HAIR CARE ON FIFTH INC (NPI# 1720059538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720059538 |
| Entity Type | Organization |
| Organization Name | HAIR CARE ON FIFTH INC |
| Practice Address |
1103 5th St Nevada IA 50201-1816 |
| Practice Telephone | 5153826633 |
| Practice Fax Number | 5153828084 |
| Mailing Telephone | 5153826633 |
| Mailing Fax Number | 5153828084 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2011-03-09 |
| Authorized Official Name | MRS. DOREEN F GILLESPIE (PRESIDENT) |
| Authorized Official Telephone | 5153826633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 52744 | 01 | |
| MIDLAND CHOICE | F247674 | 01 | |
| HEALTH ALLIANCE | 055629 | 01 | |
| IA | 0234914 | 05 |
| Street Address |
1103 5TH ST |
| City | NEVADA |
| State | IA |
| Zip Code | 50201-1816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316295975 | Frideres Chiropractic Clinic P.C. | Chiropractor | 1229 South G Ave Bldg B, Nevada, IA 50201 | 2012-08-29 |
| 1164669271 | Debra S.l. Linderblood | Dietitian, Registered | 640 South 19th St, Nevada, IA 50201 | 2009-01-12 |
| 1932308814 | Jason E Grimm | Chiropractor | 510 South 11th St, West Suite, Nevada, IA 50201 | 2007-07-12 |
| 1396810339 | Stephenson Dental Inc | Dentist | 1400 Fawcett Parkway, Nevada, IA 50201 | 2006-11-22 |
| 1578587473 | Daniel R Hobt | Dentist | 936 Seventh St, Nevada, IA 50201 | 2006-07-26 |
| 1295080364 | Rachel Lynn Frederick | Physician Assistant | 640 S 19th St Ste 100, Nevada, IA 50201 | 2012-07-16 |
| 1629344510 | Mosaic | Intermediate Care Facility, Mentally Retarded | 217 Maple Ave, Nevada, IA 50201 | 2012-03-26 |
| 1417251232 | Damiun Bassandeh | Nurse Anesthetist, Certified Registered | 640 S 19th St, Nevada, IA 50201 | 2011-01-08 |
| 1386977205 | Sherman Jew | Preventive Medicine | 640 S 19th St, Nevada, IA 50201 | 2009-09-10 |
| 1134389307 | Curtis Patrick O'loughlin | Emergency Medicine | 640 S 19th St, Nevada, IA 50201 | 2008-06-11 |
| Find all providers in zip 50201 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972622140 | Jenifer Lee Furness | Orthotic Fitter | 2123 Lillie Ave, Davenport, IA 52804-2040 | 2007-03-28 |
Please comment or provide details below to improve the information on HAIR CARE ON FIFTH INC.
| 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.