STATE UNIVERSITY OF IOWA


Address: 3056 River Crossing Court, Riverside, IA 52327-4727
Phone: 3194678355

STATE UNIVERSITY OF IOWA (NPI# 1992037865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992037865
Entity Type Organization
Organization Name STATE UNIVERSITY OF IOWA
Other Organization Name UI HEALTH CARE RIVER CROSSING
Practice Address 3056 River Crossing Court
Riverside
IA 52327-4727
Mailing Address 200 Hawkins Dr
Iowa City
IA 52242-1007
Practice Telephone 3194678355
Practice Fax Number 3194678351
Enumeration Date 2010-02-03
Last Update Date 2012-03-01
Authorized Official Name PHILIP E ROUDABUSH (DIRECTOR, PATIENT FINANCIAL SERVICE)
Authorized Official Telephone 3193842334
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers
N 152W00000X Optometrist Eye and Vision Services Providers
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
UI Health Care River Crossing Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1306304027 State University of Iowa Pharmacy 1360 N Dodge St Ste 1100, Iowa City, IA 52245-6104 2019-03-12
1710485123 State University of Iowa Eye Bank 2500 Crosspark Rd Ste W300, Coralville, IA 52241-4710 2018-01-31
1811246473 State University of Iowa Pharmacy 105 E 9th Street, Suite A, Coralville, IA 52241 2012-08-29
1548526189 State University of Iowa Family Medicine 767 Mormon Trek Blvd, Iowa City, IA 52246-1812 2012-04-09
1194035436 State University of Iowa Durable Medical Equipment & Medical Supplies 119 2nd St, Ste 400, Coralville, IA 52241-2691 2010-10-20
1013241850 State University of Iowa Family Medicine 1632 Sycamore St, Iowa City, IA 52240-6044 2009-09-28
1053503755 State University of Iowa Public Health or Welfare 100 Hawkins Dr, 247-a Cdd, Iowa City, IA 52242 2007-08-16
1225177579 State University of Iowa Registered Nurse 3501 Harry Langdon Blvd Ste 1450, Child Health Specialty Clinics, Council Bluffs, IA 51503-7837 2007-02-05
1689712549 State University of Iowa Audiologist 250 Hawkins Drive, The University of Iowa, Iowa City, IA 52242-1012 2007-02-02
1609956234 State University of Iowa Dentist 322 Dental Science Bldg, Iowa City, IA 52242-1001 2006-10-17

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities STATE UNIVERSITY OF IOWA ALUMNI ASSOCIATION Po Box 1970, One West Park Rd, Iowa City, IA 52244-1970
Iowa Business Entities STATE UNIVERSITY OF IOWA FOUNDATION One West Park Road, Po Box 4550, Iowa City, IA 52244

Office Location

Street Address 3056 RIVER CROSSING COURT
City RIVERSIDE
State IA
Zip Code 52327-4727

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588650956 David A Bedell Family Medicine 3056 River Crossing Court, Riverside, IA 52327-4727 2005-09-21
1073958468 State University of Iowa Clinic/Center 3056 River Crossing Court, Riverside, IA 52327 2013-04-30
1174840474 University of Iowa Community Medical Services Inc Eyewear Supplier (Equipment, not the service) 3056 River Crossing Court, Suite B, Riverside, IA 52327-4727 2010-04-26
1174845101 State University of Iowa Pharmacy 3056 River Crossing Court, Ste A, Riverside, IA 52327 2010-02-18
1588826952 Nealy Christine Neukirch Physician Assistant 3056 River Crossing Court, Ui Healthcare River Crossing, Riverside, IA 52327-4724 2008-06-27
1205823556 Natalie L Lanternier Family Medicine 3056 River Crossing Court, Riverside, IA 52327-4727 2005-10-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508185554 Jerry P Gibson Optometrist 3140 White Oak Cr, Riverside, IA 52327 2010-05-28
1770191611 Andrea Dawn Mccartney Pharmacist 3056 River Crossing Ct Ste A, Riverside, IA 52327-4733 2020-07-16
1558989194 Joy C Tinnes Pharmacist 3056 River Crossing Ct, Riverside, IA 52327-4733 2020-07-09
1720510845 Suzanne M Pierson Respiratory Therapist, Certified 3036 Hidden Meadow Dr, Riverside, IA 52327-9007 2017-03-29
1811191315 Highland Csd Local Education Agency (LEA) 1715 Vine Ave, Riverside, IA 52327-9013 2007-06-11
1821151887 Tamara Leigh Grimm Dentist 380 E Hickory St, P.o. Box M, Riverside, IA 52327-9665 2006-12-19
1427301209 Tarrell L Portman Counselor 361 East First Street, Riverside, IA 52327-9688 2012-10-18
1831267863 Howard A Cox Podiatrist 2835 130th St, Riverside, IA 52327-9699 2006-11-30
1811940927 Megan Lynn Reed Chiropractor 3096 500th St Sw, Riverside, IA 52327-9790 2006-05-18

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700309689 Lumina Family Care, Inc. Family Medicine 6780 Indiana Ave Ste 110, Riverside, CA 92506-4284 2017-07-21
1730613019 Iman Fobia Family Medicine 1971 University Avenue, Riverside, CA 92507 2017-04-13
1992189286 Inpatient Consultants of California, Inc Family Medicine 7177 Brockton Ave Ste 217, Riverside, CA 92506-2633 2015-07-16
1376920116 Koohzad Karimi Family Medicine 445 Magnolia Avenue, Riverside, CA 92501 2015-04-30
1528474103 Ivy Cao Family Medicine 1971 University Ave, Family Medicine Department, Riverside, CA 92507 2014-07-03
1417372533 John Mcdevitt Family Medicine 3550 Lillian St, Riverside, CA 92504-3609 2014-02-26
1972861797 Central Occupational Medicine Providers Ontario Inc Family Medicine 4300 Central Ave, Riverside, CA 92506-2918 2012-04-30
1619241767 Inpatient Consultants of California, Inc Family Medicine 3610 Central Ave Ste 205, Riverside, CA 92506-5905 2012-03-06
1437438033 George Samir Nagib Family Medicine 7140 Indiana Ave., Riverside, CA 92504-3927 2011-08-12
1902193170 Metate Medical, Inc. Family Medicine 3538 Central Ave, Suite 110, Riverside, CA 92506-2731 2011-07-07
Find all providers in RIVERSIDE

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City RIVERSIDE
Zip Code 52327

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Dataset Information

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.

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