BRUCE W. STAVENS (NPI# 1922064070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922064070 |
| Entity Type | Individual |
| Full Name | BRUCE W. STAVENS |
| Credential | M.D. |
| Practice Address |
801 5th St Sioux City IA 51101-1326 |
| Mailing Address |
Po Box 328 Sioux City IA 51102-0328 |
| Practice Telephone | 7122947010 |
| Practice Fax Number | 7122947001 |
| Mailing Telephone | 7122795830 |
| Mailing Fax Number | 7122795883 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 25941 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 3043554 | 05 | |
| IA | 421283849-46 | 05 | |
| IA | WELLMARK BCBS IA | 04708 | 01 |
| IA | 7784353 | 05 |
| Street Address |
801 5TH ST |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51101-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285774 | Gary Lewis | Social Worker | 801 5th St, Sioux City, IA 51101-1394 | 2005-06-16 |
| 1275133027 | Bonnie Ivadell Ryan | Registered Nurse | 801 5th St, Sioux City, IA 51101-1326 | 2020-10-30 |
| 1720695224 | Justin Hargrave | Nurse Practitioner | 801 5th St, Sioux City, IA 51101-1326 | 2020-09-29 |
| 1619583010 | Michael Dennis Quinlivan | Nurse Practitioner | 801 5th St, Sioux City, IA 51101-1326 | 2020-09-21 |
| 1740890102 | Rocky Mountain Holdings, LLC | Ambulance | 801 5th St, Sioux City, IA 51101-1326 | 2020-07-31 |
| 1821618695 | Abbie Jo Ostrihonsky | Registered Nurse | 801 5th St, Sioux City, IA 51101-1326 | 2020-04-22 |
| 1104459924 | Amanda Ball | Nurse Practitioner | 801 5th St, Sioux City, IA 51101-1326 | 2020-02-20 |
| 1528608528 | Jennifer Lucart | Nurse Practitioner | 801 5th St, Sioux City, IA 51101-1326 | 2020-01-08 |
| 1639717275 | Kiel Grant | Pharmacist | 801 5th St, Sioux City, IA 51101-1326 | 2019-12-13 |
| 1831731231 | Rebecca Suzanne Mathine | Physical Therapist | 801 5th St, Sioux City, IA 51101-1326 | 2019-10-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215434691 | Dorcas Wambui Kamau | Nurse Practitioner | Jackson Recovery Centers, Inc., 800 5th Street, Sioux City, IA 51101 | 2018-04-11 |
| 1346763554 | Mercy Health Services - Iowa Corp | Skilled Nursing Facility | 801 5th St Fl 7, Sioux City, IA 51101 | 2017-07-19 |
| 1821427287 | Jason Leigh Wagner | Counselor | 505 5th St., Suite 520, Sioux City, IA 51101 | 2013-11-06 |
| 1124354352 | Carol Madsen Watchorn | Social Worker | Nseling Practice, 915 Pierce St, Sioux City, IA 51101 | 2009-10-22 |
| 1710024542 | Woodbury County, Iowa | Case Management | 620 Douglas, Rm B5, Sioux City, IA 51101 | 2007-01-31 |
| 1891863668 | Vivian Lea Miller | Counselor | 705 Douglas St, Suite 350, Sioux City, IA 51101 | 2006-12-01 |
| 1043265176 | Sharon K Fey | Internal Medicine | 700 4th Street, Ste 410, Sioux City, IA 51101 | 2006-05-24 |
| 1073009486 | Carly Alyssa Turner | Social Worker | 625 Court St, Sioux City, IA 51101 | 2018-07-09 |
| 1114419009 | Ryan Rudloff | Optometrist | 431 Pierce St, Sioux City, IA 51101 | 2018-06-05 |
| 1316435324 | Nitausha Ann Williams | Social Worker | Jackson Recovery Centers, Inc., 800 5th Street, Sioux City, IA 51101 | 2018-04-25 |
| Find all providers in zip 51101 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922056894 | Mark W Nielsen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4630 Singing Hills Blvd, Suite A, Sioux City, IA 51106-9702 | 2006-05-04 |
| 1457687782 | Siouxland Vein Center PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4630 Singing Hills Blvd, Sioux City, IA 51106-9702 | 2009-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504398 | Center for Vein Restoration Ia Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 505 Cedar Cross Rd Ste A, Dubuque, IA 52003-7704 | 2019-11-29 |
| 1871997759 | Steven Joseph Phillips | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8081 Cobblestone Rd, Urbandale, IA 50322-4422 | 2014-10-21 |
| 1982973970 | Chamnahn Kongtahworn | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12950 Woodlands Pkwy, Clive, IA 50325-8748 | 2011-12-20 |
| 1881743581 | Iowa City Cardiovascular Surgery Plc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 540 E Jefferson St Ste 304, Iowa City, IA 52245-2479 | 2007-01-10 |
| 1013960129 | Eromosele Anthony Otoadese | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1753 W Ridgeway Ave Ste 111, Waterloo, IA 50701-4588 | 2006-05-18 |
| 1679525562 | Genesis Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1236 E Rusholme St Ste 150, Davenport, IA 52803-2433 | 2006-05-17 |
| 1245296664 | Marco Ricci | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Hawkins Drive University of Iowa, Iowa City, IA 52243-1005 | 2006-04-25 |
| 1760461032 | Christopher Carl Peters | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2751 Oakdale Blvd, Suite #2, Coralville, IA 52241-9749 | 2006-01-13 |
| 1730702853 | Marian Hohenwarter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Hawkins Dr, Dept of Thoracic Surgery, Iowa City, IA 52242-1009 | 2020-05-22 |
| 1437523024 | Yuki Nakamura | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2015-11-19 |
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| City | SIOUX CITY |
| Zip Code | 51101 |
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| 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.