DR. JOHN J KLOSAK (NPI# 1538169941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538169941 |
| Entity Type | Individual |
| Full Name | DR. JOHN J KLOSAK |
| Credential | M.D. |
| Practice Address |
2101 Nicholas Ct Bettendorf IA 52722-2177 |
| Practice Telephone | 5636507355 |
| Mailing Telephone | 5636507355 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2020-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
28375 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | LICENSE | 28375 | 01 |
| IL | 036060710 | 05 |
| Street Address |
2101 NICHOLAS CT |
| City | BETTENDORF |
| State | IA |
| Zip Code | 52722-2177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1558873315 | Erin M Kohrt | Speech-Language Pathologist | 2500 Grant Street, Bettendorf, IA 52722 | 2017-11-01 |
| 1437680295 | Holli Christine Martin | Chiropractor | 3048 Victoria St., Bettendorf, IA 52722 | 2017-03-23 |
| 1598219552 | Alyssa Renee Matz | Counselor | 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 | 2016-08-08 |
| 1144625021 | Athletico Ltd | Physical Therapist | 3252 Ridge Point, Bettendorf, IA 52722 | 2014-11-04 |
| 1609282862 | Katherine L Browne | Nurse Practitioner | 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 | 2014-07-09 |
| 1316357494 | Kayla Leigh Ehrman | Family Medicine | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 | 2014-04-29 |
| 1043648454 | Duane Anthony Halbur Jr. | Counselor | 2420 Salem Ct, Bettendorf, IA 52722 | 2013-10-22 |
| 1376881185 | Christopher D Murphy | Physical Therapist | 2300 53rd Ave Ll02, Bettendorf, IA 52722 | 2013-01-29 |
| 1326386574 | Kelly C Harry | Occupational Therapist | 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 | 2013-01-23 |
| Find all providers in zip 52722 | ||||
| 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 |
|---|---|---|---|---|
| 1932199395 | Afzal H Abdullah | Surgery | 1075 Golden Valley Dr, Bettendorf, IA 52722-1649 | 2005-10-26 |
| 1730447764 | Vascular Surgery Associates | Surgery | 1075 Golden Valley Dr, Bettendorf, IA 52722-1649 | 2012-04-27 |
| 1407970858 | Vascular & Thoracic Assoc. Ltd. | Surgery | 1075 Golden Valley Dr, Bettendorf, IA 52722-1649 | 2007-03-19 |
| 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 |
| 1730175795 | Dan Lee Morehouse | Surgery | 1306 4th St Sw, Mason City, IA 50401-2742 | 2005-09-26 |
| 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 |
| 1477047215 | Crystal Nicole Rodriguez | Surgery | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-06-15 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BETTENDORF |
| Zip Code | 52722 |
Please comment or provide details below to improve the information on DR. JOHN J KLOSAK.
| 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.