STATE UNIVERSITY OF IOWA (NPI# 1114390358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114390358 |
| Entity Type | Organization |
| Organization Name | STATE UNIVERSITY OF IOWA |
| Other Organization Name | PLASTIC & RECONSTRUCTIVE SURGERY CONSULTANTS OF UNIVERSITY OF IOWA |
| Practice Address |
3705 River Ridge Dr Ne Cedar Rapids IA 52402-7596 |
| Practice Telephone | 3193931902 |
| Mailing Telephone | 3193931902 |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2016-01-04 |
| Authorized Official Name | PHILIP E ROUDABUSH (DIRECTOR, PATIENT FINANCIAL SERVICE) |
| Authorized Official Telephone | 3193842334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Plastic & Reconstructive Surgery Consultants of University of Iowa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306304027 | State University of Iowa | Pharmacy | 1360 N Dodge St Ste 1100, Iowa City, IA 52245-6104 | 2019-03-12 |
| 1710485123 | State University of Iowa | Eye Bank | 2500 Crosspark Rd Ste W300, Coralville, IA 52241-4710 | 2018-01-31 |
| 1811246473 | State University of Iowa | Pharmacy | 105 E 9th Street, Suite A, Coralville, IA 52241 | 2012-08-29 |
| 1548526189 | State University of Iowa | Family Medicine | 767 Mormon Trek Blvd, Iowa City, IA 52246-1812 | 2012-04-09 |
| 1194035436 | State University of Iowa | Durable Medical Equipment & Medical Supplies | 119 2nd St, Ste 400, Coralville, IA 52241-2691 | 2010-10-20 |
| 1013241850 | State University of Iowa | Family Medicine | 1632 Sycamore St, Iowa City, IA 52240-6044 | 2009-09-28 |
| 1053503755 | State University of Iowa | Public Health or Welfare | 100 Hawkins Dr, 247-a Cdd, Iowa City, IA 52242 | 2007-08-16 |
| 1225177579 | State University of Iowa | Registered Nurse | 3501 Harry Langdon Blvd Ste 1450, Child Health Specialty Clinics, Council Bluffs, IA 51503-7837 | 2007-02-05 |
| 1689712549 | State University of Iowa | Audiologist | 250 Hawkins Drive, The University of Iowa, Iowa City, IA 52242-1012 | 2007-02-02 |
| 1609956234 | State University of Iowa | Dentist | 322 Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | STATE UNIVERSITY OF IOWA ALUMNI ASSOCIATION | Po Box 1970, One West Park Rd, Iowa City, IA 52244-1970 |
| Iowa Business Entities | STATE UNIVERSITY OF IOWA FOUNDATION | One West Park Road, Po Box 4550, Iowa City, IA 52244 |
| Street Address |
3705 RIVER RIDGE DR NE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402-7596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710988217 | Charles Everett Grado | Surgery | 3705 River Ridge Dr Ne, Cedar Rapids, IA 52402-7596 | 2005-08-09 |
| 1275928194 | Eastern Iowa Anesthesia PC | Anesthesiology | 3705 River Ridge Dr Ne, Cedar Rapids, IA 52402-7596 | 2015-03-30 |
| 1497048805 | Takintope Akinbiyi | Surgery | 3705 River Ridge Dr Ne, Cedar Rapids, IA 52402-7596 | 2011-05-18 |
| 1952612616 | Patrick J Hawkes | Surgery | 3705 River Ridge Dr Ne, Cedar Rapids, IA 52402 | 2010-06-28 |
| 1861538142 | Mona Mccalley-whitters | Psychologist | 3705 River Ridge Dr Ne, Cedar Rapids, IA 52402-7596 | 2007-01-30 |
| 1285722264 | Plastic Surgical Center | Plastic Surgery | 3705 River Ridge Dr Ne, Cedar Rapids, IA 52402-7596 | 2006-10-11 |
| 1124071089 | Cedar Rapids Psychiatry | Psychiatry & Neurology | 3705 River Ridge Dr Ne, Cedar Rapids, IA 52402-7596 | 2006-05-19 |
| 1093778532 | Alan Whitters | Psychiatry & Neurology | 3705 River Ridge Dr Ne, Cedar Rapids, IA 52402-7596 | 2006-04-07 |
| 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710988217 | Charles Everett Grado | Surgery | 3705 River Ridge Dr Ne, Cedar Rapids, IA 52402-7596 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063926970 | Dr Andrews Plastic Surgery | Surgery | 1100 5th St Ste 205, Coralville, IA 52241-2931 | 2017-11-30 |
| 1831425347 | Plastic Surgery Aesthetics PC | Surgery | 200 Mercy Dr Ste 101, Dubuque, IA 52001-7392 | 2009-10-19 |
| 1376736686 | Shady Nehmatallah Hayek | Surgery | 1512 1st Ave, # 204a, Coralville, IA 52241-1143 | 2007-08-20 |
| 1841345279 | Albert Cram | Surgery | 501 12th Ave Ste 102, Coralville, IA 52241-1774 | 2007-01-24 |
| 1285908509 | Anas Eid | Surgery | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2012-03-05 |
| 1578732848 | Renew Cosmetic and Reconstructive Surgery, PC | Surgery | 116 E 11th St, Suite 203, Spencer, IA 51301-4364 | 2008-02-21 |
| 1245274745 | Leslie W Smith | Surgery | 1501 4th St Sw, Mason City, IA 50401-2737 | 2006-06-15 |
| 1619921251 | Des Moines Plastic Surgery, PC | Surgery | 5901 Westown Pkwy, Suite 250, West Des Moines, IA 50266-8218 | 2006-05-19 |
| 1215991666 | Robert E Powers | Surgery | 2800 Pierce St, Suite, 406, Sioux City, IA 51104-3755 | 2006-04-13 |
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
Please comment or provide details below to improve the information on STATE UNIVERSITY OF IOWA.
| 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.