ST. LUKE'S METHODIST HOSPITAL (NPI# 1184737876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184737876 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S METHODIST HOSPITAL |
| Other Organization Name | ST. LUKE'S MEDICAL GROUP SERVICES |
| Practice Address |
1026 A Ave Ne Suite 5000 Cedar Rapids IA 52402-5036 |
| Mailing Address |
Po Box 14541 Des Moines IA 50306-3541 |
| Practice Telephone | 3193685757 |
| Mailing Telephone | 5154719373 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2009-02-18 |
| Authorized Official Name | MILT AUNAN (CFO) |
| Authorized Official Telephone | 3193697094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0467977 | 05 |
| Other Name | Type Code |
|---|---|
| St. Luke's Medical Group Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578658738 | St. Luke's Methodist Hospital | Nurse Practitioner | 4251 River Center Ct Ne, Cedar Rapids, IA 52402-7549 | 2006-10-04 |
| 1073553939 | St. Luke's Methodist Hospital | Nurse Practitioner | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2006-06-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | ST. LUKE'S METHODIST HOSPITAL | 1026 A Avenue Ne, Po Box 3026, Cedar Rapids, IA 52402 |
| Street Address |
1026 A AVE NE SUITE 5000 |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402-5036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245396 | Lileah F Harris | Pathology | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2005-06-16 |
| 1568063667 | Maria Swisher | Nurse Practitioner | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2020-11-04 |
| 1306453121 | Kathryn Elizabeth Farley | Psychologist | 1026 A Ave Ne, Cedar Rapids, IA 52402-5074 | 2020-09-25 |
| 1770197436 | Brittany Brdicko | Social Worker | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2020-09-01 |
| 1396371563 | Anthony E Dallago | Registered Nurse | 1026 A Ave Ne, Cedar Rapids, IA 52402-5074 | 2020-03-19 |
| 1588299622 | Michael Sanders | Occupational Therapist | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2020-03-09 |
| 1467084319 | Julie Ann Karlan | Pharmacist | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2020-02-09 |
| 1871149914 | Tatjana Tajci Covic | Nurse Practitioner | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2019-08-14 |
| 1437717741 | Abigail Lynn Crow | Nurse Practitioner | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2019-06-01 |
| 1669931382 | Med-trans Corporation | Ambulance | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2019-03-13 |
| Find all providers in the same location | ||||
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1508819012 | Cardiologists, P.C. | Internal Medicine | 1002 4th Ave Se, Cedar Rapids, IA 52403-2425 | 2006-05-18 |
| 1841603172 | Rohan Penmetcha | Internal Medicine | 788 8th Avenue Se, Suite 400, Cedar Rapids, IA 52401 | 2014-06-04 |
| 1700132727 | Aref A Bin Abdulhak | Internal Medicine | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2012-07-27 |
| 1063748002 | Cardiologists Lc | Internal Medicine | 202 10th St Se, Suite 225, Cedar Rapids, IA 52403-2404 | 2009-10-27 |
| 1871791210 | Weiwei Li | Internal Medicine | 202 10th St Se, Suite 225, Cedar Rapids, IA 52403-2414 | 2007-07-06 |
| 1619175114 | Georges P. Hajj | Internal Medicine | 202 10th St Se, Suite 225, Cedar Rapids, IA 52403-2414 | 2007-07-05 |
| 1972729960 | David S. Glassman | Internal Medicine | 788 8th Ave Se, Suite 400, Cedar Rapids, IA 52401-2107 | 2007-04-18 |
| 1598788002 | Michael S Chandra | Internal Medicine | 202 10th St Se, Suite 225, Cedar Rapids, IA 52403-2404 | 2006-07-25 |
| 1588692818 | Matthew J Mcmahon | Internal Medicine | 202 10th St Se, Suite 225, Cedar Rapids, IA 52403-2404 | 2006-06-28 |
| 1922042894 | Richard T Kettelkamp | Internal Medicine | 202 10th St Se, Suite 225, Cedar Rapids, IA 52403-2404 | 2006-06-15 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
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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.