Chad Allen Stadsvold, DO | |
2800 Pierce St, Suite 110, Sioux City, IA 51104-3755 | |
(712) 279-3754 | |
(712) 279-3644 |
Full Name | Chad Allen Stadsvold |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 17 Years |
Location | 2800 Pierce St, Sioux City, Iowa |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932304060 | NPI | - | NPPES |
00606 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | R8139 (Iowa) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 4175 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Regional Medical Center | Sioux city, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Iowa Physicians Clinic Medical Foundation | 8729992318 | 971 |
Entity Name | Iowa Physicians Clinic Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
Mailing Address | Practice Location Address |
---|---|
Chad Allen Stadsvold, DO 2800 Pierce St, Suite 110, Sioux City, IA 51104-3755 Ph: (712) 279-3754 | Chad Allen Stadsvold, DO 2800 Pierce St, Suite 110, Sioux City, IA 51104-3755 Ph: (712) 279-3754 |
Emily Rohmiller, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2524 Glenn Ave, Sioux City, IA 51106 Phone: 712-226-2253 | |
Taylor Landholm, OT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3100 S Lakeport St, Sioux City, IA 51106 Phone: 712-277-4442 | |
Garry Andrew Clark, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3930 Stadium Dr, Sioux City, IA 51106 Phone: 712-276-4325 Fax: 712-276-6033 |