SAMUEL JACOB IRVING (NPI# 1790309847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790309847 |
| Entity Type | Individual |
| Full Name | SAMUEL JACOB IRVING |
| Credential | MD, PHD |
| Practice Address |
200 Hawkins Drive Dept of Emergency Medicine Iowa City IA 52242-1009 |
| Practice Telephone | 3193562233 |
| Mailing Telephone | 3193562233 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | R-11935 | IA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Hawkins Dr Dept Of, Iowa City, IA 522421009 | 3193562233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619442613 | Samuel Irving | Nurse Anesthetist, Certified Registered | 3901 S 7th St, Terre Haute, IN 47802-5709 | 2018-10-05 |
| Street Address |
200 HAWKINS DRIVE DEPT OF EMERGENCY MEDICINE |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073511572 | Stephen Edward Gunn | Physician Assistant | 200 Hawkins Drive, Se 500 Gh, Iowa City, IA 52242 | 2005-07-08 |
| 1679190730 | Samira Nirvan Vithani | Anesthesiology | 200 Hawkins Drive, 6546jcp, Iowa City, IA 52242 | 2020-07-06 |
| 1538783501 | Mitch Edward Patrick | Surgery | 200 Hawkins Drive, Department of Surgery, Iowa City, IA 52242 | 2020-06-04 |
| 1831713171 | Andrew Storm | Obstetrics & Gynecology | 200 Hawkins Drive, Department of Obgyn 31141 Pfp, Iowa City, IA 52242-1009 | 2020-06-02 |
| 1740803220 | Emily Mills | Emergency Medicine | 200 Hawkins Drive, Dept. of Emergency Medicine, Iowa City, IA 52242-1009 | 2020-05-19 |
| 1992328439 | Natalie Martin | Emergency Medicine | 200 Hawkins Drive, Dept. of Emergency Medicine, Iowa City, IA 52242-1009 | 2020-05-19 |
| 1174145817 | Alexander Novak | Anesthesiology | 200 Hawkins Drive, Dept of Anesthesia, Iowa City, IA 52242-1009 | 2020-05-16 |
| 1710509781 | Melvin Turner Donaldson | Emergency Medicine | 200 Hawkins Drive, Dept. of Emergency Medicine, Iowa City, IA 52242 | 2020-05-13 |
| 1114549417 | Farhan Shahab | Emergency Medicine | 200 Hawkins Drive, Dept. of Emergency Medicine, Iowa City, IA 52242 | 2020-05-11 |
| 1689293201 | Debra Sue Parrott | Physical Therapist | 200 Hawkins Drive, 0733 Jpp, Iowa City, IA 52242 | 2020-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457715047 | Benjamin Rezny | Emergency Medicine | 200 Hawkins Dr Dept of Anesthesia, Iowa City, IA 52242-1009 | 2016-04-08 |
| 1407293236 | Austin Koch | Emergency Medicine | 200 Hawkins Drive, 1008 Rcp, Uihc - Emergency Medicine, Iowa City, IA 52242 | 2013-06-03 |
| 1821356015 | Brandon Charles Whalen | Emergency Medicine | 200 Hawkins Dr, 1008 Rcp, Iowa City, IA 52242 | 2012-04-25 |
| 1932141025 | Noli R Mendoza | Emergency Medicine | 3122 Juniper Dr, Iowa City, IA 52245-5425 | 2006-06-12 |
| 1144292087 | Daniel E Phillips | Emergency Medicine | 2816 Brookside Dr, Iowa City, IA 52245-5409 | 2006-02-04 |
| 1164425963 | Matthew T Spragg | Emergency Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-05-24 |
| 1205451192 | Stephen Lee Peery | Emergency Medicine | 200 Hawkins Dr, Department of Emergency Medicine, Iowa City, IA 52242-1009 | 2020-06-16 |
| 1023633526 | Edward Alexander Rekart | Emergency Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-10 |
| 1255954004 | Katherine Marie Briggie | Emergency Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-05-27 |
| 1740803220 | Emily Mills | Emergency Medicine | 200 Hawkins Drive, Dept. of Emergency Medicine, Iowa City, IA 52242-1009 | 2020-05-19 |
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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.