JASJEET SINGH SANGHA (NPI# 1215980602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215980602 |
| Entity Type | Individual |
| Full Name | JASJEET SINGH SANGHA |
| Credential | MD |
| Practice Address |
3530 West 4th Street Waterloo IA 50701-4503 |
| Mailing Address |
Po Box 2758 Waterloo IA 50704-2758 |
| Practice Telephone | 3192332701 |
| Practice Fax Number | 3192367993 |
| Mailing Telephone | 3192355390 |
| Mailing Fax Number | 3192331630 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
21445 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK INS PLAN | 44468 | 01 |
| IA | 2157966 | 05 | |
| IA | JOHN DEERE HEALTH INS PLA | 421417307B5 | 01 |
| Street Address |
3530 WEST 4TH STREET |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407800287 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 3530 West 4th Street, Waterloo, IA 50701-4503 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154646149 | Hussain M Naseri | Internal Medicine | 200 E Ridgeway Ave Ste 400, Waterloo, IA 50702 | 2010-04-01 |
| 1568756682 | Bilal G Rahim | Internal Medicine | 3530 W 4th St, Waterloo, IA 50701-4503 | 2011-06-06 |
| 1629360441 | Wael Ghalayini | Internal Medicine | 3530 W 4th St, Waterloo, IA 50701-4503 | 2011-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649649377 | Medical Oncology and Hematology Associatges Ptrshp | Internal Medicine | 12495 University Ave, Suite 200, Clive, IA 50325-8289 | 2015-09-23 |
| 1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
| 1801063243 | Chitra Devi Anangur Ganesan | Internal Medicine | 1000 4th Street, Sw, Mercy Medical Center, Mason City, IA 50401 | 2008-05-14 |
| 1811169972 | Stacey Marie Parker-brueggemann | Internal Medicine | 1 Edmundson Pl Ste 100, Council Bluffs, IA 51503-4658 | 2008-03-28 |
| 1205908563 | Cancer Care of Iowa City LLC | Internal Medicine | 613 E Bloomington, Suite 100 Cancer Care of Iowa City, Iowa City, IA 52245 | 2006-11-14 |
| 1356352116 | Susannah Parker Friemel | Internal Medicine | 1750 E 53rd Street, Davenport, IA 52807 | 2006-08-10 |
| 1033169768 | Christine Marie Holm | Internal Medicine | 150 Mercy Dr., Dubuque, IA 52001-7301 | 2006-05-11 |
| 1588628101 | Robert R Shreck | Internal Medicine | 1221 Pleasant Street, #100, Des Moines, IA 50309 | 2006-04-12 |
| 1609837509 | Loren D Brown | Internal Medicine | 411 Laurel, Suite A300 Medical Oncology and Hematology, Des Moines, IA 50314 | 2006-03-30 |
| 1174584072 | Bradley L Lair | Internal Medicine | 1221 Pleasant, Ste 100 Medical Oncology and Hematology, Des Moines, IA 50309 | 2006-03-30 |
| 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.