DR. STEPHEN JEFFREY NICKELBURG (NPI# 1821301060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821301060 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN JEFFREY NICKELBURG |
| Practice Address |
3600 30th Street Va Central Iowa Health Care System Des Moines IA 50310-5885 |
| Mailing Address |
3600 30th Street Va Central Iowa Health Care System Des Moines IA 50310 |
| Practice Telephone | 5156995999 |
| Practice Fax Number | 5156995720 |
| Mailing Telephone | 5156995999 |
| Mailing Fax Number | 5156995720 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2012-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
066731 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3600 30TH STREET VA CENTRAL IOWA HEALTH CARE SYSTEM |
| City | DES MOINES |
| State | IA |
| Zip Code | 50310-5885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063441210 | Sameena Yasmeen | Family Medicine | 3600 30th Street, (451) Bldg 1 Rm 2750, Des Moines, IA 50310-5885 | 2006-07-01 |
| 1568905792 | Margit Blekfeld-sztraky | Nurse Practitioner | 3600 30th Street, Central Iowa Health Care System, Des Moines, IA 50310-5774 | 2016-11-20 |
| 1801256110 | Omaha Vamc | Skilled Nursing Facility | 3600 30th Street, Des Moines, IA 50310-5774 | 2016-02-29 |
| 1811356678 | Sarah Hall | Social Worker | 3600 30th Street, Des Moines, IA 50310 | 2016-02-22 |
| 1114304185 | Omaha Vamc | Clinic/Center | 3600 30th Street, Des Moines, IA 50310-5774 | 2015-04-29 |
| 1619373107 | Nicole Robertson | Social Worker | 3600 30th Street, Mental Health 116a, Des Moines, IA 50310 | 2014-11-10 |
| 1194142794 | Marqueta Bibbins | Registered Nurse | 3600 30th Street, Des Moines, IA 50310-5774 | 2014-03-21 |
| 1538591656 | Christopher Oye | Registered Nurse | 3600 30th Street, Des Moines, IA 50310 | 2013-07-31 |
| 1982918611 | Teri Lynn Collins | Dietitian, Registered | 3600 30th Street, Des Moines, IA 50310-4332 | 2010-08-05 |
| 1336479286 | Angela Sue Mcginnis | Nurse Practitioner | 3600 30th Street, Des Moines, IA 50310-5885 | 2009-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392082 | Cofe Amera LLC | Meals | 4940 Franklin Ave., Des Moines, IA 50310 | 2019-05-28 |
| 1790237444 | Shannon Schneider | Occupational Therapy Assistant | 3802 Hillcrest Dr, Des Moines, IA 50310 | 2016-10-28 |
| 1013261874 | Department of Veterans Affairs Central Iowa Health Care System | Long Term Care Hospital | 3011 Aurora Ave, Des Moines, IA 50310 | 2012-11-01 |
| 1700095551 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 | 2007-05-21 |
| 1184776023 | Mosaic | Intermediate Care Facility, Mentally Retarded | 4201 41st Street, Des Moines, IA 50310 | 2007-01-18 |
| 1639237951 | Terry D. Huseman Od PC | Optometrist | 3800 Merle Hay Rd #501, Des Moines, IA 50310 | 2006-12-06 |
| 1386710259 | Mosier Dental Associates | Dentist | 1816 Beaver Ave, Des Moines, IA 50310 | 2006-11-24 |
| 1194828632 | James Matthew Talone | Psychologist | Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 | 2006-09-07 |
| 1437251824 | Mary Cynthia Chicoine | Social Worker | 3601 Douglas Ave, Des Moines, IA 50310 | 2006-09-05 |
| 1508978602 | Chadwick Aaron Johnson | Dentist | 3710 Merle Hay Road, Des Moines, IA 50310 | 2006-08-31 |
| Find all providers in zip 50310 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003173980 | Scott Thomas Hanson | Family Medicine | 1540 High St, Suite 101, Des Moines, IA 50309-3106 | 2012-04-18 |
| 1285814681 | Mercy Clinics Inc | Family Medicine | 95 University Ave, Suite 8, Des Moines, IA 50314-3120 | 2007-11-14 |
| 1487850590 | Benepro P.C. | Family Medicine | 22236 7th Ave S, Des Moines, WA 98198-6220 | 2007-06-25 |
| 1457322216 | Maher Saegh | Family Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316357494 | Kayla Leigh Ehrman | Family Medicine | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 | 2014-04-29 |
| 1386758613 | Roy William Overton IIi | Family Medicine | 5927 Highland Cir, West Des Moines, IA 50266-2825 | 2006-08-17 |
| 1447363700 | Robert D Conner | Family Medicine | 13435 University Ave, Suite 500, Clive, IA 50325-8249 | 2006-08-17 |
| 1124026489 | Family Medicine Clinic | Family Medicine | 600 9th Ave N, Sibley, IA 51249-1012 | 2005-07-11 |
| 1942702501 | Hildegard Janouschek | Family Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-02-28 |
| 1174933998 | Metro Geriatric Services | Family Medicine | 13435 University Ave, Suite 500, Clive, IA 50325-8249 | 2014-05-01 |
| 1518214204 | Long Term Care Services PC | Family Medicine | 5927 Highland Cir, West Des Moines, IA 50266-2825 | 2012-08-13 |
| 1417044645 | Healthy Aging and Memory Clinic | Family Medicine | 1300 50th Street, Suite 104, West Des Moines, IA 50266 | 2006-10-09 |
| City | DES MOINES |
| Zip Code | 50310 |
Please comment or provide details below to improve the information on DR. STEPHEN JEFFREY NICKELBURG.
| 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.