ST LUKES METHODIST HOSPITAL (NPI# 1003017153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003017153 |
| Entity Type | Organization |
| Organization Name | ST LUKES METHODIST HOSPITAL |
| Other Organization Name | FAMILY HEALTH CENTER |
| Practice Address |
4251 River Center Ct Ne Cedar Rapids IA 52402-7549 |
| Mailing Address |
Po Box 141 Des Moines IA 50301-0141 |
| Practice Telephone | 3193697512 |
| Practice Fax Number | 3193697494 |
| Mailing Telephone | 3193697512 |
| Mailing Fax Number | 3193697494 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2014-11-21 |
| Authorized Official Name | MR. MILTON E. AUNAN (VP/CFO) |
| Authorized Official Telephone | 3193697094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0021691 | 05 |
| Other Name | Type Code |
|---|---|
| Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609144344 | St Lukes Methodist Hospital | Home Health | 600 Boyson Rd Ne, Suite 2, Cedar Rapids, IA 52402-7221 | 2011-12-08 |
| 1578686341 | St Lukes Methodist Hospital | Preventive Medicine | 830 First Ave Ne, St Lukes Work Well Solutions, Cedar Rapids, IA 52406-3026 | 2007-04-09 |
| 1447354667 | St Lukes Methodist Hospital | Durable Medical Equipment & Medical Supplies | 298 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402-1602 | 2006-09-08 |
| 1770963225 | St Lukes Methodist Hospital | Clinic/Center | 202 10th St Se, Ste 195, Cedar Rapids, IA 52403-2414 | 2015-05-30 |
| 1104160746 | St Lukes Methodist Hospital | Durable Medical Equipment & Medical Supplies | 855 A Ave Ne, Ste 110, Cedar Rapids, IA 52402-5060 | 2012-11-20 |
| 1184835563 | St Lukes Methodist Hospital | Pharmacy | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2007-05-25 |
| 1851491666 | St Lukes Methodist Hospital | Pharmacy | 9255 Atlantic Dr Sw, Cedar Rapids, IA 52404-8950 | 2006-09-22 |
| 1629171780 | St Lukes Methodist Hospital | Pharmacy | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2006-09-06 |
| Street Address |
4251 RIVER CENTER CT NE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402-7549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629036546 | Anita T Simison | Family Medicine | 4251 River Center Ct Ne, Cedar Rapids, IA 52402-7549 | 2006-05-02 |
| 1306353289 | Diane E Sorensen | Social Worker | 4251 River Center Ct Ne, Cedar Rapids, IA 52402-7549 | 2018-01-02 |
| 1740630078 | Amy Smolucha | Obstetrics & Gynecology | 4251 River Center Ct Ne, Cedar Rapids, IA 52402-7549 | 2016-06-17 |
| 1831457621 | Katherine Abtahi | Obstetrics & Gynecology | 4251 River Center Ct Ne, Cedar Rapids, IA 52402 | 2012-04-30 |
| 1952524746 | Marcus D. Barnett | Obstetrics & Gynecology | 4251 River Center Ct Ne, Cedar Rapids, IA 52402-7549 | 2007-04-10 |
| 1578658738 | St. Luke's Methodist Hospital | Nurse Practitioner | 4251 River Center Ct Ne, Cedar Rapids, IA 52402-7549 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
| 1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
| 1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
| 1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
| 1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
| Find all providers in zip 52402 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861492753 | Jane A Lyons | Obstetrics & Gynecology | 701 10th St Se, J Edward Lundy Pavilion 4th Floor, Cedar Rapids, IA 52403-1251 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043665292 | John Mckeown | Obstetrics & Gynecology | 1924 Nw Ash Dr, Ankeny, IA 50023-8736 | 2016-04-25 |
| 1386956290 | Ottumwa Health Group LLC | Obstetrics & Gynecology | 1001 Pennsylvania Ave, Ottumwa, IA 52501-2186 | 2010-07-08 |
| 1194981126 | Chao Li | Obstetrics & Gynecology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2008-07-29 |
| 1831366533 | Geoffrey Kevan Bowman | Obstetrics & Gynecology | 4480 Utica Ridge Rd, Ste 108, Bettendorf, IA 52722-1656 | 2008-05-12 |
| 1205040557 | Covenant Medical Center Inc | Obstetrics & Gynecology | 3421 W 9th St, Waterloo, IA 50702-5401 | 2007-05-09 |
| 1790774818 | Kelly Kay Ward | Obstetrics & Gynecology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-10-20 |
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
Please comment or provide details below to improve the information on ST LUKES METHODIST HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.