MERCY RADIOLOGISTS OF DUBUQUE, P.C. (NPI# 1013968205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013968205 |
| Entity Type | Organization |
| Organization Name | MERCY RADIOLOGISTS OF DUBUQUE, P.C. |
| Practice Address |
250 Mercy Dr Dubuque IA 52001-7320 |
| Practice Telephone | 5635898796 |
| Practice Fax Number | 5635898776 |
| Mailing Telephone | 5635898796 |
| Mailing Fax Number | 5635898776 |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2007-12-11 |
| Authorized Official Name | STEPHEN MICHAEL CLIFFORD (PRESIDENT) |
| Authorized Official Telephone | 5635898796 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32694100 | 05 | |
| IA | 0129627 | 05 | |
| IA | WELLMARK BLUE CROSS BLUE | 12962 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MERCY RADIOLOGISTS OF DUBUQUE, P. C. | P.o. Box 3160, Dubuque, IA 52004 |
| Street Address |
250 MERCY DR |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52001-7320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942293220 | Stephen Michael Clifford | Radiology | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2005-08-23 |
| 1245846682 | Mercy Health Services-iowa, Corp | Clinical Medical Laboratory | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2020-09-21 |
| 1972118578 | Brett Becker | Pharmacist | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2020-09-10 |
| 1205465473 | Erin Bailey | Pharmacist | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2020-04-08 |
| 1295211761 | Ashley Marie Biedermann | Nurse Practitioner | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2018-07-17 |
| 1487171526 | Martha Levy | Nurse Practitioner | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2017-08-29 |
| 1508386160 | Christopher Edward Little | Family Medicine | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2017-06-26 |
| 1235669995 | Nathaniel William Rojemann | Nurse Practitioner | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2017-06-15 |
| 1306397401 | Rocky Mountain Holdings, LLC | Ambulance | 250 Mercy Dr, Dubuque, IA 52001 | 2016-10-24 |
| 1881040269 | Frederick Osborne Liaboe | Emergency Medicine | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2016-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
| 1710496427 | Ryan Michael Chatfield | Counselor | 799 Main St. Suite 110, Dubuque, IA 52001 | 2017-09-26 |
| 1396274791 | Patricia Ochs | Social Worker | 200 Mercy Dr., Ste. 200, Dubuque, IA 52001 | 2017-06-08 |
| 1770025264 | Young Men's Christian Association of Dubuque, Iowa | Health Educator | 35 North Booth Street, Dubuque, IA 52001 | 2016-11-15 |
| 1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
| 1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
| 1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
| 1376815209 | Umeka Latasha Lewis | Adult Companion | 1308 1/2 Jackson St, Dubuque, IA 52001 | 2012-02-08 |
| 1861777450 | Kevin Joseph Natzke | Pharmacist | 250 Mercy Drvie, Mercy Family Pharmacy, Dubuque, IA 52001 | 2011-10-15 |
| 1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033189105 | Gregory Richard Grotz | Radiology | 350 North Grandview, Dubuque, IA 52001-6392 | 2006-01-23 |
| 1942293220 | Stephen Michael Clifford | Radiology | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2005-08-23 |
| 1376536524 | Jason David Hughes | Radiology | 2700 Arbor Hills Dr, Dubuque, IA 52001-1597 | 2005-08-23 |
| 1134356322 | Thomas J Knudtson | Radiology | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2009-06-16 |
| 1013132034 | Edward James Hannon | Radiology | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2007-04-16 |
| 1326083874 | Barbara L Knisely | Radiology | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2006-06-18 |
| 1033161096 | John Daniel Engelken | Radiology | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2006-05-17 |
| 1619925260 | Dubuque Radiological Associates, PC | Radiology | 350 N Grandview Ave, Dubuque, IA 52001-6392 | 2006-05-05 |
| 1194799577 | Michael Andrew Riley | Radiology | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2006-02-14 |
| 1801885900 | John Colin Kirkpatrick | Radiology | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2005-10-20 |
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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.