Eromosele A Otoadese (NPI# 1013960129, PAC ID# 0749325645) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is THORACIC SURGERY.
| Nation Provider ID (NPI) | 1013960129 |
| PAC ID by PECOS | 0749325645 |
| Professional Enrollment ID | I20100303000524 |
| Full Name | Eromosele A Otoadese |
| Organization Legal Name | NORTHERN IOWA CARDIOVASCULAR AND THORACIC SURGERY CLINIC PC |
| Address |
146 W Dale St Suite 202 Waterloo IA 50703-1901 |
| Phone Number | 3192336211 |
| Gender | M |
| Graduation Year | 1987 |
| Primary Specialty | THORACIC SURGERY |
| Secondary Specialties | GENERAL SURGERY, PERIPHERAL VASCULAR DISEASE, VASCULAR SURGERY |
| Group Practice PAC ID | 1456506443 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160110 | ALLEN HOSPITAL |
| 161339 | WAVERLY HEALTH CENTER |
| 161303 | GRUNDY COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 146 W Dale St, Suite 202, Waterloo, IA 50703-1901 | 3192336211 | NORTHERN IOWA CARDIOVASCULAR AND THORACIC SURGERY CLINIC PC |
| Organization Legal Name | NORTHERN IOWA CARDIOVASCULAR AND THORACIC SURGERY CLINIC PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allyson Rae Landphair | Nurse Practitioner | Northern Iowa Cardiovascular and Thoracic Surgery Clinic PC | 146 W Dale St, Suite 202, Waterloo, IA 50703-1901 |
| Street Address |
146 W DALE ST SUITE 202 |
| City | WATERLOO |
| State | IA |
| Zip | 50703-1901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mariah Ann Fury-swisher | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 146 W Dale St, Suite 101, Waterloo, IA 50703-1901 |
| Kelly K Hassman | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 146 W Dale St, 201 Internal Medicine Waterloo, Waterloo, IA 50703-1901 |
| Vara Venkata Padma Kamala Kumari Ponnada | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 146 W Dale St, 201 Internal Medicine Waterloo, Waterloo, IA 50703-1901 |
| Robert Blanken | Physician Assistant | Allen Memorial Hospital Corporation | 146 W Dale St, Waterloo, IA 50703-1901 |
| Jennifer L Shaw | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 146 W Dale St, Suite 101, Waterloo, IA 50703-1901 |
| Lindsay A Nie | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 146 W Dale St, 201 Internal Medicine Waterloo, Waterloo, IA 50703-1901 |
| Patrick W Oconner | Psychologist, Clinical | Iowa Physicians Clinic Medical Foundation | 146 W Dale St, Suite 101, Waterloo, IA 50703-1901 |
| Parag Suresh Sampat | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 146 W Dale St, 201 Internal Medicine Waterloo, Waterloo, IA 50703-1901 |
| Michele L Friedman | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 146 W Dale St, 201 Internal Medicine Waterloo, Waterloo, IA 50703-1901 |
| Abdur Rahim | Psychiatry | Iowa Physicians Clinic Medical Foundation | 146 W Dale St, Suite 101, Waterloo, IA 50703-1901 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily A Grarup | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2140 Logan Ave, Suite C, Waterloo, IA 50703-1002 |
| Sapna N Patel | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2140 Logan Ave, Suite C, Waterloo, IA 50703-1002 |
| Sherry Khurana | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2160 Logan Ave, Waterloo, IA 50703-1006 |
| Cody Lafler | Occupational Therapy | Iowa Physicians Clinic Medical Foundation | 2160 Logan Ave, Waterloo, IA 50703-1006 |
| Alison J Jayme | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2134 Logan Ave, Suite A, Waterloo, IA 50703-1022 |
| Katie C Wilcox | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2134 Logan Ave, Suite A, Waterloo, IA 50703-1022 |
| Maggie M Austin | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2134 Logan Ave, Suite A, Waterloo, IA 50703-1022 |
| Elizabeth R Batterson | Nurse Practitioner | Cedar Valley Medical Specialists PC | 419 E Donald St, Waterloo, IA 50703-1223 |
| Holly L Gaede | Nurse Practitioner | Allen Memorial Hospital Corporation | 233 Vold Dr, Waterloo, IA 50703-1256 |
| Jean Marie Hoy | Nurse Practitioner | Allen Memorial Hospital Corporation | 233 Vold Dr, Waterloo, IA 50703-1256 |
| Find all physicians in zip 50703 | |||
| City | WATERLOO |
| Zip Code | 50703 |
| Specialty | THORACIC SURGERY |
| City + Specialty | WATERLOO + THORACIC SURGERY |
Please comment or provide details below to improve the information on Eromosele A Otoadese.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.