DOUGLAS GREGORY OLK (NPI# 1710939780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710939780 |
| Entity Type | Individual |
| Full Name | DOUGLAS GREGORY OLK |
| Credential | M.D. |
| Practice Address |
1000 Langworthy St Dubuque IA 52001-7313 |
| Mailing Address |
1500 Associates Dr Dubuque IA 52002-2201 |
| Practice Telephone | 5635843440 |
| Practice Fax Number | 5635843009 |
| Mailing Telephone | 5635844100 |
| Mailing Fax Number | 5635844110 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2009-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
26446 | WI | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
26887 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0052860 | 05 |
| Street Address |
1000 LANGWORTHY ST |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52001-7313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205837408 | Marc E Dicklin | Physician Assistant | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2005-08-10 |
| 1902328057 | Bridget Lynn Schmidt | Nurse Practitioner | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2017-07-11 |
| 1487183281 | Karena Anne Sauser | Nurse Practitioner | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2017-06-06 |
| 1689109969 | Meghan Wendland | Pediatrics | 1000 Langworthy St, Dubuque, IA 52001-7365 | 2017-04-25 |
| 1942740113 | Madeline Smith | Physician Assistant | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2017-03-07 |
| 1548637887 | Joy V Schwobe | Physician Assistant | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2015-08-21 |
| 1881094795 | Lauren Elizabeth White | Nurse Practitioner | 1000 Langworthy St, Dubuque, IA 52001 | 2014-08-27 |
| 1467867598 | Amy Marie Winsky | Internal Medicine | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2014-06-27 |
| 1851704480 | John Michael Callahan | Pediatrics | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2014-06-11 |
| 1114346921 | Raymond Farlow Roewe Jr. | Urology | 1000 Langworthy St, Dubuque, IA 52001-7365 | 2014-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
| 1710496427 | Ryan Michael Chatfield | Counselor | 799 Main St. Suite 110, Dubuque, IA 52001 | 2017-09-26 |
| 1396274791 | Patricia Ochs | Social Worker | 200 Mercy Dr., Ste. 200, Dubuque, IA 52001 | 2017-06-08 |
| 1770025264 | Young Men's Christian Association of Dubuque, Iowa | Health Educator | 35 North Booth Street, Dubuque, IA 52001 | 2016-11-15 |
| 1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
| 1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
| 1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
| 1376815209 | Umeka Latasha Lewis | Adult Companion | 1308 1/2 Jackson St, Dubuque, IA 52001 | 2012-02-08 |
| 1861777450 | Kevin Joseph Natzke | Pharmacist | 250 Mercy Drvie, Mercy Family Pharmacy, Dubuque, IA 52001 | 2011-10-15 |
| 1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
| Find all providers in zip 52001 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518039460 | Lilanganie Weerasinghe | Pediatrics | 2353 Se 14 St, Des Moines, IA 50320-1109 | 2006-11-15 |
| 1366546004 | Adel F Makar | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-12 |
| 1730172040 | Paul Andrew Rozeboom | Pediatrics | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2005-08-23 |
| 1861908089 | Grand View University | Pediatrics | 1200 Grandview Ave, Johnson Wellness Center, Des Moine, IA 50316-1529 | 2017-12-26 |
| 1164602553 | Mercy Clinics, Inc | Pediatrics | 800 E 1st St Ste 2200, Ankeny, IA 50021-2077 | 2007-11-14 |
| 1407036262 | Mercy Clinics Inc | Pediatrics | 330 Laurel St, Suite 2100, Des Moines, IA 50314-3034 | 2007-11-09 |
| 1588863518 | Sunita Tarun Kumar | Pediatrics | 330 Laurel St, Suite 2100, Des Moines, IA 50314-3034 | 2007-07-11 |
| 1144309188 | Central Iowa Hospital Corporation | Pediatrics | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2006-11-02 |
| 1952409716 | Martin G Meindl | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-20 |
| 1841398609 | Tami R Wiegmann | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-20 |
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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.