CEDAR RAPIDS COMMUNITY CANCER CENTER FOUNDATION (NPI# 1942541560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942541560 |
| Entity Type | Organization |
| Organization Name | CEDAR RAPIDS COMMUNITY CANCER CENTER FOUNDATION |
| Other Organization Name | HELEN G. NASSIF COMMUNITY CANCER CENTER |
| Practice Address |
202 10th St Se Suite 285 Cedar Rapids IA 52403-2404 |
| Practice Telephone | 3195584876 |
| Practice Fax Number | 3195584877 |
| Mailing Telephone | 3195584876 |
| Mailing Fax Number | 3195584877 |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-26 |
| Authorized Official Name | KIMBERLY IVESTER (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 3193697836 |
| Authorized Official Credential | MS, BSN, RN, OCN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Helen G. Nassif Community Cancer Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CEDAR RAPIDS COMMUNITY CANCER CENTER FOUNDATION | 1026 A Ave Ne, Cedar Rapids, IA 52402 |
| Street Address |
202 10TH ST SE SUITE 285 |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52403-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045600 | Hugh Philip Macmenamin | Orthopaedic Surgery | 202 10th St Se, Cedar Rapids, IA 52403-2404 | 2005-07-01 |
| 1598304065 | Justin Kreiter | Physical Therapist | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2020-01-02 |
| 1346889813 | Elizabeth Brown | Physical Therapist | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2020-01-02 |
| 1922666585 | Courtney M Lansing | Audiologist | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2019-05-30 |
| 1740745538 | Annette Keller Qualben | Registered Nurse | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2019-02-05 |
| 1790256048 | Jenny Lynn Botsford | Nurse Practitioner | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2018-12-16 |
| 1790288397 | Amber Arthurs | Nurse Practitioner | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2018-03-10 |
| 1033645189 | Mina Soleimani | Family Medicine | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2017-05-11 |
| 1962934877 | Pruchno Medicine LLC. / Health Transitions Clinic | Dietary Manager | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2017-03-30 |
| 1871034686 | Brandey Cordes | Audiologist | 202 10th St Se, Suite 200, Cedar Rapids, IA 52403-2414 | 2017-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093242083 | Eric Burton | Social Worker | 1535 1st Ave Se., Cedar Rapids Va Cboc, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1619404613 | Dylan Roberts Streb | Family Medicine | Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1801292883 | Laura Pelechek | Marriage & Family Therapist | 1744 2nd Ave Se, Cedar Rapids, IA 52403 | 2014-11-18 |
| 1306090147 | John Daniel Schuchmann | Anesthesiology | 3629 Random Road Se, Cedar Rapids, IA 52403 | 2008-11-06 |
| 1851564157 | Cedar Rapids Medical Education Foundation | Family Medicine | 1260 Second Avenue S.e., Cedar Rapids, IA 52403 | 2008-04-08 |
| 1093866071 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 207 2nd Avenue Se Ste A, Cedar Rapids, IA 52403 | 2007-01-16 |
| 1154483980 | James P Schuller | Dentist | 1000 42nd St Se, 1000 Professional Centre Suite B, Cedar Rapids, IA 52403 | 2006-12-15 |
| 1477640183 | C R Iv Service Inc | Home Health | 402 10th St, Ste 700 Carepro Home Health, Cedar Rapids, IA 52403 | 2006-10-06 |
| 1104919638 | C R Iv Service Inc | Durable Medical Equipment & Medical Supplies | 402 10th Street Se, Suite 700, Cedar Rapids, IA 52403 | 2006-10-02 |
| Find all providers in zip 52403 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313124 | Larry Paul Welder | General Practice | 1217 K Ave, Nevada, IA 50201-1943 | 2020-10-12 |
| 1619594819 | Jeffrey Everett Simons | General Practice | 1600 Nw 114th St, Clive, IA 50325-7071 | 2020-07-03 |
| 1598305021 | Taffe Wellness Center PC | General Practice | 105 S Phillips St, Algona, IA 50511-2848 | 2020-01-13 |
| 1578124921 | Lmmc Des Moines Lllp | General Practice | 1300 37th St Ste 1, West Des Moines, IA 50266-1900 | 2019-06-26 |
| 1861951568 | Lmmc Council Bluffs Lllp | General Practice | 20 Power Dr Ste 5, Council Bluffs, IA 51501-7701 | 2019-03-13 |
| 1265919948 | Oelwein Community Healthcare Foundation | General Practice | 2405 Rock Island Road, Oelwein, IA 50662-5066 | 2018-07-25 |
| 1447638960 | Joel H Silver | General Practice | 2000 N Court St Trlr 4c, Fairfield, IA 52556-2078 | 2015-05-16 |
| 1619397288 | Deanna Mcgarity | General Practice | 4511 Crestmoor Dr, Des Moines, IA 50310-3794 | 2014-04-22 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| 1235475088 | New Leaf Wellness | General Practice | 12129 University Ave Ste 1500, Clive, IA 50325-8287 | 2012-12-26 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52403 |
Please comment or provide details below to improve the information on CEDAR RAPIDS COMMUNITY CANCER CENTER FOUNDATION.
| 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.