Whalio Doctors

NPI 1780755728

Buena Vista Regional Medical Center

Organisation Diagnostic Radiology Physician Storm Lake, IA

Practice location

Address
1525 W 5th St, Storm Lake, IA 50588-3027
Phone
(712) 732-4030
Fax
(712) 213-1233
Mailing address
1525 W 5th St PO Box 309, Storm Lake, IA 50588-3027

Authorised official

Name
Krista L Ketcham
Title
Cfo
Phone
(712) 213-8603

Registered specialties (12)

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 166H (IN)
Cardiovascular Disease Physician
Allopathic & Osteopathic Physicians Taxonomy 207RC0000X Licence 166H (IA)
Endocrinology, Diabetes & Metabolism Physician
Allopathic & Osteopathic Physicians Taxonomy 207RE0101X
Orthopaedic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207X00000X
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 110166H (IA)
Urology Physician
Allopathic & Osteopathic Physicians Taxonomy 208800000X
Hospitalist Physician
Allopathic & Osteopathic Physicians Taxonomy 208M00000X
Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X
Psychiatric/Mental Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 110166H (IA)
Certified Registered Nurse Anesthetist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X

Registry record

NPI
1780755728
Entity type
Organization
NPI issued
13 Nov 2006
Record last updated
10 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.