DR. JACOB LEE HENRICHSEN (NPI# 1972162626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972162626 |
| Entity Type | Individual |
| Full Name | DR. JACOB LEE HENRICHSEN |
| Credential | MD |
| Practice Address |
200 Hawkins Dr Dept Of Iowa City IA 52242-1009 |
| Practice Telephone | 3193652223 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | R-11638 | IA | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
R-11638 | IA | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
R-11638 | IA | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
R-11638 | IA | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
R-11638 | IA | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
R-11638 | IA | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
R-11638 | IA | Allopathic & Osteopathic Physicians |
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
R-11638 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
200 HAWKINS DR DEPT OF |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598961187 | Shiv Patel | Radiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242 | 2007-06-21 |
| 1649897687 | Beatriz Dinh | Specialist | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-25 |
| 1417573882 | Harris Syed | Family Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-22 |
| 1124644828 | Taylor James Den Hartog | Orthopaedic Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-19 |
| 1366068942 | Melissa Toeller-desimone | Anesthesiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-19 |
| 1124644786 | Nathan Kemper | Otolaryngology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-19 |
| 1467078311 | Gregory Kirkpatrick | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-17 |
| 1407472327 | Stephen Stone | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-17 |
| 1235755026 | Melanie Claire Morris | Pediatrics | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-17 |
| 1720603608 | John Brennan Hunter Whitacre | Psychiatry & Neurology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124644828 | Taylor James Den Hartog | Orthopaedic Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-19 |
| 1104440254 | Daniel Gregory Meeker | Orthopaedic Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-04 |
| 1972126324 | Edward Octavio Rojas | Orthopaedic Surgery | 200 Hawkins Dr, Department of Orthopaedics and Rehabilitation, Iowa City, IA 52242-1009 | 2020-05-20 |
| 1760005383 | Sarah Oest | Orthopaedic Surgery | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-05-19 |
| 1306469929 | Connor James Maly | Orthopaedic Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-05-19 |
| 1053979039 | James Robert Liston Hall | Orthopaedic Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2019-06-04 |
| 1962060558 | Olivia Clare O'reilly | Orthopaedic Surgery | 200 Hawkins Drive, Department of Orthopaedic Surgery, Iowa City, IA 52242-1009 | 2019-05-30 |
| 1588221782 | James Cardinal | Orthopaedic Surgery | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2019-05-22 |
| 1891289351 | Joshua Mark Eisenberg | Orthopaedic Surgery | 200 Hawkins Dr, Dept of Orthopedic Surgery, Iowa City, IA 52242-1009 | 2018-06-19 |
| 1740772417 | James Kohler | Orthopaedic Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2018-05-30 |
| Find all providers in IOWA CITY | ||||
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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.