Randy D Sorum, MD | |
230 Nebraska St, Sioux City, IA 51101-1733 | |
(712) 252-9372 | |
(712) 252-9327 |
Full Name | Randy D Sorum |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 230 Nebraska St, Sioux City, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720059181 | NPI | - | NPPES |
8206898 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | MD00034810 (Washington) | Secondary |
2085R0001X | Radiology - Radiation Oncology | MD-49706 (Iowa) | Primary |
Entity Name | Peninsula Rad Onc Ctr Llc |
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Entity Type | Part B Supplier - Radiation Therapy Center |
Entity Identifiers | NPI Number: 1366694796 PECOS PAC ID: 6204990450 Enrollment ID: O20090203000240 |
Mailing Address | Practice Location Address |
---|---|
Randy D Sorum, MD 230 Nebraska St, Sioux City, IA 51101-1733 Ph: (712) 252-9372 | Randy D Sorum, MD 230 Nebraska St, Sioux City, IA 51101-1733 Ph: (712) 252-9372 |
Patrice Cohen, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 230 Nebraska St, Sioux City, IA 51101 Phone: 712-252-9372 Fax: 712-252-9327 | |
Donald Schenk, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 801 5th St, Sioux City, IA 51101 Phone: 308-647-4900 Fax: 308-647-5378 | |
James C Beeler, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5 Harvest Rd, Sioux City, IA 51104 Phone: 712-239-0521 | |
Dr. Yat Hong Lau, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 230 Nebraska St, Sioux City, IA 51101 Phone: 712-252-9390 Fax: 712-252-9404 | |
Sheila Marie Foster, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-279-3285 | |
Jonathan C Beeler, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 801 5th St, Sioux City, IA 51101 Phone: 308-647-4900 Fax: 308-647-5378 | |
James Joseph Goebel, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-279-3285 |