CEDAR VALLEY MEDICAL SPECIALISTS, PC (NPI# 1780042366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780042366 |
| Entity Type | Organization |
| Organization Name | CEDAR VALLEY MEDICAL SPECIALISTS, PC |
| Practice Address |
4006 Johnathan St Ste B Waterloo IA 50701-9395 |
| Mailing Address |
Po Box 2758 Waterloo IA 50704-2758 |
| Practice Telephone | 3192330222 |
| Practice Fax Number | 3192878094 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-24 |
| Authorized Official Name | GILMORE IREY (CEO) |
| Authorized Official Telephone | 3192355390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1497794242 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639525892 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 7024 Nordic Drive, Suite 200, Cedar Falls, IA 50613-6309 | 2016-05-06 |
| 1154749208 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 1409 W 1st St, Cedar Falls, IA 50613-2115 | 2014-04-04 |
| 1023528429 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 909 W 1st St, Sumner, IA 50674-1203 | 2017-10-11 |
| 1831635119 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 5100 Prairie Pkwy, Suite 204, Cedar Falls, IA 50613-8155 | 2017-01-11 |
| 1609127737 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 201 E J Ave, Grundy Center, IA 50638-2028 | 2012-09-28 |
| 1164606364 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 2351 Hudson Rd, Cedar Falls, IA 50614-0065 | 2007-12-24 |
| 1588850234 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 3254 Kimball Ave, Waterloo, IA 50702-5739 | 2007-09-17 |
| Street Address |
4006 JOHNATHAN ST STE B |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-9395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417900705 | Jay Paul Ginther | Orthopaedic Surgery | 4006 Johnathan St, Suite B, Waterloo, IA 50701-9395 | 2006-05-18 |
| 1841245586 | Cedar Valley Medical Specialists PC | Clinic/Center | 4006 Johnathan St, Waterloo, IA 50701-9395 | 2006-05-23 |
| 1528013299 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 4006 Johnathan St, Waterloo, IA 50701-9395 | 2006-05-23 |
| 1912950304 | Driss Ben H Cammoun | Radiology | 4006 Johnathan St, Waterloo, IA 50701-9395 | 2006-05-18 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831693134 | Waterloo Hometown Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 806 N Monroe St, Waterloo, WI 53594-1135 | 2018-03-21 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1205363546 | Unitypoint At Home | Durable Medical Equipment & Medical Supplies | 3733 University Ave, Waterloo, IA 50701-5623 | 2017-05-17 |
| 1265863294 | Nudak Ventures, LLC | Durable Medical Equipment & Medical Supplies | 1113 Ansborough Ave, Waterloo, IA 50701-2248 | 2013-12-02 |
| 1639484256 | Iowa Physicians Clinic Medicial Foundation | Durable Medical Equipment & Medical Supplies | 1731 W Ridgeway, Suite 100, Waterloo, IA 50701-4591 | 2010-08-09 |
| 1316264252 | Iowa Physicians Clinic Medical Foundation | Durable Medical Equipment & Medical Supplies | 1015 South Hackett Road, Suite 100, Waterloo, IA 50701-3500 | 2010-05-03 |
| 1699934562 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1850 Logan Ave, Waterloo, IA 50703-1917 | 2008-06-05 |
| 1417135070 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 2018 Sears Street, Waterloo, IA 50702-4401 | 2008-02-06 |
| 1093912164 | Anderson Services, LLC | Durable Medical Equipment & Medical Supplies | 2201 Falls Ave, Waterloo, IA 50701-5705 | 2007-06-30 |
| 1679628465 | Glenn Reams Ocularist Inc | Durable Medical Equipment & Medical Supplies | 411 Park St, Suite C, Waterloo, IL 62298-1370 | 2007-01-24 |
| 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.