STACI L WEDEL (NPI# 1083623250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083623250 |
| Entity Type | Individual |
| Full Name | STACI L WEDEL |
| Credential | MD |
| Practice Address |
855 A Ave Ne Suite 300 Cedar Rapids IA 52402-5057 |
| Practice Telephone | 3193689300 |
| Practice Fax Number | 3193685690 |
| Mailing Telephone | 3193689300 |
| Mailing Fax Number | 3193685690 |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2011-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 37934 | IA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 31367 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | HPK | 102549 | 01 |
| KS | PHS | 14746 | 01 |
| KS | COVENTRY | 244545 | 01 |
| KS | MULTIPLAN | 12149415 | 01 |
| KS | BCBS | 104840 | 01 |
| IA | 1083623250 | 05 | |
| KS | 200333240A | 05 |
| Street Address |
855 A AVE NE SUITE 300 |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402-5057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991698 | Johanna J Abernathy | Obstetrics & Gynecology | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 | 2005-06-09 |
| 1497305049 | Jennifer Lynn O'donnell | Registered Nurse | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 | 2019-09-16 |
| 1184196677 | Ashley A Degeeter | Nurse Practitioner | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 | 2018-12-20 |
| 1588118731 | Emily Fye | Nurse Practitioner | 855 A Ave Ne, #400, Cedar Rapids, IA 52402-5057 | 2016-08-04 |
| 1922468925 | Unitypoint At Home | Durable Medical Equipment & Medical Supplies | 855 A Ave Ne, Suite 110, Cedar Rapids, IA 52402-5057 | 2016-03-03 |
| 1366828121 | Ciarra Alexandria Lang | Nurse Practitioner | 855 A Ave Ne, Suite 300, Cedar Rapids, IA 52402-5057 | 2015-08-04 |
| 1396120895 | Kourtney Yoder | Nurse Practitioner | 855 A Ave Ne, Suite 300, Cedar Rapids, IA 52402-5057 | 2015-07-25 |
| 1811388440 | Jennifer Burgett | Nurse Practitioner | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 | 2015-02-18 |
| 1104160746 | St Lukes Methodist Hospital | Durable Medical Equipment & Medical Supplies | 855 A Ave Ne, Ste 110, Cedar Rapids, IA 52402-5060 | 2012-11-20 |
| 1023365525 | Carrie Christine Teahen | Dentist | 855 A Ave Ne, Suite Ll1, Cedar Rapids, IA 52402-5057 | 2012-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
| 1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
| 1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
| 1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
| 1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
| Find all providers in zip 52402 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669450896 | Scott K Nau | Pediatrics | 701 10th St Se # Level4, Cedar Rapids, IA 52403-1251 | 2006-01-06 |
| 1306823448 | Patrick M. O'grady | Pediatrics | 411 - 10th St Se, Suite 150, Cedar Rapids, IA 52403-2449 | 2005-12-29 |
| 1730186958 | Sharon A Collins | Pediatrics | 411 10th St Se, Suite 150, Cedar Rapids, IA 52403-2442 | 2005-07-01 |
| 1871599787 | Benjamin T Stevens | Pediatrics | 1026 A Avenue Ne, Suite 5000, Cedar Rapids, IA 52402-5036 | 2005-06-24 |
| 1760487854 | Pediatric Center, PC | Pediatrics | 411 10th Street Se, Suite 150, Cedar Rapids, IA 52403 | 2005-06-16 |
| 1104354216 | Haley Plath | Pediatrics | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2017-06-02 |
| 1598216244 | Eastern Iowa Health Center | Pediatrics | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2016-10-18 |
| 1710366349 | Kathleen Larson | Pediatrics | 4325 Williams Blvd Sw, Cedar Rapids, IA 52404 | 2015-05-28 |
| 1427445790 | Katheryn Paulsen | Pediatrics | 1026 A Ave Ne, Cedar Rapids, IA 52402 | 2015-04-23 |
| 1114313913 | Nhan-ai Truong | Pediatrics | 1026 A Ave Ne, Cedar Rapids, IA 52402 | 2015-04-09 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
Please comment or provide details below to improve the information on STACI L WEDEL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.