Active NPI
Siouxland Hematology Oncology Associates LLP
- Hematology & Oncology Physician
- Sioux City, IA
National Provider Identifier
1811914575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 34068
- Legal business name
- SIOUXLAND HEMATOLOGY ONCOLOGY ASSOCIATES LLP
- Practice address
- 230 Nebraska St
Sioux City, IA 51101-1733 - Phone
- (712) 252-0088
- Fax
- (712) 252-5271
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Enola G Peters
- Title
- Office Manager
- Phone
- (712) 252-9303
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 21969 | IA | |
| Hematology & Oncology Physician | 207RH0003X | 25530 | IA | |
| Hematology & Oncology Physician | 207RH0003X | 29208 | IA | |
| Hematology & Oncology Physician | 207RH0003X | 27148 | IA | |
| Hematology & Oncology Physician | 207RH0003X | 34068 | IA | Primary |
| Hematology & Oncology Physician | 207RH0003X | 19310 | NE |
Addresses
Primary practice location
230 Nebraska St
Sioux City, IA 51101-1733
Mailing address
230 Nebraska St
Sioux City, IA 51101-1733
Phone (712) 252-0088
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7767570 | Medicaid | SD | |
| 0088955 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
225 N Welch Ave
Baum Harmon Mercy Hospital
Primghar, IA 51245
Phone (712) 957-2300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Sioux City, IA
- NPI 1497727663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534464000000",
"number": "1811914575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 NEBRASKA ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011733",
"telephone_number": "712-252-0088",
"fax_number": "712-252-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 NEBRASKA ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011733",
"telephone_number": "712-252-0088",
"fax_number": "712-252-5271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIOUXLAND HEMATOLOGY ONCOLOGY ASSOCIATES LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2018-08-17",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "ENOLA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "712-252-9303",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IA",
"license": "21969",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IA",
"license": "25530",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IA",
"license": "29208",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IA",
"license": "27148",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IA",
"license": "34068",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NE",
"license": "19310",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7767570",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0088955",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
- Siouxland Counseling Services, PLLC
- Siouxland Cytology Consultants LLC
- Siouxland Dental Health
- Siouxland Diagnostic Pathology Services, PLLC
- Siouxland Hearing Healthcare PLC
- Siouxland Hospitalists PLLC
- Siouxland Internal Medicine Specialists, PLC
- Siouxland Medical Education Foundation Pharmacy
- Siouxland Medical Education Foundation, Inc
- Siouxland Medical Transit LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.