KATHLEEN OPDEBEECK MACMENAMIN


Address: 1026 A Ave Ne, Cedar Rapids, IA 52402-5036
Phone: 3193697908

KATHLEEN OPDEBEECK MACMENAMIN (NPI# 1841355104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841355104
Entity Type Individual
Full Name KATHLEEN OPDEBEECK MACMENAMIN
Credential MD
Practice Address 1026 A Ave Ne
Cedar Rapids
IA 52402-5036
Mailing Address Po Box 9306
Des Moines
IA 50306-9306
Practice Telephone 3193697908
Mailing Telephone 5154719373
Enumeration Date 2006-12-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
24133 IA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA 0217869 05

Office Location

Street Address 1026 A AVE NE
City CEDAR RAPIDS
State IA
Zip Code 52402-5036

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346245396 Lileah F Harris Pathology 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2005-06-16
1568063667 Maria Swisher Nurse Practitioner 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2020-11-04
1306453121 Kathryn Elizabeth Farley Psychologist 1026 A Ave Ne, Cedar Rapids, IA 52402-5074 2020-09-25
1770197436 Brittany Brdicko Social Worker 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2020-09-01
1396371563 Anthony E Dallago Registered Nurse 1026 A Ave Ne, Cedar Rapids, IA 52402-5074 2020-03-19
1588299622 Michael Sanders Occupational Therapist 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2020-03-09
1467084319 Julie Ann Karlan Pharmacist 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2020-02-09
1871149914 Tatjana Tajci Covic Nurse Practitioner 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2019-08-14
1437717741 Abigail Lynn Crow Nurse Practitioner 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2019-06-01
1669931382 Med-trans Corporation Ambulance 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2019-03-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639790520 Sara Ann Rausch Counselor 1533 1 Ave Se, Cedar Rapids, IA 52402 2020-05-01
1558995589 Jennifer Christine Hohneke Nurse Practitioner St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 2020-02-28
1073008314 Benjamin Randall Groth Optometrist 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 2018-06-28
1992228621 Synona Culbertson Counselor 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 2017-07-25
1083136410 Compassion North America Home Health Services Corp Hospice Care, Community Based 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 2017-07-07
1861819732 Arj Infusion Services, Inc. Home Infusion 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 2014-03-27
1639475197 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 2011-02-01
1437452919 Empowering Families Inc Early Intervention Provider Agency 5005 Blairsforest Way, Cedar Rapids, IA 52402 2010-12-06
1184937476 Jennifer Becker Counselor 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 2010-07-15
1215179817 William H Fletcher Hearing Instrument Specialist 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 2009-03-27
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Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871561217 Patricia M Mcguire Pediatrics 2215 Westdale Dr Sw, Cedar Rapids, IA 52404-6326 2006-03-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134259427 Pediatrics and Adolescent Medicine, P.C. Pediatrics 2940 Ingersoll Avenue, Des Moines, IA 50312-4015 2007-03-06
1073853982 Mercy Clinics, Inc Pediatrics 411 Laurel St, Suite 3310, Des Moines, IA 50314-3017 2013-03-01
1235499765 Mercy Professional Practice Associates, Inc. Pediatrics 411 Laurel St, Suite: 3310, Des Moines, IA 50314-3017 2012-05-17
1477787638 Shruti Niketan Tewar Pediatrics 200 Hawkins Dr, Department of Pediatrics, Iowa City, IA 52242-1009 2009-05-03
1487734828 Lane Strathearn Pediatrics 200 Hawkins Dr, Department of Pediatrics, Iowa City, IA 52242-1009 2006-10-17
1932196698 Deborah C Lin-dyken Pediatrics 200 Hawkins Dr, Iowa City, IA 52242-1009 2005-09-28
1063407757 Dianne Mcbrien Pediatrics 200 Hawkins Dr, Iowa City, IA 52242-1009 2005-09-19

Competitor

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City CEDAR RAPIDS
Zip Code 52402

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Dataset Information

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.

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