ORAL SURGERY ASSOC OF IOWA CITY PC (NPI# 1215034889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215034889 |
| Entity Type | Organization |
| Organization Name | ORAL SURGERY ASSOC OF IOWA CITY PC |
| Practice Address |
2814 Northgate Dr Suite 2 Iowa City IA 52245 |
| Mailing Address |
2814 Northgate Dr Suite 2 Iowa City IA 52245-9568 |
| Practice Telephone | 3193385484 |
| Practice Fax Number | 3193389413 |
| Mailing Telephone | 3193385484 |
| Mailing Fax Number | 3193389413 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | DR. ANDREW CHARLES HARTWIG (OWNER) |
| Authorized Official Telephone | 3193385484 |
| Authorized Official Credential | DDS PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
IA | Dental Providers |
| Street Address |
2814 NORTHGATE DR SUITE 2 |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225044670 | Edward Lawrence Lorson | Dentist | 2814 Northgate Dr, Suite 2, Iowa City, IA 52245-9568 | 2006-07-31 |
| 1326259912 | David Christian Hansen | Dentist | 2814 Northgate Dr, Suite 1, Iowa City, IA 52245-9513 | 2007-05-24 |
| 1942413661 | Chad Michael Pfohl | Dentist | 2814 Northgate Dr, Suite 2, Iowa City, IA 52245-9513 | 2007-05-08 |
| 1629280193 | Endodontic Associates of Iowa City PC | Dentist | 2814 Northgate Dr, Suite 1, Iowa City, IA 52245-9513 | 2007-05-04 |
| 1578699658 | Stuart Cobb | Dentist | 2814 Northgate Dr, Suite 1, Iowa City, IA 52245-9513 | 2007-02-26 |
| 1205934981 | Deborah L Zeitler | Dentist | 2814 Northgate Dr, Suite 2, Iowa City, IA 52245-9513 | 2006-09-20 |
| 1992712350 | Andrew Charles Hartwig | Dentist | 2814 Northgate Dr, Suite 2, Iowa City, IA 52245-9568 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699356 | Mary Beth Shapcott | Registered Nurse | 500 East Market St., Mercy Hospital Diabetes Education, Iowa City, IA 52245 | 2017-10-10 |
| 1366703167 | Elizabeth Bright | Occupational Therapist | 540 E. Jefferson Street., Ste.302, Iowa City, IA 52245 | 2012-06-07 |
| 1043518368 | Robert Brian Goffstein | Ophthalmology | 403 North 7th Ave, Iowa City, IA 52245 | 2011-03-10 |
| 1750682936 | Robert Alvin Blair | Dentist | 134 Broadmoor Lane, Iowa City, IA 52245 | 2010-11-04 |
| 1215167457 | Laura J Ericson | Occupational Therapist | 540 E Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-07-22 |
| 1780818294 | Kathryn Leigh Bossen | Physical Therapist | 540 E. Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-05-12 |
| 1073751095 | Jessica L Keeran | Physical Therapist | 2751 Northgate Dr. Ne, Iowa City, IA 52245 | 2009-01-29 |
| 1437330370 | Francine Mardarello Hunnicutt | Marriage & Family Therapist | 1610 East College St, Iowa City, IA 52245 | 2007-11-20 |
| 1659574853 | Joan Victoria Rinner | Marriage & Family Therapist | 121 University Services Building, University of Iowa, Iowa City, IA 52245 | 2007-06-06 |
| 1053529966 | Steve Bernt Hammerstrom | Chiropractor | 373 B Scott Court, Iowa City, IA 52245 | 2007-05-21 |
| Find all providers in zip 52245 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528421237 | Timothy Scott Albright | Dentist | 2814 Northgate Dr Ste 2, Iowa City, IA 52245-9513 | 2016-03-30 |
| 1245550003 | Douglas Kendrick | Dentist | 451 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2010-06-03 |
| 1225044670 | Edward Lawrence Lorson | Dentist | 2814 Northgate Dr, Suite 2, Iowa City, IA 52245-9568 | 2006-07-31 |
| 1033134358 | Todd M Juhlin | Dentist | 2814 Northgate Drive, Suite 2, Iowa City, IA 52245 | 2006-07-13 |
| 1487613212 | John O. Rice | Dentist | 454 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2006-03-21 |
| 1942278551 | Timothy J Holton | Dentist | 322 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2006-03-09 |
| 1609866672 | Terry Lee Hopper | Dentist | 322 Dental Science S, Iowa City, IA 52242-1001 | 2005-10-21 |
| 1508124785 | Aaron Daniel Figueroa | Dentist | 51300 Pomerantz Family Pavillion, Iowa City, IA 52242 | 2012-04-25 |
| 1053548404 | Kyle Matthew Stein | Dentist | 200 Hawkins Dr, Hospital Dentistry Institute - Uihc, Iowa City, IA 52242-1009 | 2009-06-12 |
| 1841407756 | Steven L Fletcher | Dentist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2007-05-17 |
| Find all providers in IOWA CITY | ||||
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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.