DR. KEITH ROBERT WOLSTENHOLME


Address: 200 Hawkins Dr, Orthopaedic Surgery Department, Iowa City, IA 52242-1009
Phone: 3193537954

DR. KEITH ROBERT WOLSTENHOLME (NPI# 1104058502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104058502
Entity Type Individual
Full Name DR. KEITH ROBERT WOLSTENHOLME
Credential M.D.
Practice Address 200 Hawkins Dr
Orthopaedic Surgery Department
Iowa City
IA 52242-1009
Practice Telephone 3193537954
Practice Fax Number 3193849306
Mailing Telephone 3193537954
Mailing Fax Number 3193849306
Enumeration Date 2009-08-18
Last Update Date 2009-08-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
R-8769 IA Allopathic & Osteopathic Physicians

Office Location

Street Address 200 HAWKINS DR
ORTHOPAEDIC SURGERY DEPARTMENT
City IOWA CITY
State IA
Zip Code 52242-1009

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386048650 Bastian Uribe-echevarria Marbach Orthopaedic Surgery 200 Hawkins Dr, Iowa City, IA 52242-1009 2014-10-15
1255326732 Brian R Wolf Orthopaedic Surgery 200 Hawkins Dr, Iowa City, IA 52242-1009 2005-09-12
1467445833 John P Albright Orthopaedic Surgery 200 Hawkins Dr, Iowa City, IA 52242-1009 2005-08-31
1043202419 Annunziato Amendola Orthopaedic Surgery 200 Hawkins Dr, Iowa City, IA 52242-1009 2005-08-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356392062 James D Wolff Md PC Orthopaedic Surgery 2700 1st Ave S, Suite 100, Fort Dodge, IA 50501-4306 2006-05-15
1790749448 William C Jacobson Orthopaedic Surgery 12499 University Ave, Suite 210, Des Moines, IA 50325-8281 2006-04-12
1245745074 Grand View University Orthopaedic Surgery 1200 Grandview Ave, Des Moines, IA 50316-1529 2017-12-01
1376908897 The Finley Hospital Orthopaedic Surgery 350 N Grandview Ave, Dubuque, IA 52001-6388 2015-12-29
1033485404 Ruslan Safarov Orthopaedic Surgery 2730 Pierce St Ste 300, Sioux City, IA 51104 2012-03-29
1902190879 Kristyn Marie Darmafall Orthopaedic Surgery 3385 Dexter Ct Ste 300, Davenport, IA 52807-3471 2011-06-08
1326378720 Iowa Orthopaedic Center, P.C. Orthopaedic Surgery 450 Laurel St, Ste A, Des Moines, IA 50314-3045 2010-01-06
1902134406 Tri-state Specialists, LLP Orthopaedic Surgery 2730 Pierce St Ste 300, Sioux City, IA 51104-3765 2009-11-23
1134358500 Kellen L Huston Orthopaedic Surgery 1 Edmundson Pl, Suite 500, Council Bluffs, IA 51503-4658 2009-07-07
1922219047 William C. Jacobson Md PC Orthopaedic Surgery 1601 Nw 114th St, Suite 142, Des Moines, IA 50325-7007 2007-05-24
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Competitor

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City IOWA CITY
Zip Code 52242

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Dataset Information

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.

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