SAMUEL E KINZER (NPI# 1417942350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417942350 |
| Entity Type | Individual |
| Full Name | SAMUEL E KINZER |
| Credential | MD |
| Practice Address |
605 E Jefferson St Iowa City IA 52245-2426 |
| Practice Telephone | 3193511448 |
| Practice Fax Number | 3193519367 |
| Mailing Telephone | 3193511448 |
| Mailing Fax Number | 3193519367 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2011-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 36057 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
605 E JEFFERSON ST |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52245-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437345857 | Danielle Jane Wendel | Nurse Practitioner | 605 E Jefferson St, Iowa City, IA 52245-2426 | 2007-09-19 |
| 1922183078 | Emily Warnes | Psychologist | 605 E Jefferson St, Iowa City, IA 52245-2426 | 2006-10-26 |
| 1265523062 | Pediatric Associates of Iowa City and Coralville, LLP | Pediatrics | 605 E Jefferson St, Iowa City, IA 52245-2426 | 2006-09-27 |
| 1306868526 | Tracy Lynne Shaw | Pediatrics | 605 E Jefferson St, Iowa City, IA 52245-2426 | 2006-07-24 |
| 1215959432 | Joseph D Boysen | Pediatrics | 605 E Jefferson St, Iowa City, IA 52245-2426 | 2006-07-24 |
| 1124040340 | Miriam Clarke Gardner | Pediatrics | 605 E Jefferson St, Iowa City, IA 52245-2426 | 2006-07-24 |
| 1851313076 | Michelle Miller | Pediatrics | 605 E Jefferson St, Iowa City, IA 52245-2426 | 2006-07-24 |
| 1427074871 | Stanley Arlen Hackbarth | Pediatrics | 605 E Jefferson St, Iowa City, IA 52245-2426 | 2006-07-15 |
| 1487670840 | Stacy Ann Granner | Pediatrics | 605 E Jefferson St, Iowa City, IA 52245 | 2006-07-15 |
| 1871519249 | Ingrid Goldenstein | Pediatrics | 605 E Jefferson St, Iowa City, IA 52245-2426 | 2006-07-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699356 | Mary Beth Shapcott | Registered Nurse | 500 East Market St., Mercy Hospital Diabetes Education, Iowa City, IA 52245 | 2017-10-10 |
| 1366703167 | Elizabeth Bright | Occupational Therapist | 540 E. Jefferson Street., Ste.302, Iowa City, IA 52245 | 2012-06-07 |
| 1043518368 | Robert Brian Goffstein | Ophthalmology | 403 North 7th Ave, Iowa City, IA 52245 | 2011-03-10 |
| 1750682936 | Robert Alvin Blair | Dentist | 134 Broadmoor Lane, Iowa City, IA 52245 | 2010-11-04 |
| 1215167457 | Laura J Ericson | Occupational Therapist | 540 E Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-07-22 |
| 1780818294 | Kathryn Leigh Bossen | Physical Therapist | 540 E. Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-05-12 |
| 1073751095 | Jessica L Keeran | Physical Therapist | 2751 Northgate Dr. Ne, Iowa City, IA 52245 | 2009-01-29 |
| 1437330370 | Francine Mardarello Hunnicutt | Marriage & Family Therapist | 1610 East College St, Iowa City, IA 52245 | 2007-11-20 |
| 1659574853 | Joan Victoria Rinner | Marriage & Family Therapist | 121 University Services Building, University of Iowa, Iowa City, IA 52245 | 2007-06-06 |
| 1053529966 | Steve Bernt Hammerstrom | Chiropractor | 373 B Scott Court, Iowa City, IA 52245 | 2007-05-21 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762947 | Keegan Kavanaugh | Pediatrics | 200 Hawkins Dr # Bt201526, Iowa City, IA 52242-1009 | 2020-05-19 |
| 1487212452 | Kacie Cornelius Rytlewski | Pediatrics | 200 Hawkins Dr Ste Jcp, Iowa City, IA 52242-1009 | 2019-06-04 |
| 1356908909 | Shelby Noel Mestnik | Pediatrics | 200 Hawkins Dr Dept, Iowa City, IA 52242-1009 | 2019-05-20 |
| 1164801668 | Brenda Cruikshank | Pediatrics | 2105 Glendale Rd, Iowa City, IA 52245-3221 | 2015-05-29 |
| 1972907426 | Rhanda Darville | Pediatrics | 200 Hawkins Dr # Bt1120, Iowa City, IA 52242-1009 | 2014-10-13 |
| 1245501337 | Thomas Grant Rosenberger | Pediatrics | 503 Stuart Ct, Iowa City, IA 52245-3531 | 2012-01-20 |
| 1649590506 | Linda Kay Rames | Pediatrics | 842 Rundell Street, Iowa City, IA 52240 | 2010-06-02 |
| 1114154234 | Taylor Jerman | Pediatrics | 32 Ealing Dr, Iowa City, IA 52246-4717 | 2009-06-16 |
| 1235755026 | Melanie Claire Morris | Pediatrics | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-17 |
| 1154946598 | Ashley Preston | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-06-11 |
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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.