Michael Chandler Severson

Emergency Medicine in Dubuque, IA. Individual provider (NPI-1).

NPI number1124522883

StatusActive

Last updated in NPPESSep 30, 2022

Details

NPI: 1124522883
Entity type: Individual (NPI-1)
Name: Michael Chandler Severson
Sex: Male
Sole proprietor: No
Enumeration date: Mar 19, 2018
Certification date: Sep 30, 2022
Last updated: Sep 30, 2022

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - EMERGENCY MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207P00000X	Emergency Medicine	S4683	TX	Yes
207P00000X	Emergency Medicine	MD-48332	IA

Practice location

250 Mercy Dr
Dubuque, IA 52001-7320

Phone 563-589-9667

Mailing address

250 Mercy Dr
Dubuque, IA 52001-7320

Phone 563-589-9667

Is something wrong?

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Other Emergency Medicine Physician providers in Dubuque, IA

All 20 Emergency Medicine Physician providers in Dubuque · All 1,890 providers in Dubuque

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