RICHARD M KISHIUE (NPI# 1295731727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295731727 |
| Entity Type | Individual |
| Full Name | RICHARD M KISHIUE |
| Credential | MD |
| Practice Address |
865 Lincoln Rd Ste 100 Bettendorf IA 52722-4159 |
| Mailing Address |
865 Lincoln Rd Ste L10 Bettendorf IA 52722-4159 |
| Practice Telephone | 5633551000 |
| Practice Fax Number | 5633442975 |
| Mailing Telephone | 5633559191 |
| Mailing Fax Number | 5633553419 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 23445 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 4212043 | 05 | |
| HEALTH ALLIANCE | 035512 | 01 | |
| JOHN DEERE HEALTH PLAN | IA0141 | 01 | |
| IOWA HEALTH SOLUTIONS | 019811 | 01 | |
| WELLMARK BC/BS | 29599 | 01 | |
| DMERC | 4796890005 | 01 |
| Street Address |
865 LINCOLN RD STE 100 |
| City | BETTENDORF |
| State | IA |
| Zip Code | 52722-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053842 | Steven J Aguilar | Family Medicine | 865 Lincoln Rd, Ste 400, Bettendorf, IA 52722-4159 | 2005-06-14 |
| 1972955169 | State University of Iowa | Dermatology | 865 Lincoln Rd, Bettendorf, IA 52722-4190 | 2016-07-12 |
| 1295196798 | Genesis Health System | Pathology | 865 Lincoln Rd, Suite L10, Bettendorf, IA 52722-4190 | 2016-03-10 |
| 1295144053 | Carli Schieferdecker | Speech-Language Pathologist | 865 Lincoln Rd, Ste L10, Bettendorf, IA 52722-4190 | 2014-08-06 |
| 1699102863 | Genesis Health System | Pediatrics | 865 Lincoln Rd, Suite 200, Bettendorf, IA 52722-4190 | 2013-10-03 |
| 1215286232 | Stephany Marie Brimeyer | Dietitian, Registered | 865 Lincoln Rd, Suite 500, Bettendorf, IA 52722-4190 | 2012-09-05 |
| 1770879017 | Julia Catherine Hensch | Pediatrics | 865 Lincoln Rd, Suite 200, Bettendorf, IA 52722-4190 | 2011-06-24 |
| 1285954594 | Jason Cort Hagemann | Family Medicine | 865 Lincoln Rd, Suite 400, Bettendorf, IA 52722-4190 | 2010-06-09 |
| 1477654945 | Genesis Health System | Neuromusculoskeletal Medicine & OMM | 865 Lincoln Rd, Ste L10, Bettendorf, IA 52722-4190 | 2006-09-26 |
| 1023112448 | Genesis Health System | Family Medicine | 865 Lincoln Rd, Suite 400, Bettendorf, IA 52722-4190 | 2006-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1558873315 | Erin M Kohrt | Speech-Language Pathologist | 2500 Grant Street, Bettendorf, IA 52722 | 2017-11-01 |
| 1437680295 | Holli Christine Martin | Chiropractor | 3048 Victoria St., Bettendorf, IA 52722 | 2017-03-23 |
| 1598219552 | Alyssa Renee Matz | Counselor | 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 | 2016-08-08 |
| 1144625021 | Athletico Ltd | Physical Therapist | 3252 Ridge Point, Bettendorf, IA 52722 | 2014-11-04 |
| 1609282862 | Katherine L Browne | Nurse Practitioner | 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 | 2014-07-09 |
| 1316357494 | Kayla Leigh Ehrman | Family Medicine | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 | 2014-04-29 |
| 1043648454 | Duane Anthony Halbur Jr. | Counselor | 2420 Salem Ct, Bettendorf, IA 52722 | 2013-10-22 |
| 1376881185 | Christopher D Murphy | Physical Therapist | 2300 53rd Ave Ll02, Bettendorf, IA 52722 | 2013-01-29 |
| 1326386574 | Kelly C Harry | Occupational Therapist | 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 | 2013-01-23 |
| Find all providers in zip 52722 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720084916 | Darryl C Johnson | Obstetrics & Gynecology | 1912 Middle Rd, Ste 200, Bettendorf, IA 52722-7600 | 2005-06-22 |
| 1487035432 | Abbi Ann Madden | Obstetrics & Gynecology | 865 Lincoln Rd Ste 100, Bettendorf, IA 52722-4159 | 2015-06-16 |
| 1598027070 | Rebecca Sue Stein | Obstetrics & Gynecology | 4480 Utica Ridge Rd, Ste 1140, Bettendorf, IA 52722-1656 | 2012-06-11 |
| 1427337849 | Darryl C Johnson Do PC | Obstetrics & Gynecology | 1912 Middle Rd, Suite 200, Bettendorf, IA 52722-7600 | 2011-08-16 |
| 1649430620 | Kristina Nicole Yoder | Obstetrics & Gynecology | 4480 Utica Ridge Rd, Suite 1140, Bettendorf, IA 52722-1656 | 2008-06-12 |
| 1972709046 | Karen Ann Brenot | Obstetrics & Gynecology | 4480 Utica Ridge Rd, Suite 1140, Bettendorf, IA 52722-1656 | 2007-06-25 |
| 1720102320 | Andria Lee Barr | Obstetrics & Gynecology | 4480 Utica Ridge Rd, Ste. 1140, Bettendorf, IA 52722-1656 | 2007-03-19 |
| 1568441707 | Eduardo L Ricaurte Md | Obstetrics & Gynecology | 4480 Utica Ridge Rd, Bettendorf, IA 52722-1644 | 2006-01-16 |
| 1285613422 | Eduardo L Ricaurte | Obstetrics & Gynecology | 4480 Utica Ridge Rd, Bettendorf, IA 52722-1644 | 2006-01-16 |
| 1245236298 | Robert W Pimentel | Obstetrics & Gynecology | 4480 Utica Ridge Rd, Suite 108, Bettendorf, IA 52722-1656 | 2005-06-23 |
| Find all providers in BETTENDORF | ||||
| City | BETTENDORF |
| Zip Code | 52722 |
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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.