CEDAR VALLEY MEDICAL SPECIALISTS PC (NPI# 1841245586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841245586 |
| Entity Type | Organization |
| Organization Name | CEDAR VALLEY MEDICAL SPECIALISTS PC |
| Other Organization Name | ADVANCED DIAGNOSTIC IMAGING |
| Practice Address |
4006 Johnathan St Waterloo IA 50701-9395 |
| Mailing Address |
Po Box 2758 Waterloo IA 50704-2758 |
| Practice Telephone | 3192362700 |
| Practice Fax Number | 3192362714 |
| Mailing Telephone | 3192362700 |
| Mailing Fax Number | 3192362714 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2015-10-26 |
| Authorized Official Name | GILMORE JOHN IREY (CEO) |
| Authorized Official Telephone | 3192355390 |
| Is Organization Subpart | Y |
| Parent Organization Name | CEDAR VALLEY MEDICAL SPECIALISTS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK | 39266 | 01 |
| IA | 0471573 | 05 |
| Other Name | Type Code |
|---|---|
| Advanced Diagnostic Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881150886 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 2405 Rock Island Rd, Oelwein, IA 50662-3102 | 2019-02-14 |
| 1497794242 | Cedar Valley Medical Specialists PC | Allergy & Immunology | 4150 Kimball Ave, Waterloo, IA 50704-2758 | 2006-06-06 |
| 1346295011 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 105 20th St Nw, Waverly, IA 50677-2059 | 2006-05-23 |
| 1760437453 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 1661 W Ridgeway Ave, Waterloo, IA 50701-4541 | 2006-05-23 |
| 1992759328 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 1600 1st St East, Independence, IA 50644-3155 | 2006-05-20 |
| 1346294782 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 5165 Division St, Cedar Falls, IA 50613-2380 | 2006-05-20 |
| 1821042318 | Cedar Valley Medical Specialists PC | Clinic/Center | 405 Highway 150 N, West Union, IA 52175-1003 | 2006-05-20 |
| 1659934180 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 502 N 9th Ave, Vinton, IA 52349-2254 | 2019-04-19 |
| 1083105779 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 709 W Main St, Manchester, IA 52057-1526 | 2018-05-29 |
| 1568417293 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 909 E San Marnan Dr, Waterloo, IA 50702-5611 | 2006-05-23 |
| Street Address |
4006 JOHNATHAN ST |
| 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 |
| 1780042366 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 4006 Johnathan St, Ste B, Waterloo, IA 50701-9395 | 2016-02-10 |
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336151554 | Waves Advanced Ultrasound | Clinic/Center | 2200 Heritage Green Dr, Hiawatha, IA 52233-2326 | 2006-08-13 |
| 1568455483 | Stoppelmoor Enterprises Inc | Clinic/Center | 2405 Towncrest Dr, Iowa City, IA 52240-6631 | 2005-08-25 |
| 1861737710 | Physicians' Clinic of Iowa, PC | Clinic/Center | 202 10th Street Se, Cedar Rapids, IA 52403-2404 | 2012-12-04 |
| 1689805764 | Ahmed Elahmady PC | Clinic/Center | 2745 Lincoln Way, Clinton, IA 52732-7201 | 2009-08-06 |
| 1871783829 | Quality Care Clinic | Clinic/Center | 2745 Lincoln Way, Clinton, IA 52732-7201 | 2007-07-26 |
| 1457391849 | St Lukes Health Resources | Clinic/Center | 2730 Pierce St, Suite 203, Sioux City, IA 51104-3796 | 2006-06-07 |
| 1023075876 | Mississippi Valley Imaging, LLC | Clinic/Center | 3385 Dexter Ct, Suite 102a, Davenport, IA 52807-3471 | 2006-04-26 |
| 1700862331 | Metro Mri Center Limited Partnership | Clinic/Center | 4480 Utica Ridge Rd, Suite 120, Bettendorf, IA 52722-1656 | 2005-12-15 |
| 1831187665 | Clinton Imaging Services, LLC | Clinic/Center | 1410 N 4th St, Suite A102, Clinton, IA 52732-2940 | 2005-10-06 |
Please comment or provide details below to improve the information on CEDAR VALLEY MEDICAL SPECIALISTS PC.
| 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.