COSTAS L CONSTANTINOU (NPI# 1518970748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518970748 |
| Entity Type | Individual |
| Full Name | COSTAS L CONSTANTINOU |
| Credential | MD |
| Practice Address |
1409 E Kimberly Rd Davenport IA 52807-1923 |
| Practice Telephone | 5633599876 |
| Practice Fax Number | 5633590608 |
| Mailing Telephone | 5633599876 |
| Mailing Fax Number | 5633590608 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2011-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
036087414 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
32688 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 3217588 | 05 |
| Street Address |
1409 E KIMBERLY RD |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992966287 | Heather Lane Mccollough | Nurse Practitioner | 1409 E Kimberly Rd, Davenport, IA 52807-1923 | 2008-06-19 |
| 1306027164 | Costas L. Constantinou, M.d., P.c | Internal Medicine | 1409 E Kimberly Rd, Davenport, IA 52807-1923 | 2007-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
| 1568585206 | Ann Louise Stroh | Internal Medicine | 701 10th St Se Fl Hpcc3, Cedar Rapids, IA 52403-1251 | 2007-04-09 |
| 1336798750 | American Oncology Partners, P.a. | Internal Medicine | 1 Edmundson Pl Ste 100, Council Bluffs, IA 51503-4658 | 2019-09-09 |
| 1386127025 | Lakes Regional Healthcare | Internal Medicine | 2301 Highway 71, Spirit Lake, IA 51360-1184 | 2018-09-10 |
| 1366707242 | Vignesh Thamilarasu Packiam | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2012-07-06 |
| 1902175615 | Jun Zhang | Internal Medicine | 200 Hawkins Dr, Department of Internal Medicine, Iowa City, IA 52242-1009 | 2011-12-26 |
| 1588827778 | Kamal Kant Singh Abbi | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2008-07-08 |
| 1922184175 | Shelby County Chris A. Myrtue Memorial Hospital | Internal Medicine | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2006-10-31 |
| 1578667960 | Robert Wayne Horowitz | Internal Medicine | 230 Nebraska St, Sioux City, IA 51101-1733 | 2006-09-07 |
| 1972610376 | North Iowa Mercy Clinic | Internal Medicine | 1000 4th St Sw, Mason City, IA 50401-2800 | 2006-08-23 |
| Find all providers with the same taxonomy | ||||
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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.