THERESA MARIE BRENNAN (NPI# 1063400620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063400620 |
| Entity Type | Individual |
| Full Name | THERESA MARIE BRENNAN |
| Other Name | MS. THERESA MARIE HERBST |
| Credential | MD |
| Practice Address |
200 Hawkins Dr Iowa City IA 52242-1009 |
| Practice Telephone | 3193561607 |
| Practice Fax Number | 3193564552 |
| Mailing Telephone | 3193561607 |
| Mailing Fax Number | 3193564552 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2019-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 30434 | IA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
30434 | IA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
30434 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BCBS | 52299 | 01 |
| IA | 0130765 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063902906 | Theresa Conena Brennan | Dental Hygienist | 200 Harrison Ave Fl 2, Boston, MA 02111-1836 | 2018-05-16 |
| 1962747790 | Theresa Lynn Brennan | Social Worker | 2200 Fort Roots Drive, North Little Rock, AR 72114 | 2012-12-05 |
| Street Address |
200 HAWKINS DR |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425963 | Matthew T Spragg | Emergency Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-05-24 |
| 1205437951 | Jennifer Renee Manternach | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-11-07 |
| 1144821794 | Jannet S Eastman | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-11-02 |
| 1043810245 | Abbey Lorraine Foglesong | Dietitian, Registered | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-27 |
| 1972101533 | Lindy Pelzer | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-15 |
| 1124626437 | Georgianne Younger | Genetic Counselor, MS | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-09 |
| 1114534237 | Bharatendu Chandra | Medical Genetics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
| 1023625142 | Moon Ley Tung | Medical Genetics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
| 1225645187 | Sinan Akay | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
| 1376158170 | Aygun Asgarli | Psychiatry & Neurology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821035114 | Frances L Johnson | Internal Medicine | 540 E Jefferson St Ste 400, Iowa City, IA 52245-2479 | 2006-06-02 |
| 1508480997 | Boris Ramirez | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-06-02 |
| 1588186456 | Wasawat Vutthikraivit | Internal Medicine | 200 Hawkins Dr, Division of Cardiology, Dept of Internal Medicine, Iowa City, IA 52242-1009 | 2017-07-12 |
| 1538517909 | Doosup Shin | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2016-05-26 |
| 1699120873 | Corina Iorgoveanu | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2016-04-26 |
| 1689061095 | Shubha Deep Roy | Internal Medicine | 200 Hawkins Dr., E 315 Gh, Dept of Internal Medicine, Iowa City, IA 52242-1009 | 2015-04-23 |
| 1659767598 | Emmanuel Oluwasegun Akintoye | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2015-04-07 |
| 1528485414 | Rakesh Ponnapureddy | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242 | 2014-03-28 |
| 1730493222 | Alexandros Briasoulis | Internal Medicine | 200 Hawkins Drive, Iowa City, IA 52242 | 2010-07-27 |
| 1154632982 | Promporn Suksaranjit | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2010-06-25 |
| Find all providers in IOWA CITY | ||||
Please comment or provide details below to improve the information on THERESA MARIE BRENNAN.
| 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.