JAMES STACEY KLUTTS (NPI# 1124112719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124112719 |
| Entity Type | Individual |
| Full Name | JAMES STACEY KLUTTS |
| Credential | M.D., PH.D. |
| Practice Address |
500 Newton Rd Dept of Pathology, Room 137 Mrc, Univ. of Iowa Com Iowa City IA 52242 |
| Mailing Address |
601 Highway 6 W Vamc; Pathology (113) Iowa City IA 52246-2292 |
| Practice Telephone | 3193380581 |
| Mailing Telephone | 3193380581 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
37279 | IA | Allopathic & Osteopathic Physicians |
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
2002011767 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BCBS | 55110 | 01 |
| IA | WELLMARK BCBS | 55071 | 01 |
| Street Address |
500 NEWTON RD DEPT OF PATHOLOGY, ROOM 137 MRC, UNIV. OF IOWA COM |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497741896 | Robert C Wiederien | Physical Therapist | 500 Newton Rd, 1-256 Medical Education Building, Iowa City, IA 52242-5224 | 2005-09-22 |
| 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 | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795240 | Stephany Amanda Cochran | Pathology | 930 Maple St, North Liberty, IA 52317-9085 | 2020-03-14 |
| 1457407124 | Gateway Pathology Assoc | Pathology | 1410 N 4th Street, Clinton, IA 52732 | 2007-01-26 |
| 1740260645 | Elpidio G Mariano | Pathology | 1410 N 4 Street, Clinton, IA 52732 | 2006-01-18 |
| 1700888476 | Opas Anothayanontha | Pathology | 2213 Grand Ave, Des Moines, IA 50312-5305 | 2005-08-12 |
| 1366640583 | James Vincent Hartel | Pathology | 3421 W 9th St, Waterloo, IA 50702-5401 | 2007-07-10 |
| 1407870058 | Cedar Valley Pathologists PC | Pathology | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2006-07-27 |
| 1548228448 | Clinical Pathology Associates, PC | Pathology | 3421 W 9th St, Waterloo, IA 50702-5401 | 2006-05-02 |
| 1316913684 | Roger C Lindo | Pathology | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2006-02-27 |
| 1295701464 | Ruth A Macke | Pathology | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2006-02-27 |
| 1417931072 | Mitchel D Bauman | Pathology | 801 5th St, Sioux City, IA 51101-1394 | 2005-12-06 |
| 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.