RYAN DEETS (NPI# 1326305830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326305830 |
| Entity Type | Individual |
| Full Name | RYAN DEETS |
| Practice Address |
1223 S Gear Ave Ste 202 West Burlington IA 52655 |
| Mailing Address |
1221 S Gear Ave Ste 202 West Burlington IA 52655-1679 |
| Practice Telephone | 3197684350 |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2018-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD-45213 | IA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
R-9657 | IA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Hawkins Dr, Iowa City, IA 522421009 | 3193538646 | 3193568682 |
| Street Address |
1223 S GEAR AVE STE 202 |
| City | WEST BURLINGTON |
| State | IA |
| Zip Code | 52655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679920045 | Breanne Vogel | Nurse Practitioner | 1225 South Gear Avenue, Suite 159, Great River Family Practice Clinic, West Burlington, IA 52655 | 2016-05-16 |
| 1639538010 | Kala Haisch | Nurse Practitioner | 1225 S. Gear Ave., Mercy Plaza, Suite 251, West Burlington, IA 52655 | 2016-02-15 |
| 1912100173 | Jennifer Yancey | Dietitian, Registered | Great River Medical Center Center for Rehabilitation, 1401 W. Agency Rd., West Burlington, IA 52655 | 2007-06-06 |
| 1043348196 | Wilson Hearing Aids & Services Inc | Hearing Instrument Specialist | 313 E Agency Rd, West Burlington, IA 52655 | 2007-03-01 |
| 1730286204 | Eric A Hanks | Chiropractor | 433 E Mt Pleasant St, West Burlington, IA 52655 | 2006-09-19 |
| 1093825176 | Michael Steven Mathews | Dentist | 409 Layne Dr, West Burlington, IA 52655 | 2006-08-30 |
| 1952383259 | Craig Huston | Emergency Medical Technician, Basic | 1221d S Gear Ave, West Burlington, IA 52655 | 2005-11-14 |
| 1932101466 | Theron Jameson | Specialist | 1225 S Gear Ave, Ste 159, West Burlington, IA 52655 | 2005-08-15 |
| 1255339750 | Community Health Centers of Southeastern Iowa Inc | Internal Medicine | 1706 West Agency Road, West Burlington, IA 52655 | 2005-07-08 |
| 1730798570 | Burlington Oral Surgery | Dentist | 1225 S. Gear Ave., Mercy Plaza Ste 156, West Burlington, IA 52655 | 2020-07-28 |
| Find all providers in zip 52655 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801147269 | North Iowa Mercy Clinics | Surgery | 250 S Crescent Dr Ste 200, Mason City, IA 50401-2911 | 2012-09-26 |
| 1366424509 | David K.w. Chew | Surgery | 5880 University Ave Ste 103, West Des Moines, IA 50266-8209 | 2005-11-15 |
| 1932199395 | Afzal H Abdullah | Surgery | 1075 Golden Valley Dr, Bettendorf, IA 52722-1649 | 2005-10-26 |
| 1730175795 | Dan Lee Morehouse | Surgery | 1306 4th St Sw, Mason City, IA 50401-2742 | 2005-09-26 |
| 1538169941 | John J Klosak | Surgery | 2101 Nicholas Ct, Bettendorf, IA 52722-2177 | 2005-07-28 |
| 1457976748 | Victor Herbert Hatcher Jr. | Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-11 |
| 1750942595 | Nicole Marie Gensicke | Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2019-06-24 |
| 1477047215 | Crystal Nicole Rodriguez | Surgery | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-06-15 |
| 1710415740 | Jeanette Ho-si Man | Surgery | 200 Hawkins Dr, Dept of Surgery, Iowa City, IA 52242-1009 | 2017-06-04 |
| 1518317015 | Rebecca Humpal | Surgery | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2016-06-15 |
| Find all providers with the same taxonomy | ||||
| City | WEST BURLINGTON |
| Zip Code | 52655 |
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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.