DR. DUSTAFF R.C. PERSAUD


Address: 269 N 1st Ave, Iowa City, IA 52245-3616
Phone: 3193516852

DR. DUSTAFF R.C. PERSAUD (NPI# 1013097856) 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) 1013097856
Entity Type Individual
Full Name DR. DUSTAFF R.C. PERSAUD
Credential ED.D MBA PA-C
Practice Address 269 N 1st Ave
Iowa City
IA 52245-3616
Mailing Address Po Box 2027
Iowa City
IA 52244-2027
Practice Telephone 3193516852
Practice Fax Number 3193512625
Mailing Telephone 3193393541
Mailing Fax Number 3193582737
Enumeration Date 2006-10-16
Last Update Date 2015-06-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
007232 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 269 N 1ST AVE
City IOWA CITY
State IA
Zip Code 52245-3616

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962480970 Susan Dale Wall Dermatology 269 N 1st Ave, Ste 100, Iowa City, IA 52245 2006-01-09
1376064154 Susan Ann Meyer Nurse Practitioner 269 N 1st Ave, Iowa City, IA 52245-3616 2017-06-30
1669916102 Jennifer Cecil Sassman Nurse Practitioner 269 N 1st Ave, Iowa City, IA 52245-3616 2016-12-16
1679925069 Courtney Leigh Henn Engel Physician Assistant 269 N 1st Ave, Iowa City, IA 52245-3616 2016-07-08
1477806354 Ic Dermatology, PC Dermatology 269 N 1st Ave, Ste 100, Iowa City, IA 52245-3616 2012-10-17
1467747782 Dacia N Watts Registered Nurse 269 N 1st Ave, Iowa City, IA 52245-3616 2011-06-15
1952549792 Ic Dermatology PC Dermatology 269 N 1st Ave, Suite 100, Iowa City, IA 52245-3616 2009-02-02
1225152374 Erica Suzanne Colleran Dermatology 269 N 1st Ave, Suite 100, Iowa City, IA 52245-3616 2007-03-16
1801933569 Mercy Services Iowa City, Inc. Clinic/Center 269 N 1st Ave, Iowa City, IA 52245-3616 2007-01-31
1801982475 Michael H Wallace Family Medicine 269 N 1st Ave, Suite 102, Iowa City, IA 52245-3616 2006-10-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730699356 Mary Beth Shapcott Registered Nurse 500 East Market St., Mercy Hospital Diabetes Education, Iowa City, IA 52245 2017-10-10
1366703167 Elizabeth Bright Occupational Therapist 540 E. Jefferson Street., Ste.302, Iowa City, IA 52245 2012-06-07
1043518368 Robert Brian Goffstein Ophthalmology 403 North 7th Ave, Iowa City, IA 52245 2011-03-10
1750682936 Robert Alvin Blair Dentist 134 Broadmoor Lane, Iowa City, IA 52245 2010-11-04
1215167457 Laura J Ericson Occupational Therapist 540 E Jefferson Street, Ste. 302, Iowa City, IA 52245 2009-07-22
1780818294 Kathryn Leigh Bossen Physical Therapist 540 E. Jefferson Street, Ste. 302, Iowa City, IA 52245 2009-05-12
1073751095 Jessica L Keeran Physical Therapist 2751 Northgate Dr. Ne, Iowa City, IA 52245 2009-01-29
1437330370 Francine Mardarello Hunnicutt Marriage & Family Therapist 1610 East College St, Iowa City, IA 52245 2007-11-20
1659574853 Joan Victoria Rinner Marriage & Family Therapist 121 University Services Building, University of Iowa, Iowa City, IA 52245 2007-06-06
1053529966 Steve Bernt Hammerstrom Chiropractor 373 B Scott Court, Iowa City, IA 52245 2007-05-21
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972858397 Sarah Beth Nace Physician Assistant 2346 Mormon Trek Blvd Ste 1500, Iowa City, IA 52246-4368 2012-07-23
1649313727 William Henry Riker Physician Assistant 1548 S Gilbert St, Iowa City, IA 52240-4304 2007-02-15
1043370315 Tim Mangold Physician Assistant 2557 N Dodge St, Iowa City, IA 52245-9556 2006-12-09
1215485040 Tina Conway Physician Assistant 200 Hawkins Dr, Iowa City, IA 52242-1009 2016-09-21
1245784925 Valerie Ann Hinschberger Physician Assistant 200 Hawkins Dr, Dept of Anesthesia, Iowa City, IA 52242-1009 2016-08-10
1679925069 Courtney Leigh Henn Engel Physician Assistant 269 N 1st Ave, Iowa City, IA 52245-3616 2016-07-08
1588043285 Eugene Velednitsky Physician Assistant 200 Hawkins Dr, University of Iowa Hospitals & Clinics, Iowa City, IA 52242-1009 2015-05-27
1649678582 Laura Stulken Physician Assistant 200 Hawkins Dr, Dept of Internal Medicine, Infectious Disease Division, Iowa City, IA 52242-1009 2014-12-09
1346641479 Lilly Mackenzie Zenor Physician Assistant 200 Hawkins Dr, Department of Internal Medicine, Iowa City, IA 52242-1009 2014-09-08
1457781148 Bianca Carlson Physician Assistant 200 Hawkins Dr, Department of Internal Medicine: Endocrinology, Iowa City, IA 52242-1009 2013-11-18
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Competitor

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City IOWA CITY
Zip Code 52245

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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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