IOWA CITY HEART CENTER, PC (NPI# 1689745259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689745259 |
| Entity Type | Organization |
| Organization Name | IOWA CITY HEART CENTER, PC |
| Practice Address |
540 E Jefferson St Ste 400 Iowa City IA 52245-2479 |
| Practice Telephone | 3193393883 |
| Practice Fax Number | 3196887304 |
| Mailing Telephone | 3193393883 |
| Mailing Fax Number | 3196887304 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2010-07-29 |
| Authorized Official Name | MR. IAN MONTGOMERY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3196887887 |
| Authorized Official Credential | CMPE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0200769 | 05 | |
| RR MEDICARE PIN | CA3899 | 01 |
| Street Address |
540 E JEFFERSON ST STE 400 |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52245-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821035114 | Frances L Johnson | Internal Medicine | 540 E Jefferson St Ste 400, Iowa City, IA 52245-2479 | 2006-06-02 |
| 1144623422 | Annalisa Morgan Cochran | Nurse Practitioner | 540 E Jefferson St Ste 400, Iowa City, IA 52245 | 2014-10-01 |
| 1245486547 | Rudhir Tandon | Internal Medicine | 540 E Jefferson St Ste 400, Iowa City, IA 52245-2479 | 2008-08-18 |
| 1043310881 | Gardar Sigurdsson | Internal Medicine | 540 E Jefferson St Ste 400, Iowa City, IA 52245-2479 | 2006-09-22 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821035114 | Frances L Johnson | Internal Medicine | 540 E Jefferson St Ste 400, Iowa City, IA 52245-2479 | 2006-06-02 |
| 1508480997 | Boris Ramirez | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-06-02 |
| 1588186456 | Wasawat Vutthikraivit | Internal Medicine | 200 Hawkins Dr, Division of Cardiology, Dept of Internal Medicine, Iowa City, IA 52242-1009 | 2017-07-12 |
| 1538517909 | Doosup Shin | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2016-05-26 |
| 1699120873 | Corina Iorgoveanu | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2016-04-26 |
| 1689061095 | Shubha Deep Roy | Internal Medicine | 200 Hawkins Dr., E 315 Gh, Dept of Internal Medicine, Iowa City, IA 52242-1009 | 2015-04-23 |
| 1659767598 | Emmanuel Oluwasegun Akintoye | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2015-04-07 |
| 1528485414 | Rakesh Ponnapureddy | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242 | 2014-03-28 |
| 1730493222 | Alexandros Briasoulis | Internal Medicine | 200 Hawkins Drive, Iowa City, IA 52242 | 2010-07-27 |
| 1154632982 | Promporn Suksaranjit | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2010-06-25 |
| Find all providers in IOWA CITY | ||||
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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.