ADULT & PEDIATRIC UROLOGY PC (NPI# 1003949918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003949918 |
| Entity Type | Organization |
| Organization Name | ADULT & PEDIATRIC UROLOGY PC |
| Practice Address |
1213 Garfield Ave Harlan IA 51537-2057 |
| Mailing Address |
Po Box 8577 Omaha NE 68108-0577 |
| Practice Telephone | 7127555161 |
| Mailing Telephone | 4023977989 |
| Mailing Fax Number | 4023978703 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EUCLID J DESOUZA (CEO) |
| Authorized Official Telephone | 4023977989 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245363654 | Adult & Pediatric Urology PC | Urology | 631 N 8th St, Missouri Valley, IA 51555 | 2007-03-14 |
| 1730212614 | Adult & Pediatric Urology PC | Urology | 2206 Longo Dr, Ste 105, Bellevue, NE 68005-2977 | 2007-03-13 |
| 1831222702 | Adult & Pediatric Urology PC | Urology | 17055 Frances St, Ste 102, Omaha, NE 68130-4655 | 2007-03-13 |
| 1568595452 | Adult & Pediatric Urology PC | Urology | 1501 E 10th St, Atlantic, IA 50022-1936 | 2007-03-13 |
| 1437282308 | Adult & Pediatric Urology PC | Urology | 3434 W Broadway, Suite 102, Council Bluffs, IA 51501-3291 | 2007-03-13 |
| Street Address |
1213 GARFIELD AVE |
| City | HARLAN |
| State | IA |
| Zip Code | 51537-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639107881 | David C Bendorf | Surgery | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2006-06-28 |
| 1124645254 | Adam Porter | Pharmacist | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2020-07-06 |
| 1295352680 | Tarah Cheyenne Devlin-lawler | Counselor | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2020-07-01 |
| 1952956542 | Tina Louise Chickering | Physical Therapist | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2019-08-09 |
| 1639637416 | Tiffany Francis | Behavior Technician | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2019-03-11 |
| 1821468547 | Swfac | Podiatrist | 1213 Garfield Ave, Harlan, IA 51537 | 2015-10-07 |
| 1619202611 | Makayla Ann Tremel | Physical Therapy Assistant | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2009-10-08 |
| 1467785667 | Katherine Betty Collins | Speech-Language Pathologist | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2009-09-08 |
| 1033303003 | Calla L Poldberg | Nurse Practitioner | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2007-08-31 |
| 1013108604 | Sharla Jean Rau | Occupational Therapist | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2007-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063925097 | Morningview Dental, Pllc | Dentist | 1116 Morningview Dr., Harlan, IA 51537 | 2017-11-13 |
| 1992133292 | Frances B. Hutson | Dietitian, Registered | 2003 Chatburn Ave., Hy-vee, Harlan, IA 51537 | 2013-10-23 |
| 1043449168 | Edith H Shetler | Speech-Language Pathologist | 1213 Garlfied Ave, Harlan, IA 51537 | 2009-07-10 |
| 1114086287 | Heartland Family Service | Clinic/Center | 1710 Industrial Pkwy, Harlan, IA 51537 | 2006-12-06 |
| 1356457535 | Phillip Lynn Markham | Dentist | 2105 Pine St, Harlan, IA 51537 | 2006-08-21 |
| 1831114255 | Concerned, Inc. | Day Training, Developmentally Disabled Services | 1802 Industrial Parkway, Harlan, IA 51537 | 2006-07-13 |
| 1457323198 | Michael R Rosmann | Psychologist | 1210 7th St, Ste C Michael R Rosmann Phd, Harlan, IA 51537 | 2006-02-06 |
| 1912982075 | Bret D. Heileson | Emergency Medicine | 1220 Chatburn Avenue, Harlan, IA 51537 | 2005-12-13 |
| 1043443260 | White Pine Dental Group Pllc | Dentist | 2105 Pine St, Harlan, IA 51537 | 2009-09-04 |
| 1235109067 | David G. Erlbacher | Emergency Medicine | 1220 Chatburn Avenue, Harlan, IA 51537 | 2006-01-24 |
| Find all providers in zip 51537 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225183791 | Jerry William Mcroberts | Urology | 37 Ball Park Rd, Harlan, KY 40831-1701 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871944017 | Ahmed Alkaram | Urology | 1229 Hunters Run, Iowa City, IA 52246-8670 | 2016-06-29 |
| 1548414188 | Garrett Steven Korrect | Urology | 1215 Duff Avenue., Mcfarland Clinic. PC, Ames, IA 50010-3014 | 2008-11-10 |
| 1083898779 | Alexandria Urology P.C. | Urology | 112 Park Lane, Room 5, Waterloo, IA 50701 | 2007-12-18 |
| 1194930081 | Damon J. Dyche | Urology | 1215 Duff Ave., Mcfarland Clinic, PC, Ames, IA 50010-3014 | 2007-05-14 |
| 1407831365 | Burlington Urology PC | Urology | 400 S Broadway St, Burlington, IA 52601 | 2005-12-13 |
| 1124018999 | Paul E.l. Richardson | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2005-10-24 |
| 1679567663 | Richard L Glowacki | Urology | 1350 Des Moines St Ste 100, Des Moines, IA 50309-5507 | 2005-09-06 |
| 1801889472 | Markham J Anderson | Urology | 2943 Northgate Dr, Iowa City, IA 52245-9571 | 2005-08-29 |
| 1003818493 | Fawad Sabooh Zafar | Urology | 13682 Lake Shore Dr, Clive, IA 50325-8640 | 2005-08-15 |
| 1205834793 | Gordon Goldsmith | Urology | 2943 Northgate Drive, Iowa City, IA 52245 | 2005-07-08 |
| Find all providers with the same taxonomy | ||||
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| 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.