KANTIMA PHISITKUL (NPI# 1063604726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063604726 |
| Entity Type | Individual |
| Full Name | KANTIMA PHISITKUL |
| Credential | MD |
| Practice Address |
200 Hawkins Dr Iowa City IA 52242-1007 |
| Mailing Address |
357 W Tower Rd Dakota Dunes SD 57049-5018 |
| Practice Telephone | 3193563446 |
| Practice Fax Number | 3193562999 |
| Mailing Telephone | 7122557746 |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2019-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 38776 | IA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
38776 | IA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | BP1-0024170 | TX | Student, Health Care |
| Street Address |
200 HAWKINS DR |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1007 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1871076661 | Jayesh Bharatbhai Patel | Internal Medicine | 200 Hawkins Dr, Dept of Nephrology, Iowa City, IA 52242-1009 | 2018-09-08 |
| 1487065934 | Hua Sun | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2014-05-17 |
| 1154625838 | Tomoki Tsukahara | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2011-01-10 |
| 1821119538 | Friedrich C Luft | Internal Medicine | 601 Highway 6 W, Va Medical Center, Iowa City, IA 52246-2292 | 2007-04-02 |
| 1245212554 | Roberto S Kalil | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598935488 | Kidney Specialists, PC | Internal Medicine | 25058 189th St, Bettendorf, IA 52722-7343 | 2008-03-06 |
| 1841217916 | Renal Dialysis Associates of Davenport,p.c. | Internal Medicine | 1228 E Rusholme St Ste 8, Davenport, IA 52803-2467 | 2006-07-16 |
| 1265458681 | Jason Matthew Cogdill | Internal Medicine | 115 Eighth Street Ne, Cedar Rapids, IA 52401-1097 | 2006-07-15 |
| 1871530055 | Jobinson Thomas | Internal Medicine | 411 Laurel St Ste 2350, Des Moines, IA 50314-3026 | 2006-05-31 |
| 1154377463 | Anwar Ahmed | Internal Medicine | 543 7th Street Se, Cedar Rapids, IA 52401 | 2006-05-26 |
| 1326094095 | Caridad C Tan | Internal Medicine | 2730 Pierce St Ste 402a, Sioux City, IA 51104-3766 | 2006-05-25 |
| 1043265176 | Sharon K Fey | Internal Medicine | 700 4th Street, Ste 410, Sioux City, IA 51101 | 2006-05-24 |
| 1407801053 | Min-hwa Hwa Chow | Internal Medicine | 600 4th Street, Suite 103, Sioux City, IA 51101-1415 | 2006-05-23 |
| 1518969104 | Prem K.g. Chandran | Internal Medicine | 411 Laurel St, Suite 2350, Des Moines, IA 50314 | 2005-08-12 |
| 1063418374 | Mouhamed Walid Al Sheikha | Internal Medicine | 200 Cody Rd S, Le Claire, IA 52753-9579 | 2005-06-22 |
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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.