ERIC ANDRESEN (NPI# 1710279351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710279351 |
Entity Type | Individual |
Full Name | ERIC ANDRESEN |
Practice Address |
1717 W Ridgeway Ave Waterloo IA 50701 |
Mailing Address |
1717 W Ridgeway Ave Waterloo IA 50701-4543 |
Practice Telephone | 3192330340 |
Mailing Telephone | 3192330340 |
Enumeration Date | 2011-05-13 |
Last Update Date | 2018-06-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | MD-44196 | IA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
200 Hawkins Drive, Uihc, Department of Urology, Iowa City, IA 52242 | 3193562421 | 3193563900 |
Street Address |
1717 W RIDGEWAY AVE |
City | WATERLOO |
State | IA |
Zip Code | 50701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902893779 | Michelle B Nepple | Physician Assistant | 1717 W Ridgeway Ave, Waterloo, IA 50701 | 2005-10-05 |
1083952402 | Katherine Marie Kuehn | Dietitian, Registered | 1717 W Ridgeway Ave, Waterloo, IA 50701-4543 | 2013-01-18 |
1477815769 | Lindsay R. Vogel | Nurse Practitioner | 1717 W Ridgeway Ave, Waterloo, IA 50701-4543 | 2012-06-12 |
1376810770 | David W Kabel, Md, Facc, P.C. | Internal Medicine | 1717 W Ridgeway Ave, Waterloo, IA 50701-4543 | 2011-11-30 |
1699078121 | Unitypoint At Home | Durable Medical Equipment & Medical Supplies | 1717 W Ridgeway Ave, Suite 50a, Waterloo, IA 50701-4543 | 2010-12-06 |
1255657466 | Allen Memorial Hospital Corporation | Durable Medical Equipment & Medical Supplies | 1717 W Ridgeway Ave, Suite 50a, Waterloo, IA 50701-4543 | 2010-04-13 |
1326272923 | Eric John Askeland | Urology | 1717 W Ridgeway Ave, Waterloo, IA 50701-4543 | 2009-05-11 |
1598969701 | Bethany J Stevens | Nurse Practitioner | 1717 W Ridgeway Ave, Waterloo, IA 50701-4543 | 2007-06-12 |
1326257346 | Daniel Kwai Lee | Urology | 1717 W Ridgeway Ave, Waterloo, IA 50701 | 2007-05-22 |
1306873948 | Deborah J Van Dyke | Nurse Practitioner | 1717 W Ridgeway Ave, Waterloo, IA 50701-4543 | 2006-06-27 |
Find all providers in the same location |
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 | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083898779 | Alexandria Urology P.C. | Urology | 112 Park Lane, Room 5, Waterloo, IA 50701 | 2007-12-18 |
1124018999 | Paul E.l. Richardson | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2005-10-24 |
1174067698 | Urosmith Pllc | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2016-12-19 |
1730553918 | Bennhook Pllc | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2015-11-25 |
1306216767 | Global Urology PC | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2015-09-29 |
1326272923 | Eric John Askeland | Urology | 1717 W Ridgeway Ave, Waterloo, IA 50701-4543 | 2009-05-11 |
1790929354 | Mark Richard Newton | Urology | 2413 W Ridgeway Ave, Waterloo, IA 50701-4306 | 2009-04-27 |
1326257346 | Daniel Kwai Lee | Urology | 1717 W Ridgeway Ave, Waterloo, IA 50701 | 2007-05-22 |
1467497909 | Anand H Inamdar | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2006-06-18 |
1194792572 | Loren James Smith | Urology | 3410 Kimball Ave, Waterloo, IA 50702 | 2006-03-03 |
Find all providers in WATERLOO |
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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.