Healthcare Provider Details

I. General information

NPI: 1477654853
Provider Name (Legal Business Name): SIOUXLAND RADIOLOGY PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 5TH ST
SIOUX CITY IA
51101-1326
US

IV. Provider business mailing address

PO BOX 161
SIOUX CITY IA
51102-0161
US

V. Phone/Fax

Practice location:
  • Phone: 712-279-5613
  • Fax:
Mailing address:
  • Phone: 712-279-5613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES BEELER
Title or Position: OWNER
Credential: M.D.
Phone: 712-279-5613