DR. MICHELLE NICOLE KOMPARE (NPI# 1013172360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013172360 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE NICOLE KOMPARE |
| Credential | MD |
| Practice Address |
3421 W 9th St Waterloo IA 50702-5401 |
| Practice Telephone | 3192728000 |
| Mailing Telephone | 3192728000 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD-40269 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
3421 W 9TH ST |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287614 | Nicholas J Goetsch | Family Medicine | 3421 W 9th St, Waterloo, IA 50702-5401 | 2005-07-06 |
| 1770101263 | Aaron Russell Haubrich | Podiatrist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2020-07-10 |
| 1629694682 | Nadia Nikoueiha | Podiatrist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2020-06-24 |
| 1386278117 | Kirre Hannan | Pharmacist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2020-03-02 |
| 1265094239 | Samuel Bernard | Podiatrist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2019-07-01 |
| 1306408125 | Trent Boyer | Podiatrist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2019-07-01 |
| 1467017921 | John Jacob Zion Kelly | Nurse Practitioner | 3421 W 9th St, Waterloo, IA 50702-5401 | 2019-05-09 |
| 1003381963 | Tyler James Goebel | Pharmacist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2018-10-08 |
| 1164907465 | Samantha Wheeler | Pharmacist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2018-10-02 |
| 1063992857 | Kevin J Dirksen | Nurse Practitioner | 3421 W 9th St, Waterloo, IA 50702-5401 | 2018-08-21 |
| Find all providers in the same location | ||||
| 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 | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
| 1912960485 | Andrew Barden | Pediatrics | 3421 W 9th St, Fbc G-3112, Waterloo, IA 50702-5401 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932447034 | Robert D. Shaw | Pediatrics | 13921 Lake Shore Dr, Des Moines, IA 50325-8643 | 2013-01-24 |
| 1790778777 | Norma J Hirsch | Pediatrics | 401 Railroad Pl, West Des Moines, IA 50265-4730 | 2005-08-25 |
| 1568997674 | Stephania Paulette Cavallaro-moronta | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2017-04-26 |
| 1861861775 | Trassanee Chatmethakul | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242 | 2015-09-21 |
| 1376943175 | Ranjani Ananth | Pediatrics | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2014-08-28 |
| 1467895474 | Shaliz Pourkaviani | Pediatrics | 701 10th St Se, Cedar Rapids, IA 52403-1292 | 2013-04-09 |
| 1356636740 | Angela Jo Hanson | Pediatrics | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2011-06-14 |
| 1275823924 | Olajide Olabanjo Dolapo | Pediatrics | 200 Hawkins Dr, Department of Pediatrics, Iowa City, IA 52242-1009 | 2011-04-14 |
| 1306158456 | Brady J'nee Thomas | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2010-07-06 |
| 1235464132 | Mercy Physician Associates, Inc. | Pediatrics | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2009-10-09 |
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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.