Stephanie Jane Houston

D.O. | Pediatric Nephrology | Female

---

Complete Profile:

Stephanie Jane Houston basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Stephanie Jane Houston
Other Name :	Stephanie Jane Bean
Credential :	D.O.
Gender :	Female

Business Address:

Stephanie Jane Houston address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	8605 Chambery Blvd Johnston, IA, 50131-8821 United States
Phone Number :	515-457-2960
Fax Number :	515-457-2961

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1235497090
NPI Entity Type :	Individual
First Enrolment Date :	30 Apr, 2012
Last Updated On :	27 Jul, 2021

Medicare Participation:

Stephanie Jane Houston participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0941440069
Medicare Enrollment ID :	I20170718001953
Primary Specialty :	Neurosurgery
Medical School :	Other
Graduation Year :	2012
Accepts Medicare?	Yes. Stephanie Jane Houston accepts medicare insurance.

Group Practice Association:

Stephanie Jane Houston is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Stephanie Jane Houston is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
State University Of Iowa	7618884230	1458	8605 Chambery Blvd Johnston, IA - 501318821 Ph: 5154572960	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephanie Jane Houston are as mentioned. Primary taxonomy code for Stephanie Jane Houston, D.O. is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	DO-05033	IA
2080P0210X	Pediatrics Pediatric Nephrology	Yes	DO-05033	IA

Other Practice Locations:

Practice Address	City, State	Phone Number
105 E 9TH ST, CORALVILLE, IA, 52241-2209 United States	CORALVILLE, IA	319-467-2000
200 HAWKINS DR, IOWA CITY, IA, 52242-1009 United States	IOWA CITY, IA	319-356-4920

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	200 Hawkins Dr Iowa City, IA, 52242-1009 United States
Phone Number :	319-356-4920
Fax Number :	319-384-9616

Business Location:

Patients can refer following map for directions to Stephanie Jane Houston practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.