FELIPE COSCOLLUELA JAVIER III (NPI# 1003819624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003819624 |
| Entity Type | Individual |
| Full Name | FELIPE COSCOLLUELA JAVIER III |
| Credential | MD |
| Practice Address |
2710 Saint Francis Dr Ste 411 Waterloo IA 50702-5634 |
| Practice Telephone | 3192725000 |
| Practice Fax Number | 3192725825 |
| Mailing Telephone | 3192725000 |
| Mailing Fax Number | 3192725825 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 036-100466 | IL | Allopathic & Osteopathic Physicians |
| Y | 207K00000X | Allergy & Immunology | 32545 | IA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 036-100466 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 32545 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| JOHN DEERE | 42152758408 | 01 | |
| BLUE CROSS BLUE SHIELD | 33628 | 01 | |
| MO | 203896410 | 05 | |
| TRI-CARE GROUP NUMBER | 421527584 | 01 | |
| IA | O278374 | 05 | |
| IL | 421527584003 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 N 17th St, Keokuk, IA 526323452 | 3195245734 | 3195245758 |
| Street Address |
2710 SAINT FRANCIS DR STE 411 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457888109 | Jamie Brost Soper | Audiologist | 2710 Saint Francis Dr Ste 411, Waterloo, IA 50702 | 2017-05-12 |
| 1528019767 | Danilo Dalan | Allergy & Immunology | 2710 Saint Francis Dr Ste 411, Waterloo, IA 50702-5634 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750334751 | David Carter Redfern | Allergy & Immunology | 1753 W Ridgeway Ave, Ste 106, Waterloo, IA 50701-4588 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972869717 | Fadi H Alkhatib | Allergy & Immunology | 1701 22nd St Ste 207, West Des Moines, IA 50266-1443 | 2012-04-05 |
| 1174817134 | Vuong Anh Nayima | Allergy & Immunology | 5901 Westown Pkwy Ste 225, West Des Moines, IA 50266-8297 | 2011-06-07 |
| 1891027603 | Allergy and Asthma Associates of The Mississippi Valley, Pllc | Allergy & Immunology | 2112 E 38th St, Davenport, IA 52807-1135 | 2010-02-03 |
| 1992880777 | John M Weiler | Allergy & Immunology | 225 E. Burlington St., Iowa City, IA 52240 | 2006-10-27 |
| 1285714964 | Lyla Sue Schweiger | Allergy & Immunology | 4301 1st Ave Se, Cedar Rapids, IA 52402-3146 | 2006-10-16 |
| 1790708451 | Michael M Mccubbin | Allergy & Immunology | 1108 Washington Street, Pella, IA 50219 | 2006-07-25 |
| 1629048293 | Karen K Maves | Allergy & Immunology | 2112 E 38th Street, Davenport, IA 52807 | 2006-01-25 |
| 1760472146 | Allergy Partners, Pllc | Allergy & Immunology | 3500 Mount Vernon Rd Se, Cedar Rapids, IA 52403-3864 | 2005-10-26 |
| 1730172339 | Ronald William Graeff | Allergy & Immunology | 410 N 12th St Ste 100, Mahaska Health Partnership, Oskaloosa, IA 52577-2495 | 2005-08-30 |
| 1528068558 | Christopher Daniel Tumpkin | Allergy & Immunology | 4280 Sergeant Rd, #230, Sioux City, IA 51106-4634 | 2005-08-01 |
| Find all providers with the same taxonomy | ||||
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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.