JEFFREY PHILLIP KILEY (NPI# 1699883009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699883009 |
| Entity Type | Individual |
| Full Name | JEFFREY PHILLIP KILEY |
| Credential | D.P.M. |
| Practice Address |
502 E Reed St Red Oak IA 51566-2350 |
| Practice Telephone | 7126235178 |
| Practice Fax Number | 7126232703 |
| Mailing Telephone | 7126235178 |
| Mailing Fax Number | 7126232703 |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00666 | IA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0295402 | 05 | |
| IA | MEDICARE GROUP NUMBER | 19837 | 01 |
| IA | BC/BS | 35493 | 01 |
| IA | MEDICAID GROUP NUMBER | 0429761 | 01 |
| Street Address |
502 E REED ST |
| City | RED OAK |
| State | IA |
| Zip Code | 51566-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053329094 | Andrew Christian Stanislav | Podiatrist | 502 E Reed St, Red Oak, IA 51566-2350 | 2006-08-04 |
| 1013029081 | Swfac Plc | Podiatrist | 502 E Reed St, Red Oak, IA 51566-2350 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841726 | Shenandoah Medical Center | Internal Medicine | 101 E Reed St, Red Oak, IA 51566 | 2015-01-09 |
| 1528477379 | Marcela Ivette Pineda Molina | Obstetrics & Gynecology | 1400 Senate Ave Ste 102, Red Oak, IA 51566 | 2014-08-06 |
| 1538397468 | Etta Murphy | Counselor | 1101 Summit St. Ste. 2, Red Oak, IA 51566 | 2009-06-30 |
| 1871799387 | Jeffrey Alan Hulne | Physical Therapist | 2301 Eastern Ave., Red Oak, IA 51566 | 2007-06-22 |
| 1154469385 | Mills County | Case Management | 105 Coolbaugh, Red Oak, IA 51566 | 2007-02-01 |
| 1356415624 | James Forest Wyatt | Obstetrics & Gynecology | 1905 East Summit Street, Red Oak, IA 51566 | 2006-11-20 |
| 1851487664 | Janet K Wheat | Chiropractor | 401 E Park Ave, Red Oak, IA 51566 | 2006-10-05 |
| 1760579593 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 1400 Senate Avenue, Red Oak, IA 51566 | 2006-10-05 |
| 1730192394 | Michael Patrick Mccormack | Dentist | 1700 Summit Ave, Red Oak, IA 51566 | 2006-08-14 |
| 1194796763 | Dr. Robert H. Sharp, P.C. | Optometrist | 514 4th St., Red Oak, IA 51566 | 2006-01-31 |
| Find all providers in zip 51566 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189296 | Linda Bratkiewicz Podiatry Pllc | Podiatrist | 1301 Pennsylvania Ave Ste 115, Des Moines, IA 50316-2364 | 2020-06-18 |
| 1407377344 | Fusion Foot and Ankle, LLC | Podiatrist | 110 Us Hwy 6 Suite 80, Waukee, IA 50263 | 2017-06-30 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1780068114 | Kara Franzen | Podiatrist | 1500 Delhi St Ste 2200, Dubuque, IA 52001-6359 | 2015-07-15 |
| 1265835474 | Iowa Foot & Ankle Specialists, Pllc | Podiatrist | 2884 Aaa Ct, Bettendorf, IA 52722-3406 | 2014-10-01 |
| 1932462256 | Jennifer Ann Fuehrer | Podiatrist | 1327 Sunset Drive, Suite 300, Norwalk, IA 50211 | 2012-06-21 |
| 1912278490 | Collin E. Pehde Dpm, Pllc | Podiatrist | 500 E Court Ave, Suite 314, Des Moines, IA 50309-2057 | 2012-01-16 |
| 1912285479 | Joshua R Modlin | Podiatrist | 4214 Fleur Dr Ste 7, Des Moines, IA 50321-2300 | 2011-08-01 |
| 1326336397 | Brian David Hunziker | Podiatrist | 80 E Hickman Rd, Waukee, IA 50263-5011 | 2011-07-12 |
| 1306175104 | Justin J. Raatz | Podiatrist | 500 E Court Ave Ste 314, Des Moines, IA 50309-2057 | 2009-12-08 |
| 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.