Organization Active NPI

Siouxland Women's Health Care, P.C.

  • Obstetrics & Gynecology Physician
  • Sioux City, IA
National Provider Identifier
1700878592
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SIOUXLAND WOMEN'S HEALTH CARE, P.C.
Practice address
1000 Jackson St
Sioux City, IA 51105-1431
Phone
(712) 252-0501
Fax
(712) 252-2024
NPI assigned
Aug 17, 2005
Last updated
Aug 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Danielle Jessica Hay, DONPI 1013228774
Title
Secretary-Corporation
Phone
(712) 252-0501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1000 Jackson St
Sioux City, IA 51105-1431

Mailing address

1000 Jackson St
Sioux City, IA 51105-1431
Phone (712) 252-0501

Other identifiers 1

IdentifierTypeStateIssuer
0170670MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD, NE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040319000989 IA Part B Supplier - Clinic/Group Practice 0446140560 Receives reassigned benefits from 6 practitioners
Practice locations: Sioux City, IA
O20040422000293 SD Part B Supplier - Clinic/Group Practice 0446140560 Receives reassigned benefits from 6 practitioners
Practice locations: Dakota Dunes, SD
O20161019002552 NE Part B Supplier - Clinic/Group Practice 0446140560 Receives reassigned benefits from 2 practitioners
Practice locations: Pender, NE

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0385283Siouxland Women's Health Care, PC1000 Jackson Street, Sioux City, IA 51105Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1700878592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JACKSON ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051431",
            "telephone_number": "712-252-0501",
            "fax_number": "712-252-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JACKSON ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051431",
            "telephone_number": "712-252-0501",
            "fax_number": "712-252-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUXLAND WOMEN'S HEALTH CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "HAY",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "JESSICA",
        "authorized_official_title_or_position": "SECRETARY-CORPORATION",
        "authorized_official_telephone_number": "712-252-0501",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170670",
            "state": "IA"
        }
    ],
    "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 Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.