LISA M COOKINGHAM (NPI# 1134383128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134383128 |
Entity Type | Individual |
Full Name | LISA M COOKINGHAM |
Credential | MD |
Practice Address |
200 Hawkins Dr Iowa City IA 52242-1009 |
Practice Telephone | 3193564645 |
Practice Fax Number | 3193849367 |
Mailing Telephone | 3193564645 |
Mailing Fax Number | 3193849367 |
Enumeration Date | 2008-07-18 |
Last Update Date | 2013-06-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | 70191 | AZ | Allopathic & Osteopathic Physicians |
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
40111 | IA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | TRAINING PERMIT | 70192 | 01 |
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 |
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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 | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407147911 | Eugenia Mazur | Obstetrics & Gynecology | 200 Hawkins Dr, Iowa City, IA 52242-1007 | 2011-05-02 |
1427023175 | Jesus Gonzalez Bosquet | Obstetrics & Gynecology | 200 Hawkins Dr, Dept of Obstetrics and Gynecology, Iowa City, IA 52242-1009 | 2006-02-17 |
1902894751 | Susan R Johnson | Obstetrics & Gynecology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-10-06 |
1093702854 | Rudolph P Galask | Obstetrics & Gynecology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-10-05 |
1225022486 | Catherine S Bradley | Obstetrics & Gynecology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952953812 | Comprehensive Women's Health, P.C. | Obstetrics & Gynecology | 227 E San Marnan Dr Ste 1, Waterloo, IA 50702-5829 | 2019-07-11 |
1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
1295713261 | Northwest Iowa Surgeons PC | Obstetrics & Gynecology | 1823 Highway Blvd Ste 5, Spencer, IA 51301-2226 | 2006-01-09 |
1811995517 | Douglas L Stanford | Obstetrics & Gynecology | 432 King Dr, Waterloo, IA 50702-5956 | 2005-07-07 |
1265608244 | Albert J Mintzer | Obstetrics & Gynecology | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2008-04-30 |
1770773509 | Elizabeth Bussewitz | Obstetrics & Gynecology | 855 A Ave Ne, Cedar Rapids, IA 52402-5050 | 2007-07-27 |
1811108558 | Mt. Pleasant Center for Women's Health, PC | Obstetrics & Gynecology | 407 S White St, Suite 104, Mt Pleasant, IA 52641-2262 | 2007-05-24 |
1174743389 | Diana Kay Kaufman | Obstetrics & Gynecology | 909 Sw Oralabor Rd, Ankeny, IA 50023-7004 | 2007-04-27 |
1760607394 | Kathleen Michele Dorcey Lafavor | Obstetrics & Gynecology | 1000 Jackson St, Sioux City, IA 51105-1431 | 2007-04-17 |
1861508004 | Genesis Health System | Obstetrics & Gynecology | 1230 E Rusholme St, Davenport, IA 52803-2400 | 2006-08-21 |
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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.