STATE UNIVERSITY OF IOWA (NPI# 1669959573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669959573 |
| Entity Type | Organization |
| Organization Name | STATE UNIVERSITY OF IOWA |
| Other Organization Name | UI HEALTHCARE SCOTT BLVD URGENT CARE |
| Practice Address |
3640 Middlebury Rd Iowa City IA 52245-2712 |
| Mailing Address |
200 Hawkins Dr Iowa City IA 52242-1009 |
| Practice Telephone | 3193397472 |
| Practice Fax Number | 3194677400 |
| Mailing Telephone | 3193397472 |
| Mailing Fax Number | 3194677400 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | DR. JAY BROOKS JACKSON (VP FOR MEDICAL AFFAIRS) |
| Authorized Official Telephone | 3193358064 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE UNIVERSITY OF IOWA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| UI HealthCare Scott Blvd Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306304027 | State University of Iowa | Pharmacy | 1360 N Dodge St Ste 1100, Iowa City, IA 52245-6104 | 2019-03-12 |
| 1710485123 | State University of Iowa | Eye Bank | 2500 Crosspark Rd Ste W300, Coralville, IA 52241-4710 | 2018-01-31 |
| 1811246473 | State University of Iowa | Pharmacy | 105 E 9th Street, Suite A, Coralville, IA 52241 | 2012-08-29 |
| 1548526189 | State University of Iowa | Family Medicine | 767 Mormon Trek Blvd, Iowa City, IA 52246-1812 | 2012-04-09 |
| 1194035436 | State University of Iowa | Durable Medical Equipment & Medical Supplies | 119 2nd St, Ste 400, Coralville, IA 52241-2691 | 2010-10-20 |
| 1013241850 | State University of Iowa | Family Medicine | 1632 Sycamore St, Iowa City, IA 52240-6044 | 2009-09-28 |
| 1053503755 | State University of Iowa | Public Health or Welfare | 100 Hawkins Dr, 247-a Cdd, Iowa City, IA 52242 | 2007-08-16 |
| 1225177579 | State University of Iowa | Registered Nurse | 3501 Harry Langdon Blvd Ste 1450, Child Health Specialty Clinics, Council Bluffs, IA 51503-7837 | 2007-02-05 |
| 1689712549 | State University of Iowa | Audiologist | 250 Hawkins Drive, The University of Iowa, Iowa City, IA 52242-1012 | 2007-02-02 |
| 1609956234 | State University of Iowa | Dentist | 322 Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | STATE UNIVERSITY OF IOWA ALUMNI ASSOCIATION | Po Box 1970, One West Park Rd, Iowa City, IA 52244-1970 |
| Iowa Business Entities | STATE UNIVERSITY OF IOWA FOUNDATION | One West Park Road, Po Box 4550, Iowa City, IA 52244 |
| Street Address |
3640 MIDDLEBURY RD |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52245-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437148285 | Matthew L Lanternier | Family Medicine | 3640 Middlebury Rd, Iowa City, IA 52245-2712 | 2005-10-14 |
| 1689204141 | April Elizabeth Allen | Physician Assistant | 3640 Middlebury Rd, Iowa City, IA 52245-2712 | 2020-01-23 |
| 1750942892 | Johanna Theresa Clark | Nurse Practitioner | 3640 Middlebury Rd, Iowa City, IA 52245-2712 | 2019-06-27 |
| 1598292534 | Minh-anh Pham | Nurse Practitioner | 3640 Middlebury Rd, Iowa City, IA 52245-2712 | 2017-05-22 |
| 1790226629 | Tinu Bastian | Nurse Practitioner | 3640 Middlebury Rd, Iowa City, IA 52245-2712 | 2017-03-11 |
| 1093251381 | Tiffany Sorensen | Physician Assistant | 3640 Middlebury Rd, Iowa City, IA 52245-2712 | 2017-01-11 |
| 1922458405 | Jessica Lynn Alston | Family Medicine | 3640 Middlebury Rd, Iowa City, IA 52245-2712 | 2016-06-15 |
| 1083089189 | Elizabeth Mary Highland-fonder | Nurse Practitioner | 3640 Middlebury Rd, Iowa City, IA 52245 | 2015-12-01 |
| 1285027847 | Corey Lynne Andrade | Physician Assistant | 3640 Middlebury Rd, Iowa City, IA 52245 | 2015-03-06 |
| 1548692585 | Anne M Daggett | Registered Nurse | 3640 Middlebury Rd, Iowa City, IA 52245-2712 | 2013-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699356 | Mary Beth Shapcott | Registered Nurse | 500 East Market St., Mercy Hospital Diabetes Education, Iowa City, IA 52245 | 2017-10-10 |
| 1366703167 | Elizabeth Bright | Occupational Therapist | 540 E. Jefferson Street., Ste.302, Iowa City, IA 52245 | 2012-06-07 |
| 1043518368 | Robert Brian Goffstein | Ophthalmology | 403 North 7th Ave, Iowa City, IA 52245 | 2011-03-10 |
| 1750682936 | Robert Alvin Blair | Dentist | 134 Broadmoor Lane, Iowa City, IA 52245 | 2010-11-04 |
| 1215167457 | Laura J Ericson | Occupational Therapist | 540 E Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-07-22 |
| 1780818294 | Kathryn Leigh Bossen | Physical Therapist | 540 E. Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-05-12 |
| 1073751095 | Jessica L Keeran | Physical Therapist | 2751 Northgate Dr. Ne, Iowa City, IA 52245 | 2009-01-29 |
| 1437330370 | Francine Mardarello Hunnicutt | Marriage & Family Therapist | 1610 East College St, Iowa City, IA 52245 | 2007-11-20 |
| 1659574853 | Joan Victoria Rinner | Marriage & Family Therapist | 121 University Services Building, University of Iowa, Iowa City, IA 52245 | 2007-06-06 |
| 1053529966 | Steve Bernt Hammerstrom | Chiropractor | 373 B Scott Court, Iowa City, IA 52245 | 2007-05-21 |
| Find all providers in zip 52245 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952953218 | Just 4 Kids Urgent Care, P.C. | Clinic/Center | 5510 Utica Ridge Rd Ste 200, Davenport, IA 52807-2946 | 2019-07-16 |
| 1730437542 | Spencer Convenient Healthcare LLC | Clinic/Center | 116 E. 7th Street, Suite 2, Spencer, IA 51301 | 2012-08-28 |
| 1821634825 | State University of Iowa | Clinic/Center | 2591 Holiday Rd, Coralville, IA 52241-3039 | 2019-11-25 |
| 1174073597 | Unitypoint Clinic Urgent Care | Clinic/Center | 802 Kenyon Rd, Suite A, Fort Dodge, IA 50501-5740 | 2016-10-10 |
| 1952765836 | Khan Medical Associates PC | Clinic/Center | 1420 4th St Se, Mason City, IA 50401-4438 | 2016-04-07 |
| 1306235072 | Amana Medical Care, Inc. | Clinic/Center | 2162 W Kimberly Rd, Davenport, IA 52806-5368 | 2015-01-17 |
| 1356572358 | The Genesis Project, Plc | Clinic/Center | 1601 Boyson Square Dr, Suite B, Hiawatha, IA 52233-2311 | 2009-08-07 |
| 1922281724 | American Current Care Pa | Clinic/Center | 2100 Dixon, Suite E, Des Moines, IA 50316-2174 | 2007-12-14 |
| 1558544353 | American Current Care Pa | Clinic/Center | 11144 Aurora Avenue, Urbandale, IA 50322-7903 | 2007-12-14 |
| 1659564797 | Muscatine Urgent Care, Plc | Clinic/Center | 1903 Park Ave, Suite 1500, Muscatine, IA 52761-5400 | 2007-08-22 |
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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.