Prairie Pediatrics & Adolescent Clinic, P.C.

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

PRAIRIE PEDIATRICS & ADOLESCENT CLINIC, P.C.

Practice address

2534 Glenn Ave
Sioux City, IA 51106

Phone

(712) 274-7822

Fax

(712) 274-2556

NPI assigned

May 24, 2007

Organization subpart

Yes

Parent organization

PRAIRIE PEDIATRICS & ADOLESCENT CLINIC, P.C.As reported in NPPES

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

Authorized official

Name

Patrick B Beck, MD

Title

Owner

Phone

(712) 255-8901

Specialties & licenses 1

Addresses

Part of

Robert E Lachman MD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aimee Michelle Lorenz, MD

  • Pediatrics Physician
  • Jefferson City, MO
  • NPI 1194722413
  NPD

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1740491489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51105",
            "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": "2534 GLENN AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51106",
            "telephone_number": "712-274-7822",
            "fax_number": "712-274-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE PEDIATRICS & ADOLESCENT CLINIC, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRAIRIE PEDIATRICS & ADOLESCENT CLINIC, P.C.",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-255-8901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin G Poss, DPT
• Post Acute Care Leaders- Iowa, LLC
• Jaicee Post, DDS
• Robert E Powers, MD
• Jerry Curtis Prahl, DDS
• Prairie Pediatrics, PC (Prairie Pediatrics & Adolescent Clinic, PC)
• Prairie River Counseling PLLC
• Cynthia Lorrayne Lane Prather, MSED.
• Elizabeth N Pratt, ARNP
• Premere Rehab LLC (Infinity Rehab)

• Pediatric Cardiology Physician in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Pediatric Cardiology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.