Rex W Rundquist, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

21617 Issued in IA

Practice address

1125 Pierce St
Sioux City, IA 51105-1485

Phone

(712) 255-8901

Fax

(712) 255-9161

NPI assigned

Jun 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Family Health Care of Siouxland PLC

  • Family Medicine Physician
  • Sioux City, IA
  • NPI 1437170685
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1881691392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 PIERCE ST",
            "address_2": "STE 100",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051484",
            "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": "1125 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051485",
            "telephone_number": "712-255-8901",
            "fax_number": "712-255-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNDQUIST",
        "first_name": "REX",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "21617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070714",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anukul Roy, MD
• Holly Lynn Rozeboom, PAC
• Ryan Rudloff, OD
• Mary M Ruhland, LISW
• Gabriel Timothy Ruiz
• Avianna Rupp
• Erin Rupp
• Emily Marie Ruppert, TLMHC
• Heather Rush, PT, DPT
• Alexandra Rust, PT, DPT

• Pediatrics Physician in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Pediatrics Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.