CRYSTAL NICOLE RODRIGUEZ (NPI# 1477047215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477047215 |
| Entity Type | Individual |
| Full Name | CRYSTAL NICOLE RODRIGUEZ |
| Credential | MD |
| Practice Address |
200 Hawkins Dr Iowa City IA 52242-1009 |
| Mailing Address |
200 Hawkins Dr Dept Of Iowa City IA 52242-1009 |
| Practice Telephone | 3193567102 |
| Practice Fax Number | 3193568682 |
| Mailing Telephone | 3193562902 |
| Mailing Fax Number | 3193568682 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
R-11321 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1568503159 | Crystal Dawn Rodriguez | Registered Nurse | 1325 Park Ave, Abilene, TX 79603-4945 | 2007-02-08 |
| 1073110011 | Crystal Rodriguez | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue, 202 Robinson Hall, Boston, MA 02115 | 2020-10-02 |
| 1578115507 | Crystal Rodriguez | Peer Specialist | 47915 Oasis St Ste C, Indio, CA 92201-6950 | 2019-07-10 |
| 1962997767 | Crystal Marie Rodriguez | Social Worker | 57 W Burnside Ave, Bronx, NY 10453-4038 | 2018-06-25 |
| 1265926182 | Crystal Rodriguez | Counselor | 8019 Compton Ave, Los Angeles, CA 90001 | 2018-06-15 |
| 1801301973 | Crystal Lynn Rodriguez | Speech-Language Pathologist | 7257 N Fresno St, Fresno, CA 93720-2950 | 2017-12-11 |
| 1851819353 | Crystal Shante Rodriguez | Massage Therapist | 105 N Pecos Rd, Henderson, NV 89074-7324 | 2017-09-05 |
| 1780136242 | Crystal Marie Rodriguez | Physician Assistant | 5050 Ne Hoyt St, Suite 240, Portland, OR 97213-2991 | 2016-11-01 |
| 1518311372 | Crystal B Rodriguez | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2016-04-19 |
| Street Address |
200 HAWKINS DR |
| 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 | 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1578962189 | Maen Aboul Hosn | Surgery | 200 Hawkins Dr, Dept of Surgery, Iowa City, IA 52242-1009 | 2014-08-19 |
| 1144541681 | Jun Xu | Surgery | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2010-06-18 |
| 1760617922 | James Frederick Foster IIi | Surgery | 200 Hawkins Dr, Department of Vascular Surgery, Iowa City, IA 52242-1009 | 2009-05-18 |
| 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 |
| 1326305830 | Ryan Deets | Surgery | 1223 S Gear Ave Ste 202, West Burlington, IA 52655 | 2012-04-20 |
| 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 |
| 1184042269 | Zane Young | Surgery | 5880 University Ave Ste 103, West Des Moines, IA 50266-8209 | 2014-04-04 |
| 1730447764 | Vascular Surgery Associates | Surgery | 1075 Golden Valley Dr, Bettendorf, IA 52722-1649 | 2012-04-27 |
| 1124281902 | Nicholas Southard | Surgery | 5950 University Ave, Ste 231, West Des Moines, IA 50266 | 2008-07-02 |
| 1043479256 | Kyle Ver Steeg Md PC | Surgery | 310 2nd Ave S, Fort Dodge, IA 50501-3710 | 2008-06-03 |
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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.