HIDEFUMI MIMURA (NPI# 1528056470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528056470 |
| Entity Type | Individual |
| Full Name | HIDEFUMI MIMURA |
| Credential | MD |
| Practice Address |
200 Hawkins Dr University of Iowa Hospitals & Clinics Iowa City IA 52242-1009 |
| Practice Telephone | 3193561071 |
| Practice Fax Number | 3193562220 |
| Mailing Telephone | 3193561071 |
| Mailing Fax Number | 3193562220 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
SP 162 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BCBS | 38548 | 01 |
| IA | 0459081 | 05 |
| Street Address |
200 HAWKINS DR UNIVERSITY OF IOWA HOSPITALS & CLINICS |
| 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 | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821619719 | Brendan James Carney | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-05-01 |
| 1053803544 | Bradford Price Oliva | Radiology | 200 Hawkins Dr, Dept of Radiology, Iowa City, IA 52242-1009 | 2018-05-31 |
| 1326118332 | Melhem J Sharafuddin | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2006-11-08 |
| 1265421036 | Venkata Rajamannar Kothimbakam | Radiology | 200 Hawkins Dr, University of Iowa Hospitals & Clinics, Iowa City, IA 52242-1082 | 2005-10-14 |
| 1093703944 | Jafar Golzarian | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407245301 | Nishad Nadkarni | Radiology | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2015-01-15 |
| 1174754436 | Trinity Regional Medical Center | Radiology | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2009-08-05 |
| 1285858084 | Ryan Douglas Cook | Radiology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2007-04-12 |
| 1033154620 | Haroon Rashid Afridi | Radiology | 1948 1st Ave Ne, Cedar Rapids, IA 52402-5321 | 2006-06-18 |
| 1710934070 | Nitin Prabhakar Shirodkar | Radiology | 3600 30th St, Des Moines, IA 50310-5876 | 2006-05-30 |
| 1043277247 | David Lawrence Lacey | Radiology | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8162 | 2006-05-01 |
| 1003872003 | Andrew David Nish | Radiology | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8162 | 2006-04-26 |
| 1851353353 | Robert J Schmall | Radiology | 1948 1st Ave Ne, Cedar Rapids, IA 52402-5321 | 2006-04-03 |
| 1972572386 | Marwan F Jarmakani | Radiology | 1948 1st Ave Ne, Cedar Rapids, IA 52402-5321 | 2006-03-16 |
| 1962472068 | Floyd County Hosp | Radiology | 800 11th St, Charles City, IA 50616-3468 | 2006-01-23 |
| 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.