DR. SAMUEL J CONGELLO (NPI# 1609869254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609869254 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL J CONGELLO |
| Credential | D.O. |
| Practice Address |
250 S Crescent Dr Mason City IA 50401-2926 |
| Practice Telephone | 6414945300 |
| Practice Fax Number | 6414945321 |
| Mailing Telephone | 6414945400 |
| Mailing Fax Number | 6414945403 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2020-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
02714 | IA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
DO-02714 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0082149 | 05 |
| Street Address |
250 S CRESCENT DR |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295737484 | Richard Elmer Rattay | Orthopaedic Surgery | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2005-06-01 |
| 1154937001 | Christopher Randall | Physician Assistant | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2020-09-16 |
| 1871129783 | Thomas Silva | Psychiatry & Neurology | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2020-03-23 |
| 1407486194 | Heather Ann Bucklin | Nurse Practitioner | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2020-01-22 |
| 1932685351 | Michele Ann Plunkett | Nurse Practitioner | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2018-07-18 |
| 1285120402 | Stacey Lester | Physician Assistant | 250 S Crescent Dr, Mason City, IA 50401 | 2018-07-11 |
| 1083102933 | Colombia Esther Ptacek | Nurse Practitioner | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2018-04-26 |
| 1073026274 | Jared James Johanns | Physical Therapist | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2017-11-09 |
| 1639607757 | Michael David Gerber | Nurse Practitioner | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2017-06-02 |
| 1255866356 | Robert Keith Giles II | Physician Assistant | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366797755 | Fayez Ahmed Siddiqui | Internal Medicine | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2012-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528314895 | Cardiovascular Consultants, LLC | Internal Medicine | 6541 Palm Valley Dr, Sioux City, IA 51106-8016 | 2012-07-24 |
| 1356677447 | Mahmoud A. Sharaf | Internal Medicine | Unitypoint Health - St Luke's, 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2009-10-23 |
| 1902857592 | Central Iowa Hospital Corporation | Internal Medicine | 1301 Pennsylvania Avenue, Suite 100, Des Moines, IA 50316-2367 | 2006-05-16 |
| 1083693949 | Eric J Dippel | Internal Medicine | 3385 Dexter Ct Ste 100, Davenport, IA 52807-3471 | 2006-01-10 |
| 1457344673 | Navin Gupta | Internal Medicine | 5885 Sunnybrook Dr, Suite L-200, Sioux City, IA 51106-4203 | 2005-08-23 |
| 1710307384 | Jonathan Holbrook | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2014-04-22 |
| 1548551237 | Des Moines Cardiology, PC | Internal Medicine | 1540 High St, Suite 102, Des Moines, IA 50309-3106 | 2011-04-28 |
| 1336376870 | Daniel M Shivapour | Internal Medicine | 411 Laurel St Ste A250, Des Moines, IA 50314-3029 | 2009-06-11 |
| 1104985589 | Heart Partners LLC | Internal Medicine | 411 Laurel St, Suite 1250, Des Moines, IA 50314-3017 | 2006-12-08 |
| 1730259987 | North Iowa Mercy Clinics | Internal Medicine | 235 8th Ave W, Cresco, IA 52136-1062 | 2006-11-08 |
| Find all providers with the same taxonomy | ||||
| City | MASON CITY |
| Zip Code | 50401 |
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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.