DAVID JAMES CONGDON (NPI# 1639123243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639123243 |
| Entity Type | Individual |
| Full Name | DAVID JAMES CONGDON |
| Credential | MD |
| Practice Address |
2515 Cyclone Dr Ste B Waterloo IA 50701-9746 |
| Mailing Address |
Po Box 2758 Waterloo IA 50704-2758 |
| Practice Telephone | 3198888044 |
| Mailing Telephone | 3198335970 |
| Mailing Fax Number | 3198335971 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2019-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
35119 | IA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1753 W Ridgeway Ave, Ste 111, Waterloo, IA 507014588 | 3198335970 | 3198335971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588815617 | David Charles Congdon | Social Worker | 1520 Bonnie Burn Cir, Winter Park, FL 32789-5705 | 2008-10-07 |
| 1841271236 | David R Congdon | Family Medicine | 1 Boone Rd, Naval Hospital, Bremerton, WA 98312-1894 | 2005-11-11 |
| Street Address |
2515 CYCLONE DR STE B |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-9746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134180870 | Mary Margaret Heatley | Physician Assistant | 2515 Cyclone Dr Ste B, Waterloo, IA 50701 | 2006-03-31 |
| 1053971192 | Sieon Kim | Audiologist | 2515 Cyclone Dr Ste B, Waterloo, IA 50701-9746 | 2019-06-20 |
| 1720487838 | Crystal Wilken | Nurse Practitioner | 2515 Cyclone Dr Ste B, Waterloo, IA 50701 | 2014-08-14 |
| 1578651329 | Deborah Sue Rieks | Audiologist | 2515 Cyclone Dr Ste B, Waterloo, IA 50701-9746 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326097296 | Mary Susan Pruzinsky | Otolaryngology | 2710 Saint Francis Dr, Ste 411, Waterloo, IA 50702-5619 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740629906 | Jay Burmeister | Otolaryngology | 3385 Dexter Ct Ste 101, Davenport, IA 52807-3471 | 2013-06-20 |
| 1285784983 | Physicians' Clinic of Iowa, PC, Dept of Ent | Otolaryngology | 901 8th Ave Se, Cedar Rapids, IA 52401-2121 | 2007-01-12 |
| 1851346282 | Dwayne Thomas Capper | Otolaryngology | 2615 Northgate Dr, Iowa City, IA 52245-9565 | 2006-05-24 |
| 1700201407 | Dennis P Porto Md PC | Otolaryngology | 6000 University Ave, Suite 230, West Des Moines, IA 50266-8203 | 2014-03-04 |
| 1003049115 | Cassie Noreen Carney | Otolaryngology | 915 13th Ave N, Clinton, IA 52732-5067 | 2009-08-24 |
| 1013138270 | Melanie Lucille Giesler-spellman | Otolaryngology | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2007-05-02 |
| 1447292800 | Jeremy D Vos | Otolaryngology | 2615 Northgate Dr, Iowa City, IA 52245-9565 | 2006-06-11 |
| 1285672428 | Thomas Allen Simpson | Otolaryngology | 2615 Northgate Dr, Iowa City, IA 52245-9565 | 2006-06-02 |
| 1902844145 | Thomas Frederic Viner | Otolaryngology | 2615 Northgate Dr, Iowa City, IA 52245-9565 | 2006-06-02 |
| 1932155900 | Daniel Robert Olney | Otolaryngology | 2615 Northgate Dr, Iowa City, IA 52245-9565 | 2006-05-25 |
| 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.