CEDAR VALLEY MEDICAL SPECIALISTS, PC (NPI# 1588850234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588850234 |
| Entity Type | Organization |
| Organization Name | CEDAR VALLEY MEDICAL SPECIALISTS, PC |
| Other Organization Name | CEDAR VALLEY PAIN CLINIC |
| Practice Address |
3254 Kimball Ave Waterloo IA 50702-5739 |
| Mailing Address |
Po Box 2758 Waterloo IA 50704-2758 |
| Practice Telephone | 3192357246 |
| Practice Fax Number | 3192353017 |
| Mailing Telephone | 3192355390 |
| Mailing Fax Number | 3192355607 |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2008-11-17 |
| Authorized Official Name | MR. GILMORE J. IREY (CEO) |
| Authorized Official Telephone | 3192355390 |
| Is Organization Subpart | Y |
| Parent Organization Name | CEDAR VALLEY MEDICAL SPECIALISTS PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Cedar Valley Pain Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639525892 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 7024 Nordic Drive, Suite 200, Cedar Falls, IA 50613-6309 | 2016-05-06 |
| 1154749208 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 1409 W 1st St, Cedar Falls, IA 50613-2115 | 2014-04-04 |
| 1023528429 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 909 W 1st St, Sumner, IA 50674-1203 | 2017-10-11 |
| 1831635119 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 5100 Prairie Pkwy, Suite 204, Cedar Falls, IA 50613-8155 | 2017-01-11 |
| 1780042366 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 4006 Johnathan St, Ste B, Waterloo, IA 50701-9395 | 2016-02-10 |
| 1609127737 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 201 E J Ave, Grundy Center, IA 50638-2028 | 2012-09-28 |
| 1164606364 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 2351 Hudson Rd, Cedar Falls, IA 50614-0065 | 2007-12-24 |
| Street Address |
3254 KIMBALL AVE |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073823639 | Alison S Mcfadden | Nurse Practitioner | 3254 Kimball Ave, Waterloo, IA 50702-5739 | 2010-10-18 |
| 1689628117 | Ashar Afzal | Anesthesiology | 3254 Kimball Ave, Waterloo, IA 50702-5739 | 2006-05-20 |
| 1003860636 | Frank Edward Hawkins | Anesthesiology | 3254 Kimball Ave, Waterloo, IA 50702-5739 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831693134 | Waterloo Hometown Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 806 N Monroe St, Waterloo, WI 53594-1135 | 2018-03-21 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1205363546 | Unitypoint At Home | Durable Medical Equipment & Medical Supplies | 3733 University Ave, Waterloo, IA 50701-5623 | 2017-05-17 |
| 1265863294 | Nudak Ventures, LLC | Durable Medical Equipment & Medical Supplies | 1113 Ansborough Ave, Waterloo, IA 50701-2248 | 2013-12-02 |
| 1639484256 | Iowa Physicians Clinic Medicial Foundation | Durable Medical Equipment & Medical Supplies | 1731 W Ridgeway, Suite 100, Waterloo, IA 50701-4591 | 2010-08-09 |
| 1316264252 | Iowa Physicians Clinic Medical Foundation | Durable Medical Equipment & Medical Supplies | 1015 South Hackett Road, Suite 100, Waterloo, IA 50701-3500 | 2010-05-03 |
| 1699934562 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1850 Logan Ave, Waterloo, IA 50703-1917 | 2008-06-05 |
| 1417135070 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 2018 Sears Street, Waterloo, IA 50702-4401 | 2008-02-06 |
| 1093912164 | Anderson Services, LLC | Durable Medical Equipment & Medical Supplies | 2201 Falls Ave, Waterloo, IA 50701-5705 | 2007-06-30 |
| 1679628465 | Glenn Reams Ocularist Inc | Durable Medical Equipment & Medical Supplies | 411 Park St, Suite C, Waterloo, IL 62298-1370 | 2007-01-24 |
| Find all providers in WATERLOO | ||||
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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.