| Dr Stephanie Jane Houston, DO | |
|
8605 Chambery Blvd, Johnston, IA 50131-8810 | |
| (515) 457-2960 | |
| (515) 457-2961 |
| Full Name | Dr Stephanie Jane Houston |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Nephrology |
| Location | 8605 Chambery Blvd, Johnston, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235497090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | DO-05033 (Iowa) | Secondary |
| 2080P0210X | Pediatrics - Pediatric Nephrology | DO-05033 (Iowa) | Primary |
| Entity Name | State University Of Iowa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephanie Jane Houston, DO 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 356-4920 | Dr Stephanie Jane Houston, DO 8605 Chambery Blvd, Johnston, IA 50131-8810 Ph: (515) 457-2960 |
Rana Aldurrah, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5615 Nw 86th St, Suite 200, Johnston, IA 50131 Phone: 515-643-6090 Fax: 515-643-6001 | |
Mark A Barnhill, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8101 Birchwood Ct, Suite N, Johnston, IA 50131 Phone: 515-471-9243 Fax: 515-471-9319 | |
Lane Moser, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 5406 Merle Hay Rd, Johnston, IA 50131 Phone: 515-727-8750 |