Stephen P Kahanic, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

27148 Issued in IA

Practice address

230 Nebraska St
Sioux City, IA 51101-1733

Phone

(712) 252-0088

Fax

(712) 252-5271

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1962474155",
    "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": {
        "last_name": "KAHANIC",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IA",
            "license": "27148",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NE",
            "license": "19310",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095869",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42-1320886-13",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chynnal Nicole Juarez IX
• Sherry Ann Junck
• Michael John Jung, MD
• Cynthia Jurado Marquez, ARNP
• Michael Todd Kafka, MD
• Daniel Lynn Kaler, DDS
• Mary Anne Kallsen, MARY KALLSEN
• Heidi Elizabeth Kammer Hodge, MSW, LICSW, LADC
• Veronica Irene Kappler, RN
• Bruce Benjamin Joseph Kardell, LMHC

• All providers in Sioux City, IA
• Hematology & Oncology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.