Healthcare Provider Details

I. General information

NPI: 1750583605
Provider Name (Legal Business Name): ERIKA J SISKA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIKA JOCEL SISKA M.D.

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 76TH AVENUE DR SW
CEDAR RAPIDS IA
52404-7006
US

IV. Provider business mailing address

700 WHITING AVE
IOWA CITY IA
52245-5643
US

V. Phone/Fax

Practice location:
  • Phone: 319-558-0355
  • Fax:
Mailing address:
  • Phone: 319-325-7751
  • Fax: 319-626-3084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35999
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD-35999
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: