MIKAL KIDDER (NPI# 1376028845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376028845 |
| Entity Type | Individual |
| Full Name | MIKAL KIDDER |
| Practice Address |
701 10th St Se Cedar Rapids IA 52403-1251 |
| Mailing Address |
701 10th St Se Cedar Rapids IA 52403-1292 |
| Practice Telephone | 3193986011 |
| Mailing Telephone | 3193986011 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
093672 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
701 10TH ST SE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52403-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284421 | Chad Abernathey | Neurological Surgery | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2005-06-09 |
| 1942821244 | Nicole Sporrer | Registered Nurse | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-04-28 |
| 1669003075 | Keri Zimmerman | Internal Medicine | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-02-04 |
| 1033740311 | Jessica Leigh Robinson | Physician Assistant | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-01-27 |
| 1144850389 | Kendall Anne Deitering | Speech-Language Pathologist | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-01-16 |
| 1316586159 | Lindsay Nicole Ehlers | Nurse Practitioner | 701 10th St Se, Cedar Rapids, IA 52403-1292 | 2019-12-26 |
| 1467007096 | Hanna Bishop Molinari | Nurse Practitioner | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2019-08-09 |
| 1659931269 | Jessica Bettmann | Speech-Language Pathologist | 701 10th St Se, Cedar Rapids, IA 52403-1292 | 2019-06-17 |
| 1013574250 | William James Halls | Pharmacist | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2019-05-23 |
| 1851957732 | Jennifer Lori Somerville | Nurse Practitioner | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2019-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093242083 | Eric Burton | Social Worker | 1535 1st Ave Se., Cedar Rapids Va Cboc, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1619404613 | Dylan Roberts Streb | Family Medicine | Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1801292883 | Laura Pelechek | Marriage & Family Therapist | 1744 2nd Ave Se, Cedar Rapids, IA 52403 | 2014-11-18 |
| 1306090147 | John Daniel Schuchmann | Anesthesiology | 3629 Random Road Se, Cedar Rapids, IA 52403 | 2008-11-06 |
| 1851564157 | Cedar Rapids Medical Education Foundation | Family Medicine | 1260 Second Avenue S.e., Cedar Rapids, IA 52403 | 2008-04-08 |
| 1093866071 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 207 2nd Avenue Se Ste A, Cedar Rapids, IA 52403 | 2007-01-16 |
| 1154483980 | James P Schuller | Dentist | 1000 42nd St Se, 1000 Professional Centre Suite B, Cedar Rapids, IA 52403 | 2006-12-15 |
| 1477640183 | C R Iv Service Inc | Home Health | 402 10th St, Ste 700 Carepro Home Health, Cedar Rapids, IA 52403 | 2006-10-06 |
| 1104919638 | C R Iv Service Inc | Durable Medical Equipment & Medical Supplies | 402 10th Street Se, Suite 700, Cedar Rapids, IA 52403 | 2006-10-02 |
| Find all providers in zip 52403 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114580495 | Amanda C Mcdonagh | Physician Assistant | 788 8th Ave Se Ste 300, Cedar Rapids, IA 52401-2106 | 2019-04-22 |
| 1578914479 | Aubrey Fox Barton | Physician Assistant | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2016-06-22 |
| 1366821860 | Christopher Donahue | Physician Assistant | 1026 A Ave Ne Ste 5000, Cedar Rapids, IA 52402-5036 | 2015-05-29 |
| 1699933614 | Patti Ann Recker | Physician Assistant | 202 10th Street Se, Cedar Rapids, IA 52403-2404 | 2008-05-27 |
| 1700884418 | Heidi Marie Sandersfeld | Physician Assistant | 202 10th Street Se, Cedar Rapids, IA 52403-2404 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932607009 | Margaret Mary Storbakken | Physician Assistant | 200 Hawkins Dr Ste 1562, Iowa City, IA 52242-1009 | 2018-01-24 |
| 1710406590 | Jordan Lee Reiner | Physician Assistant | 12499 University Ave Ste 210, Clive, IA 50325-8288 | 2017-09-13 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1629140041 | Joel E Rand | Physician Assistant | 411 Laurel St Ste 2100, Des Moines, IA 50314-3026 | 2006-11-14 |
| 1073511572 | Stephen Edward Gunn | Physician Assistant | 200 Hawkins Drive, Se 500 Gh, Iowa City, IA 52242 | 2005-07-08 |
| 1609473842 | Hannah Marissa Lester | Physician Assistant | 12499 University Ave Ste 210, Clive, IA 50325-8288 | 2020-10-01 |
| 1154937001 | Christopher Randall | Physician Assistant | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2020-09-16 |
| 1184182305 | Ryan E Anderson | Physician Assistant | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2019-03-06 |
| 1760952238 | Kyle J Kroymann | Physician Assistant | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-11-27 |
| 1578040119 | Bryan Foster | Physician Assistant | 5880 University Ave Ste 103, West Des Moines, IA 50266-8209 | 2018-07-26 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52403 |
Please comment or provide details below to improve the information on MIKAL KIDDER.
| 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.