DR. DOUGLAS J VANDAELE (NPI# 1821082587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821082587 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS J VANDAELE |
| Credential | MD |
| Practice Address |
200 Hawkins Dr Iowa City IA 52242-1009 |
| Practice Telephone | 3193538162 |
| Practice Fax Number | 3193564547 |
| Mailing Telephone | 3193538162 |
| Mailing Fax Number | 3193564547 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2007-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
32034 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 5169375 | 05 | |
| IA | WELLMARK BCBS | 34737 | 01 |
| Street Address |
200 HAWKINS DR |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425963 | Matthew T Spragg | Emergency Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-05-24 |
| 1205437951 | Jennifer Renee Manternach | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-11-07 |
| 1144821794 | Jannet S Eastman | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-11-02 |
| 1043810245 | Abbey Lorraine Foglesong | Dietitian, Registered | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-27 |
| 1972101533 | Lindy Pelzer | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-15 |
| 1124626437 | Georgianne Younger | Genetic Counselor, MS | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-09 |
| 1114534237 | Bharatendu Chandra | Medical Genetics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
| 1023625142 | Moon Ley Tung | Medical Genetics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
| 1225645187 | Sinan Akay | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
| 1376158170 | Aygun Asgarli | Psychiatry & Neurology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-09 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 52242 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851346282 | Dwayne Thomas Capper | Otolaryngology | 2615 Northgate Dr, Iowa City, IA 52245-9565 | 2006-05-24 |
| 1447292800 | Jeremy D Vos | Otolaryngology | 2615 Northgate Dr, Iowa City, IA 52245-9565 | 2006-06-11 |
| 1285672428 | Thomas Allen Simpson | Otolaryngology | 2615 Northgate Dr, Iowa City, IA 52245-9565 | 2006-06-02 |
| 1902844145 | Thomas Frederic Viner | Otolaryngology | 2615 Northgate Dr, Iowa City, IA 52245-9565 | 2006-06-02 |
| 1932155900 | Daniel Robert Olney | Otolaryngology | 2615 Northgate Dr, Iowa City, IA 52245-9565 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740629906 | Jay Burmeister | Otolaryngology | 3385 Dexter Ct Ste 101, Davenport, IA 52807-3471 | 2013-06-20 |
| 1285784983 | Physicians' Clinic of Iowa, PC, Dept of Ent | Otolaryngology | 901 8th Ave Se, Cedar Rapids, IA 52401-2121 | 2007-01-12 |
| 1700201407 | Dennis P Porto Md PC | Otolaryngology | 6000 University Ave, Suite 230, West Des Moines, IA 50266-8203 | 2014-03-04 |
| 1003049115 | Cassie Noreen Carney | Otolaryngology | 915 13th Ave N, Clinton, IA 52732-5067 | 2009-08-24 |
| 1013138270 | Melanie Lucille Giesler-spellman | Otolaryngology | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2007-05-02 |
| 1548213465 | Michael J Hart Md PC | Otolaryngology | 1000 73rd St, Suite 21, Windsor Heights, IA 50311-1321 | 2006-05-19 |
| 1639123243 | David James Congdon | Otolaryngology | 2515 Cyclone Dr Ste B, Waterloo, IA 50701-9746 | 2006-05-19 |
| 1629028956 | Kevin Michael Carpenter | Otolaryngology | 202 10th Street Se, Cedar Rapids, IA 52403-2404 | 2006-05-10 |
| 1326097296 | Mary Susan Pruzinsky | Otolaryngology | 2710 Saint Francis Dr, Ste 411, Waterloo, IA 50702-5619 | 2006-05-09 |
| 1225087281 | Jeffrey Scot Krivit | Otolaryngology | 202 10th Street Se, Cedar Rapids, IA 52403-2404 | 2006-05-08 |
| Find all providers with the same taxonomy | ||||
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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.