PRAVEEN VIKAS (NPI# 1619162435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619162435 |
| Entity Type | Individual |
| Full Name | PRAVEEN VIKAS |
| Credential | MD |
| Practice Address |
2000 S Main St Mccreery Cancer Center Fairfield IA 52556-9572 |
| Mailing Address |
200 Hawkins Dr Iowa City IA 52242-1007 |
| Practice Telephone | 6414724111 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2015-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 39452 | IA | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
39452 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100050810 | 05 | |
| TN | 1507038 | 05 |
| Street Address |
2000 S MAIN ST MCCREERY CANCER CENTER |
| City | FAIRFIELD |
| State | IA |
| Zip Code | 52556-9572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205945094 | Michael Leon Pogel | Psychiatry & Neurology | 2000 S Main St, Fairfield, IA 52556-9572 | 2006-08-29 |
| 1528676699 | Dustin C Lane | Pharmacist | 2000 S Main St, Fairfield, IA 52556-9572 | 2020-07-15 |
| 1891318564 | Taylor Madison Buch | Nurse Practitioner | 2000 S Main St, Fairfield, IA 52556-9572 | 2020-05-28 |
| 1164990537 | Rachel N Shaw | Occupational Therapy Assistant | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-11-05 |
| 1982188918 | Suzane Moore | Speech-Language Pathologist | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-09-15 |
| 1558840553 | Eric Dwayne Held | Physical Therapist | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-08-09 |
| 1952889628 | Katherine Page Mccloney | Physical Therapist | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-08-03 |
| 1982106712 | Raelee Lynn Bird | Registered Nurse | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-03-07 |
| 1013416486 | Karly Matlick | Physical Therapist | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-02-12 |
| 1255849626 | Jacob Wilson | Physical Therapist | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376175315 | Sarah Jo Chaney | Speech-Language Pathologist | 402 W Burlington Ave, Ste 200, Fairfield, IA 52556 | 2020-02-07 |
| 1588191290 | Kirk D. Condon | Counselor | 201 South 23rd, Fairfield, IA 52556 | 2017-05-12 |
| 1740644483 | Felicity Kelly | Acupuncturist | 206 E Burlington Ave #2, Fairfield, IA 52556 | 2016-04-08 |
| 1275964686 | Donna J Besick | Physical Therapy Assistant | 2000 S. Main St., Fairfield, IA 52556 | 2013-12-11 |
| 1568894731 | Mary Helen Gartin | Family Medicine | 2000c South Main, Fairfield, IA 52556 | 2013-07-30 |
| 1699016287 | Sarah Elizabeth Brooks | Acupuncturist | 1825 Okra Blvd, Fairfield, IA 52556 | 2013-03-07 |
| 1265755631 | Robert H. Schneider | Preventive Medicine | 2100 Mansion Drive, Suite 211 - Inmp, Maharishi Vedic City, IA 52556 | 2010-03-12 |
| 1033346127 | Madison County Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1401 S Main St Ste 101, Fairfield, IA 52556 | 2009-06-16 |
| 1144490178 | Southeastern Renal Dialysis L.c. | Clinic/Center | 2000 A S Main St, Fairfield, IA 52556 | 2008-03-05 |
| 1497933741 | Rochelle Marie Phelps | Social Worker | 301 W. Burlington, Fairfield, IA 52556 | 2008-02-07 |
| Find all providers in zip 52556 | ||||
| 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 |
| 1518970748 | Costas L Constantinou | Internal Medicine | 1409 E Kimberly Rd, Davenport, IA 52807-1923 | 2006-08-15 |
| 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 |
| 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.