DR. KENT WILLADSEN (NPI# 1780795898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780795898 |
| Entity Type | Individual |
| Full Name | DR. KENT WILLADSEN |
| Credential | M.D. |
| Practice Address |
1001 Risen Son Blvd Council Bluffs IA 51503-1910 |
| Mailing Address |
Po Box 3755 Omaha NE 68103-0755 |
| Practice Telephone | 7122568600 |
| Practice Fax Number | 7122568599 |
| Mailing Telephone | 4023512100 |
| Mailing Fax Number | 4023542155 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 32302 | IA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 20182 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1780795895 | 05 |
| Street Address |
1001 RISEN SON BLVD |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467566836 | Gary Devoss | Internal Medicine | 1001 Risen Son Blvd, Council Bluffs, IA 51503-1910 | 2006-08-19 |
| 1225262538 | Brian C Gartrell | Family Medicine | 1001 Risen Son Blvd, Council Bluffs, IA 51503 | 2009-05-14 |
| 1477652469 | Jill N Jensen | Physician Assistant | 1001 Risen Son Blvd, Council Bluffs, IA 51503-1910 | 2006-09-22 |
| 1154427037 | Saundra D. Brennan | Physician Assistant | 1001 Risen Son Blvd, Council Bluffs, IA 51503-1910 | 2006-09-16 |
| 1164532404 | Janet Reuter | Family Medicine | 1001 Risen Son Blvd, Council Bluffs, IA 51503-1910 | 2006-08-30 |
| 1245348127 | Erica A. Kilnoski | Physician Assistant | 1001 Risen Son Blvd, Council Bluffs, IA 51503-1910 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982064846 | Kakish Schmidt and Partners Inc | Family Medicine | 3502 Metro Dr, Suite 200, Council Bluffs, IA 51501-7761 | 2016-03-04 |
| 1316108764 | Glenn Edward Hurst | Family Medicine | 201 Ridge St Ste 201, Council Bluffs, IA 51503-4643 | 2008-06-18 |
| 1407031230 | West Broadway Clinic, PC | Family Medicine | 16 S 17th St, Council Bluffs, IA 51501-3818 | 2007-12-28 |
| 1437209434 | Jon Gregory Thomas | Family Medicine | 1288 Valley View Dr, Council Bluffs, IA 51503 | 2007-01-11 |
| 1164538674 | Joseph M Wanzek IIi | Family Medicine | 3434 W Broadway, Suite 100, Council Bluffs, IA 51501-3291 | 2006-08-21 |
| 1962418640 | Barclay A Monaster | Family Medicine | 3135 W Broadway, Council Bluffs, IA 51501 | 2006-08-01 |
| 1720036676 | Linda Mabel Garcia-dorta | Family Medicine | 300 West Broadway, Ste 6, Council Bluffs, IA 51503-9040 | 2006-05-04 |
| 1508856303 | Kenneth D Burkhart | Family Medicine | 300 W Broadway, Ste 6, Council Bluffs, IA 51503 | 2005-10-24 |
| 1780169219 | Marcella Louise Sorrell | Family Medicine | 1 Edmundson Pl Ste 306, Council Bluffs, IA 51503-4620 | 2018-10-01 |
| 1972087518 | Connie Johnson | Family Medicine | 201 Ridge St Ste 201, Council Bluffs, IA 51503-4662 | 2018-09-19 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on DR. KENT WILLADSEN.
| 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.