| 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 | 
|---|---|
| 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 | 
| August Anderson, MD Radiology Medicare: Medicare Enrolled Practice Location: 230 Nebraska St, Sioux City, IA 51101 Phone: 209-727-2072 | |
| 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 |