STATE UNIVERSITY OF IOWA


Address: 616 10th St, Perry, IA 50220-2221
Phone: 5154653553

STATE UNIVERSITY OF IOWA (NPI# 1013965334) 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) 1013965334
Entity Type Organization
Organization Name STATE UNIVERSITY OF IOWA
Other Organization Name UI FAMILY CARE PERRY
Practice Address 616 10th St
Perry
IA 50220-2221
Mailing Address 2941 Sierra Ct Sw
Iowa City
IA 52240-8503
Practice Telephone 5154653553
Enumeration Date 2006-05-05
Last Update Date 2009-07-07
Authorized Official Name KENNETH L FISHER (CFO)
Authorized Official Telephone 3193842844
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA 0280040 05
IA WELLMARK 33267 01
IA RR MEDICARE CK8851 01

Other Provider/Organization Names

Other Name Type Code
UI Family Care Perry 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 616 10TH ST
City PERRY
State IA
Zip Code 50220-2221

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225024193 Eric M Ash Family Medicine 616 10th St, Perry, IA 50220-2221 2005-09-26
1609413731 Ashlee Marie Morman Nurse Practitioner 616 10th St, Perry, IA 50220-2221 2019-12-09
1790154268 Dallas County Hospital Family Medicine 616 10th St, Perry, IA 50220-2221 2015-09-15
1417363573 William N Palmer Family Medicine 616 10th St, Perry, IA 50220-2221 2014-07-09
1417398868 Lindsay Renae Weber Physician Assistant 616 10th St, Perry, IA 50220-2221 2013-07-15
1770719023 Mercy Clinics, Inc Family Medicine 616 10th St, Perry, IA 50220-2221 2009-06-01
1316106529 Michael D Sargent Family Medicine 616 10th St, Perry, IA 50220-2221 2008-06-03
1306920103 State University of Iowa Clinic/Center 616 10th St, Perry, IA 50220-2221 2006-10-25
1871574566 David M Huante Emergency Medicine 616 10th St, Perry, IA 50220-2221 2005-11-09
1154318400 Deborah L Medici Feick Family Medicine 616 10th St, Perry, IA 50220-2221 2005-10-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407405897 Tanna Corrigan Technician 2628 Marengo Dr, Perry, IA 50220 2019-09-09
1053963900 Nicole Dora Mcclavy Nurse Practitioner 610 10th St, Perry, Ia 50220, Perry, IA 50220 2019-07-11
1881816882 Rachel Fazio Occupational Therapist 2625 Iowa St, Perry, IA 50220 2007-05-02
1558485151 Angela Faye Hansen-abbas Occupational Therapist 161 315th Street, Perry, IA 50220 2007-03-19
1356405658 Eye Care Associates PC Optometrist 1313 2nd St., Perry, IA 50220 2006-12-20
1962591800 Nabil Nakhla Faltas Radiology 610 10th Street, Dallas Co Hospital, Perry, IA 50220 2006-10-11
1508959172 Renal Treatment Centers Illinois Inc Clinic/Center 610 10th St Ste L100, Perry, IA 50220 2006-10-02
1790702207 Todd R Miller Podiatrist 612 10th St, Perry, IA 50220 2006-07-17
1750349411 Chad M Kuehl Physical Therapist 610 10t St, Perry, IA 50220 2006-05-03
1942672563 Ronda Hemann Counselor 610 10th Street, Perry, IA 50220 2015-10-22
Find all providers in zip 50220

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
1871130856 Carestandard Corporation Family Medicine 688 A B Murphy Rd, Perry, FL 32347-0810 2019-12-09
1336566561 Andrew Wang Family Medicine 1019 Keith Dr Ste A, Perry, GA 31069-4952 2014-03-26
1598977787 Memorial Hospital Family Medicine 3337 W Britton Rd, Perry, MI 48872 2007-05-03
1457485690 Jody S Velie Family Medicine 1025 Keith Dr, Perry, GA 31069-2948 2007-03-16
1255405866 James Gilbert Morgan Family Medicine 3809 W Lansing Rd, Perry, MI 48872 2006-11-17
1972688158 Physician's Medical Clinic Family Medicine 1412 Fir St, Perry, OK 73077-5036 2006-10-26
1063520260 Perry Family Practice Family Medicine 505 14th St, Perry, OK 73077 2006-08-28
1952312365 Perry Family Medical Associates, PC Family Medicine 938 Carroll St, Perry, GA 31069-3314 2006-08-10
1255340246 Ssm Audrain Health Care, Inc. Family Medicine 1223 Main Street, Perry, MO 63462 2006-08-07
1922043215 Donna M Schippers Family Medicine 616 S Jefferson St, Perry, FL 32347-4115 2006-06-19
Find all providers in PERRY

Competitor

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City PERRY
Zip Code 50220

Improve Information

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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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