JACKSON WALTER DEERE (NPI# 1497311369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497311369 |
| Entity Type | Individual |
| Full Name | JACKSON WALTER DEERE |
| Credential | MD |
| Practice Address |
200 Hawkins Dr Dept Of Iowa City IA 52242-1009 |
| Practice Telephone | 3193562201 |
| Practice Fax Number | 3193564547 |
| Mailing Telephone | 3193562201 |
| Mailing Fax Number | 3193564547 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | R-11465 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
200 HAWKINS DR DEPT OF |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598961187 | Shiv Patel | Radiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242 | 2007-06-21 |
| 1649897687 | Beatriz Dinh | Specialist | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-25 |
| 1417573882 | Harris Syed | Family Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-22 |
| 1124644828 | Taylor James Den Hartog | Orthopaedic Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-19 |
| 1366068942 | Melissa Toeller-desimone | Anesthesiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-19 |
| 1124644786 | Nathan Kemper | Otolaryngology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-19 |
| 1467078311 | Gregory Kirkpatrick | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-17 |
| 1407472327 | Stephen Stone | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-17 |
| 1235755026 | Melanie Claire Morris | Pediatrics | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-17 |
| 1720603608 | John Brennan Hunter Whitacre | Psychiatry & Neurology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-16 |
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| 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 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134658552 | Kristen Leigh Seligman | Otolaryngology | 200 Hawkins Dr, Dept of Otolaryngology, Iowa City, IA 52242-1009 | 2017-06-08 |
| 1972596187 | Nancy M Bauman | Otolaryngology | University of Iowa Hospitals & Clinics, 200 Hawkins Dr, Iowa City, IA 52242-1082 | 2005-08-24 |
| 1316563547 | Nir Alexander Ben-shlomo | Otolaryngology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-06-23 |
| 1972129542 | Cori Nicole Walker | Otolaryngology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-06-19 |
| 1124644786 | Nathan Kemper | Otolaryngology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-19 |
| 1770107740 | Alexandra Mcmillan | Otolaryngology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-06-04 |
| 1528626736 | Vivian Lin Zhu | Otolaryngology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2019-06-03 |
| 1053976175 | Miles Jonathan Klimara | Otolaryngology | 200 Hawkins Dr., Dept of Otolaryngology, Iowa City, IA 52242-1009 | 2019-05-03 |
| 1205499159 | Osama Tarabichi | Otolaryngology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2019-04-17 |
| 1831675107 | Ahmed Abdullah Alkhateeb | Otolaryngology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-07-19 |
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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.