KENT NICKELL (NPI# 1942270004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942270004 |
| Entity Type | Individual |
| Full Name | KENT NICKELL |
| Credential | M.D. |
| Practice Address |
1825 Logan Ave Northeast Iowa Pathology Associates,pc Waterloo IA 50703-1916 |
| Mailing Address |
2400 N Rockton Ave Mercyhealth- Rockford Health Physicians Rockford IL 61103-3655 |
| Practice Telephone | 3192353679 |
| Practice Fax Number | 3192330722 |
| Mailing Telephone | 8159715000 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2019-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZC0500X |
Pathology Specialization: Cytopathology |
036148445 | IL | Allopathic & Osteopathic Physicians |
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
32811 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
1825 LOGAN AVE NORTHEAST IOWA PATHOLOGY ASSOCIATES,PC |
| City | WATERLOO |
| State | IA |
| Zip Code | 50703-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881680130 | Jeffrey David Wilkins | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2005-09-22 |
| 1922614379 | Jade Marie Kalina | Nurse Practitioner | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-09-21 |
| 1942818877 | Julia Fifield | Pharmacist | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-07-16 |
| 1154939262 | Jacob John Peterson | Pharmacist | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-07-15 |
| 1962025767 | Abby Staudt | Nurse Practitioner | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-05-27 |
| 1083237234 | Kathryn E Soeder | Nurse Anesthetist, Certified Registered | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-05-22 |
| 1871120147 | Carolyn Anna Steenhoek | Physician Assistant | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-03-25 |
| 1497387989 | Nupur Chopra Harkness | Pharmacist | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-02-12 |
| 1750912523 | Patricia Leininger | Dietitian, Registered | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-01-30 |
| 1932739331 | Allison Katherine Bohlman | Dietitian, Registered | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
| 1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
| 1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
| 1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
| 1568432615 | Wei Yang | Pathology | Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 | 2006-01-23 |
| 1689158040 | Megan Elizabeth O'neal | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2018-09-21 |
| 1972031359 | Stephanie Rose Smith | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2017-05-30 |
| 1801263462 | Krissy Jean Wieland | Nurse Practitioner | 220 Franklin St, Waterloo, IA 50703 | 2015-08-28 |
| 1649670852 | Sapna Aggarwal | Dentist | 905 Franklin St, Waterloo, IA 50703 | 2014-08-26 |
| Find all providers in zip 50703 | ||||
| Taxonomy Code | 207ZC0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Cytopathology |
| A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist’s practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the "Pap" test. However, the cytopathologist’s expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891780904 | Lawrence Jeffrey Rissman | Pathology | 1212 Pleasant St Ste Ll3, Des Moines, IA 50309-1414 | 2005-09-14 |
| 1992110100 | Sarika Gupta | Pathology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2014-06-25 |
| 1700298460 | Sagar Jitendra Vishal | Pathology | 200 Hawkins Dr, Dept. of Pathology, Iowa City, IA 52242 | 2014-05-28 |
| 1487853479 | Joseph P. Mitros | Pathology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2007-07-11 |
| 1538367800 | Joy E Trueblood Md LLC | Pathology | 2213 Grand Ave, Des Moines, IA 50312-5305 | 2007-07-06 |
| 1316157902 | Megan I Samuelson | Pathology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2007-05-23 |
| 1063448686 | Amani Abdalla Bashir | Pathology | 200 Hawkins Drive, University of Iowa Hospitals and Clinics, Iowa City, IA 52242 | 2006-06-24 |
| 1265405781 | Timothy G Timmerman | Pathology | 250 Mercy Dr, Dubuque, IA 52004-0731 | 2006-02-08 |
| 1922071497 | Christopher J Leigh | Pathology | 250 Mercy Dr, Dubuque, IA 52004-0731 | 2006-02-07 |
| 1942272703 | Daniel D Slagel | Pathology | 250 Mercy Dr, Dubuque, IA 52004-0731 | 2006-02-06 |
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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.