DR. KEVIN MICHAEL WOOD (NPI# 1437220365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437220365 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MICHAEL WOOD |
| Credential | PH.D. |
| Practice Address |
200 Hawkins Dr 2525 Jcp Iowa City IA 52242-1009 |
| Practice Telephone | 3193849977 |
| Practice Fax Number | 3193537986 |
| Mailing Telephone | 3193849977 |
| Mailing Fax Number | 3193537986 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2010-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 622 | IA | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
00622 | IA | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
00622 | IA | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
00210 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0459529 | 05 | |
| IA | UNKNOWN | 31342 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134428998 | Kevin C Wood | Internal Medicine | 1 Valley Health Plz Ste C212, Paramus, NJ 07652-3628 | 2011-03-19 |
| 1891795506 | Kevin J Wood | Chiropractor | 3970 Rca Blvd, Suite 7004, Palm Beach Gardens, FL 33410-4253 | 2005-07-22 |
| 1255809935 | Kevin James Wood | Massage Therapist | 75 E Main St, Westfield, NY 14787-1305 | 2018-11-11 |
| 1376045450 | Kevin Wayne Wood | Counselor | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2018-03-05 |
| 1407262355 | Kevin Wood | Physician Assistant | 267 Grant St, Bridgeport, CT 06610-2805 | 2014-07-10 |
| 1205170073 | Kevin Scott Wood | Pharmacist | 795 Cummings Street, Abingdon, VA 24211 | 2012-11-19 |
| 1952607012 | Kevin Wood | Pharmacist | 710 Broadway St, Cape Girardeau, MO 63701-5514 | 2011-02-07 |
| 1780747477 | Kevin N. Wood | Counselor | 501 S. Burma Avenue, Gillette, WY 82717-3011 | 2006-12-18 |
| 1366500043 | Kevin Curtis Wood | Dentist | 564 Franklin St, Buffalo, NY 14202-1110 | 2006-12-05 |
| 1447214333 | Kevin Lee Wood | Psychiatry & Neurology | 3366 Nw Expressway, Suite 200, Oklahoma City, OK 73112-4462 | 2006-04-17 |
| Street Address |
200 HAWKINS DR 2525 JCP |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425963 | Matthew T Spragg | Emergency Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-05-24 |
| 1205437951 | Jennifer Renee Manternach | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-11-07 |
| 1144821794 | Jannet S Eastman | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-11-02 |
| 1043810245 | Abbey Lorraine Foglesong | Dietitian, Registered | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-27 |
| 1972101533 | Lindy Pelzer | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-15 |
| 1124626437 | Georgianne Younger | Genetic Counselor, MS | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-09 |
| 1114534237 | Bharatendu Chandra | Medical Genetics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
| 1023625142 | Moon Ley Tung | Medical Genetics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
| 1225645187 | Sinan Akay | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
| 1376158170 | Aygun Asgarli | Psychiatry & Neurology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710184858 | Linn Dixon Noble | Psychologist | 100 Hawkins Drive, Iowa City, IA 52242-1011 | 2007-07-02 |
| 1326493529 | Emily Ann Boshkoff | Psychologist | 100 Hawkins Dr, Cdd351, Iowa City, IA 52242-1016 | 2016-04-26 |
| 1982966412 | Matthew Kressin | Psychologist | 100 Hawkins Dr, Iowa City, IA 52242-1016 | 2012-06-11 |
| 1326355231 | Krista L Kohl | Psychologist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2010-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699150979 | Renewing The Mind PC | Psychologist | 3930 Stadium Dr Ste 1, Sioux City, IA 51106-5166 | 2015-07-28 |
| 1497007710 | Central Iowa Hospital Corporation | Psychologist | 1206 Pleasant St., Des Moines, IA 50309-1453 | 2012-10-10 |
| 1255398053 | Ann R Ernst | Psychologist | 899 Mount Carmel St, Dubuque, IA 52003-7946 | 2006-04-27 |
| 1215350525 | Martha Christine Early | Psychologist | 1206 Pleasant St, Des Moines, IA 50309-1406 | 2014-01-23 |
| 1992052179 | Christina E Stai | Psychologist | 1303 5th St, Suite #202, Coralville, IA 52241-2922 | 2012-08-07 |
| 1972882967 | Heather L Soyer | Psychologist | 1206 Pleasant St, Des Moines, IA 50309-1406 | 2011-08-09 |
| 1437233764 | Keri Kinnaird | Psychologist | 808 5th Ave, Des Moines, IA 50309-1315 | 2006-10-24 |
| 1184704116 | Gretchen Kraemer | Psychologist | 808 5th Ave, Des Moines, IA 50309-1315 | 2006-10-16 |
| 1629177456 | Carolyn Camery | Psychologist | 808 5th Ave, Des Moines, IA 50309-1315 | 2006-09-21 |
| 1144264623 | Steven C Dawdy | Psychologist | 1601 Nw 114th St, Suite 349, Clive, IA 50325-7007 | 2006-06-15 |
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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.