MR. TIMOTHY DEAN BLANKERS (NPI# 1902869803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902869803 |
Entity Type | Individual |
Full Name | MR. TIMOTHY DEAN BLANKERS |
Credential | DPM |
Practice Address |
1200 1st Ave E Ste C Spencer IA 51301-4342 |
Practice Telephone | 7122627511 |
Practice Fax Number | 7122623658 |
Mailing Telephone | 7122627511 |
Mailing Fax Number | 7122623658 |
Enumeration Date | 2006-04-11 |
Last Update Date | 2014-07-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
646 | MN | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00757 | IA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 426843100 | 05 | |
IA | 0269555 | 05 |
Street Address |
1200 1ST AVE E STE C |
City | SPENCER |
State | IA |
Zip Code | 51301-4342 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720081524 | Midwest Radiology and Imaging PC | Clinic/Center | 1200 1st Ave E, Spencer, IA 51301-4342 | 2005-05-24 |
1508478173 | Deanne Sue Hoger | Registered Nurse | 1200 1st Ave E, Spencer, IA 51301-4342 | 2020-08-17 |
1922642552 | Kayla Vanderhoff | Nurse Practitioner | 1200 1st Ave E, Spencer, IA 51301-4342 | 2019-11-06 |
1982259214 | Samantha Sheffield | Registered Nurse | 1200 1st Ave E, Spencer, IA 51301-4342 | 2019-08-05 |
1780142372 | Keith E Begeman | Nurse Anesthetist, Certified Registered | 1200 1st Ave E, Spencer, IA 51301-4342 | 2019-03-04 |
1316432826 | Spencer Municipal Hospital | Orthopaedic Surgery | 1200 1st Ave E, Spencer, IA 51301-4330 | 2018-06-27 |
1700383171 | John Sherrill | Student in an Organized Health Care Education/Training Program | 1200 1st Ave E, Spencer, IA 51301-4342 | 2018-04-11 |
1528579141 | Spencer Municipal Hospital | Nurse Practitioner | 1200 1st Ave E, Spencer, IA 51301-4342 | 2017-10-23 |
1982113163 | Spencer Municipal Hospital | Non-Pharmacy Dispensing Site | 1200 1st Ave E, Spencer, IA 51301-4342 | 2017-09-20 |
1548782964 | Laura Ann Armstrong | Hospitalist | 1200 1st Ave E, Spencer, IA 51301-4330 | 2017-07-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508331877 | Angie Marie Wigen | Occupational Therapy Assistant | 1202 11 Th Ave Se, Spencer, IA 51301 | 2018-10-12 |
1184040511 | Leisha Fischer | Nurse Practitioner | 116 East 7th Street, Suite 2, Spencer, IA 51301 | 2014-03-10 |
1427482199 | Mark Alan De Ruyter | Social Worker | 116 E. 11th St., Spencer, IA 51301 | 2013-08-29 |
1467894873 | Daniel Wesley Abbott | Pathology | 116 E 11th St Ste 204, Spencer, IA 51301 | 2013-07-26 |
1730437542 | Spencer Convenient Healthcare LLC | Clinic/Center | 116 E. 7th Street, Suite 2, Spencer, IA 51301 | 2012-08-28 |
1114065109 | David W Lawrence | Audiologist-Hearing Aid Fitter | 920 North Grand Ave., Spencer, IA 51301 | 2007-02-02 |
1548328925 | Burns Chiropractic Center P C | Chiropractor | 1210 West 18th St, Spencer, IA 51301 | 2006-12-05 |
1073692661 | Gary Vanhofwegen | Dentist | 18 West 4th St, Spencer, IA 51301 | 2006-11-03 |
1952494114 | Medicap Pharmacy | Pharmacy | 829 Grand Ave N, Spencer, IA 51301 | 2006-10-02 |
1326131012 | Douglas J Schwartz | Chiropractor | 1204 West 18th St, Spencer, IA 51301 | 2006-10-02 |
Find all providers in zip 51301 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578108478 | Spencer Municipal Hospital | Podiatrist | 1200 1st Ave E Ste C, Spencer, IA 51301-4342 | 2019-11-14 |
1467802595 | Jesse Richard Wolfe IIi | Podiatrist | 1200 1st Ave E Ste C, Spencer, IA 51301-4342 | 2016-06-20 |
1760485528 | Nwia Bone, Joint & Sports Surgeons, PC | Podiatrist | 1200 1st Ave E, Ste C, Spencer, IA 51301-4342 | 2005-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578189296 | Linda Bratkiewicz Podiatry Pllc | Podiatrist | 1301 Pennsylvania Ave Ste 115, Des Moines, IA 50316-2364 | 2020-06-18 |
1407377344 | Fusion Foot and Ankle, LLC | Podiatrist | 110 Us Hwy 6 Suite 80, Waukee, IA 50263 | 2017-06-30 |
1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
1780068114 | Kara Franzen | Podiatrist | 1500 Delhi St Ste 2200, Dubuque, IA 52001-6359 | 2015-07-15 |
1265835474 | Iowa Foot & Ankle Specialists, Pllc | Podiatrist | 2884 Aaa Ct, Bettendorf, IA 52722-3406 | 2014-10-01 |
1932462256 | Jennifer Ann Fuehrer | Podiatrist | 1327 Sunset Drive, Suite 300, Norwalk, IA 50211 | 2012-06-21 |
1912278490 | Collin E. Pehde Dpm, Pllc | Podiatrist | 500 E Court Ave, Suite 314, Des Moines, IA 50309-2057 | 2012-01-16 |
1912285479 | Joshua R Modlin | Podiatrist | 4214 Fleur Dr Ste 7, Des Moines, IA 50321-2300 | 2011-08-01 |
1326336397 | Brian David Hunziker | Podiatrist | 80 E Hickman Rd, Waukee, IA 50263-5011 | 2011-07-12 |
1306175104 | Justin J. Raatz | Podiatrist | 500 E Court Ave Ste 314, Des Moines, IA 50309-2057 | 2009-12-08 |
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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.