IOWA CANCER SPECIALISTS, PC (NPI# 1891803011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891803011 |
| Entity Type | Organization |
| Organization Name | IOWA CANCER SPECIALISTS, PC |
| Practice Address |
1351 W Central Park Ave Davenport IA 52804-1853 |
| Practice Telephone | 5634211960 |
| Practice Fax Number | 5634211979 |
| Mailing Telephone | 5634211960 |
| Mailing Fax Number | 5634211979 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2018-12-12 |
| Authorized Official Name | DR. SUSANNAH FRIEMEL (PRESIDENT) |
| Authorized Official Telephone | 5634211960 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RAILROAD MEDICARE | DB1079 | 01 |
| Street Address |
1351 W CENTRAL PARK AVE |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52804-1853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720649 | Danita K Harrison | Nurse Practitioner | 1351 W Central Park Ave, Ste 350, Davenport, IA 52804-1889 | 2005-06-20 |
| 1295279602 | Transitions Nfp | Community/Behavioral Health | 1351 W Central Park Ave, Davenport, IA 52804-1853 | 2016-12-05 |
| 1023462108 | Kerry Miller | Nurse Practitioner | 1351 W Central Park Ave, Davenport, IA 52804-1853 | 2016-04-14 |
| 1568851913 | Sherrel Fry | Nurse Practitioner | 1351 W Central Park Ave, Davenport, IA 52804-1853 | 2015-01-22 |
| 1427485697 | Genesis Health System | Family Medicine | 1351 W Central Park Ave, Suite 4100, Davenport, IA 52804-1853 | 2013-10-03 |
| 1497031538 | Alyssa L Uker | Nurse Practitioner | 1351 W Central Park Ave, Suite 4300, Davenport, IA 52804-1853 | 2011-11-02 |
| 1043523491 | Julia A Hull | Nurse Practitioner | 1351 W Central Park Ave, Suite 360, Davenport, IA 52804-1853 | 2010-07-14 |
| 1699092064 | Denise Walsh Mcmonagle | Physical Medicine & Rehabilitation | 1351 W Central Park Ave, Suite 1225, Davenport, IA 52804-1853 | 2010-04-26 |
| 1972831410 | Wound Management Consultants P.C. | Emergency Medicine | 1351 W Central Park Ave, Suite 1225, Davenport, IA 52804-1853 | 2009-11-20 |
| 1396904462 | Joseph Earl Brooks | Physical Medicine & Rehabilitation | 1351 W Central Park Ave, Davenport, IA 52804-1853 | 2008-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265948467 | Tess Nelson | Physical Medicine & Rehabilitation | 2535 Maplecrest Rd Suite 23, Bettendorf, IA 52804 | 2017-12-26 |
| 1124494380 | Erica Lauren Hempel Bucy | Social Worker | 1333 W. Lombard St. Ste C, Davenport, IA 52804 | 2015-08-11 |
| 1477859890 | Kristin L West | Registered Nurse | 1441 W. Centrral Park Ave, Vera French Community Mental Health Center, Davenport, IA 52804 | 2011-02-02 |
| 1679877625 | Linda Marie Crownover-inch | Doula | 1420 W 16th Street, #412, Davenport, IA 52804 | 2011-01-05 |
| 1124169032 | Lawrence R Huber | Dentist | 2305 Jersey Ridge Rd, Davenport, IA 52804 | 2007-02-12 |
| 1669532388 | Providence Therapy Services LLC | Physical Therapist | 21037 Holden Drive, Davenport, IA 52804 | 2006-12-11 |
| 1639183171 | Megan Denise Long | Occupational Therapist | 31037 Holden Dr, Davenport, IA 52804 | 2006-07-28 |
| 1811919772 | Theresa L Schlabach | Occupational Therapist | 21037 Holden Dr, Davenport, IA 52804 | 2006-07-23 |
| 1225097843 | William M Nissen | Psychiatry & Neurology | 1441 W Central Park, Davenport, IA 52804 | 2006-03-22 |
| 1245721851 | Mackenzie J Banwart | Physical Therapist | 1700 N Division St Ste 200, Davenport, IA 52804 | 2018-05-21 |
| Find all providers in zip 52804 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356352116 | Susannah Parker Friemel | Internal Medicine | 1750 E 53rd Street, Davenport, IA 52807 | 2006-08-10 |
| 1306027164 | Costas L. Constantinou, M.d., P.c | Internal Medicine | 1409 E Kimberly Rd, Davenport, IA 52807-1923 | 2007-11-21 |
| 1982663985 | George Kovach | Internal Medicine | 1351 W Central Park Ave, Davenport, IA 52804-1853 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649649377 | Medical Oncology and Hematology Associatges Ptrshp | Internal Medicine | 12495 University Ave, Suite 200, Clive, IA 50325-8289 | 2015-09-23 |
| 1154646149 | Hussain M Naseri | Internal Medicine | 200 E Ridgeway Ave Ste 400, Waterloo, IA 50702 | 2010-04-01 |
| 1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
| 1801063243 | Chitra Devi Anangur Ganesan | Internal Medicine | 1000 4th Street, Sw, Mercy Medical Center, Mason City, IA 50401 | 2008-05-14 |
| 1811169972 | Stacey Marie Parker-brueggemann | Internal Medicine | 1 Edmundson Pl Ste 100, Council Bluffs, IA 51503-4658 | 2008-03-28 |
| 1205908563 | Cancer Care of Iowa City LLC | Internal Medicine | 613 E Bloomington, Suite 100 Cancer Care of Iowa City, Iowa City, IA 52245 | 2006-11-14 |
| 1215980602 | Jasjeet Singh Sangha | Internal Medicine | 3530 West 4th Street, Waterloo, IA 50701-4503 | 2006-05-18 |
| 1033169768 | Christine Marie Holm | Internal Medicine | 150 Mercy Dr., Dubuque, IA 52001-7301 | 2006-05-11 |
| 1588628101 | Robert R Shreck | Internal Medicine | 1221 Pleasant Street, #100, Des Moines, IA 50309 | 2006-04-12 |
| 1609837509 | Loren D Brown | Internal Medicine | 411 Laurel, Suite A300 Medical Oncology and Hematology, Des Moines, IA 50314 | 2006-03-30 |
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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.