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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
24133 | IA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0217869 | 05 |
Street Address |
1026 A AVE NE |
City | CEDAR RAPIDS |
State | IA |
Zip Code | 52402-5036 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 52402 |
Taxonomy Code | 2080P0006X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Developmental – Behavioral Pediatrics |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871561217 | Patricia M Mcguire | Pediatrics | 2215 Westdale Dr Sw, Cedar Rapids, IA 52404-6326 | 2006-03-10 |
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 |
City | CEDAR RAPIDS |
Zip Code | 52402 |
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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.