NPIMap

Organization Active NPI

Siouxland Hospitalists PLLC

Doing business as Prime Physicians

  • Internal Medicine Physician
  • Sioux City, IA
National Provider Identifier
1831598614
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SIOUXLAND HOSPITALISTS PLLC
Doing business as
Prime Physicians
Practice address
2720 Stone Park Blvd Ste 335
Sioux City, IA 51104-3734
Phone
(605) 937-5537
Fax
(712) 279-3640
NPI assigned
Aug 18, 2014
Last updated
Apr 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Alexandra N Wolf
Title
Credentialing Manager
Phone
(605) 937-5537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2720 Stone Park Blvd Ste 335
Sioux City, IA 51104-3734

Mailing address

2720 Stone Park Blvd Ste 335
Sioux City, IA 51104-3734
Phone (605) 937-5537

Other names 1

  • Prime Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150223000318 IA Part B Supplier - Clinic/Group Practice 8123343803 Receives reassigned benefits from 32 practitioners
Practice locations: Sioux City, IA

National Provider Directory

National Provider Directory

Locations

2720 Stone Park Blvd
#3
Sioux City, IA 51104

2720 Stone Park Blvd
#335
Sioux City, IA 51104
Phone (712) 220-6634

2720 Stone Park Blvd
Fl 3
Sioux City, IA 51104

2720 Stone Park Blvd
Ste 335
Sioux City, IA 51104
Phone (712) 220-6634

2720 Stone Park Blvd
Ste 623
Sioux City, IA 51104
Phone (712) 234-8540

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1831598614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 STONE PARK BLVD STE 335",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043734",
            "telephone_number": "605-937-5537",
            "fax_number": "712-279-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 STONE PARK BLVD STE 335",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043734",
            "telephone_number": "605-937-5537",
            "fax_number": "712-279-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUXLAND HOSPITALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "605-937-5537"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.