JAMES EDWIN BROCK (NPI# 1225087661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225087661 |
| Entity Type | Individual |
| Full Name | JAMES EDWIN BROCK |
| Credential | M.D. |
| Practice Address |
1500 Associates Dr Dubuque IA 52002-2201 |
| Practice Telephone | 5635844415 |
| Practice Fax Number | 5635844195 |
| Mailing Telephone | 5635844100 |
| Mailing Fax Number | 5635844110 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2011-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 24360 | WI | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 19204 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0159889 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912036823 | James Murray Brock Jr. | Dermatology | 136 Marion Ave, Mccomb, MS 39648-3620 | 2007-03-05 |
| 1316034754 | James Lee Brock | Technician/Technologist | 108 W George St, Arcanum, OH 45304-1109 | 2006-10-06 |
| 1750485850 | James Vaughn Brock Jr. | Psychologist | Dougherty Counseling Center, 1919 State St., Ste. #2, New Albany, IN 47150 | 2006-09-11 |
| 1790711711 | James Brock | Obstetrics & Gynecology | 3686 Grandview Pkwy Ste 320, Birmingham, AL 35243-3404 | 2006-06-23 |
| 1871133660 | James Brock | Behavior Technician | 1801 Excise Ave Ste 116, Ontario, CA 91761-8557 | 2020-01-09 |
| 1164071734 | James M Brock | Peer Specialist | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2019-09-06 |
| 1427613520 | James Brock | Case Manager/Care Coordinator | 2347 Vine St, Cincinnati, OH 45219-1745 | 2019-05-03 |
| 1427520493 | James Albert Brock IIi | Anesthesiology | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2019-01-01 |
| 1801306022 | James Richard Brock | Peer Specialist | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2017-10-02 |
| 1871859611 | James Philip Brock | Pediatrics | 2801 Atlantic Ave, Peds Pulmonary, Long Beach, CA 90806 | 2012-04-05 |
| Street Address |
1500 ASSOCIATES DR |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52002-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275530271 | Tri-state Surgery Center, L.L.C. | Clinic/Center | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2005-07-05 |
| 1235757261 | Emily Burgmeier May | Nurse Practitioner | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2020-07-07 |
| 1104451673 | Emily Claire Kuhl | Occupational Therapist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2020-03-05 |
| 1679105449 | Chelsea Leah Berry | Physician Assistant | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2020-02-10 |
| 1689212227 | Toni Marie Monat | Physical Therapist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2019-12-13 |
| 1457905424 | Sara Elizabeth Croghan | Physical Therapist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2019-07-29 |
| 1104356997 | Matthew Keith Kraciun | Family Medicine | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2017-06-14 |
| 1558890202 | Kristen Celeste Anderson | Pediatrics | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2017-06-07 |
| 1194279117 | Brittany Gosse | Physical Therapist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2016-08-08 |
| 1205280468 | Naomi Hasselblad | Internal Medicine | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2016-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144725193 | Rebecca Marie Fitzpatrick | Pharmacist | 7425 Chavenelle Rd Ste 300, Dubuque, IA 52002 | 2018-03-29 |
| 1598020943 | Steven Matthew Leifker | Dentist | 1645 John F. Kennedy Rd, Dubuque, IA 52002 | 2012-07-11 |
| 1922364280 | Susan A Neuser | Pharmacist | 74 25 Chavenelle Rd, Dubuque, IA 52002 | 2012-04-11 |
| 1720308240 | Yakov S Zagalskiy | Family Medicine | 1500 Associates Drive, Dubuque, IA 52002 | 2010-06-07 |
| 1689904690 | Meryl Rae Welsh | Counselor | 2255 Jkf Road, Dubuque, IA 52002 | 2010-01-14 |
| 1982864047 | Joel Gregory Thielen | Acupuncturist | 1880 Radford Road, Dubuque, IA 52002 | 2008-06-12 |
| 1609052323 | Jason E Meyer Physical Therapy PC | Clinic/Center | 2300 John F Kennedy Rd, Dubuque, IA 52002 | 2008-01-11 |
| 1508053828 | Assisted Living Concepts Inc | Assisted Living Facility | 2700 Matthew John Drive, Dubuque, IA 52002 | 2007-10-01 |
| 1588863252 | Miracle Ear | Audiologist-Hearing Aid Fitter | 555 Jf Kennedy Road, Dubuque, IA 52002 | 2007-07-13 |
| 1639383599 | Michelle Ann Gardner | Optometrist | 808 Wacker Dr, Dubuque, IA 52002 | 2007-05-10 |
| Find all providers in zip 52002 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811977671 | Gretchen Fuerste | Ophthalmology | 2140 Jfk Rd, Dubuque, IA 52002-3883 | 2006-01-18 |
| 1780664805 | Bryan Paul Pechous | Ophthalmology | 300 North Grandview Avenue, Dubuque, IA 52001-6397 | 2006-01-17 |
| 1225015597 | Ophthalmology PC | Ophthalmology | 300 N Grandview Ave, Dubuque, IA 52001-6397 | 2005-12-28 |
| 1194042820 | Justin M Risma | Ophthalmology | 2140 Jfk Rd, Suite F, Dubuque, IA 52002-3883 | 2010-04-20 |
| 1316174931 | Alethea Ann Hein | Ophthalmology | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2009-06-22 |
| 1902000946 | Timothy J Daley | Ophthalmology | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2007-06-13 |
| 1780770156 | Juan Carlos Nieto | Ophthalmology | 2140 John F Kennedy Rd, Fuerste Eye Clinic, Dubuque, IA 52002-3883 | 2006-10-05 |
| 1316999725 | Kent William Baumann | Ophthalmology | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2006-05-16 |
| 1306814686 | Todd Eric Sleep | Ophthalmology | 1500 Associates Dr, Dubuque, IA 52002 | 2006-03-10 |
| 1922075076 | Ronald P Danis | Ophthalmology | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2006-03-07 |
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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.