GLEASON DIAGNOSTIC IMAGING, PC (NPI# 1043392665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043392665 |
| Entity Type | Organization |
| Organization Name | GLEASON DIAGNOSTIC IMAGING, PC |
| Practice Address |
1015 Union St Boone IA 50036-4821 |
| Mailing Address |
Po Box 2085 Sioux City IA 51104-0085 |
| Practice Telephone | 5154323140 |
| Practice Fax Number | 5154338916 |
| Mailing Telephone | 5152303363 |
| Mailing Fax Number | 7122393711 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GREG A HAAR (MANAGER) |
| Authorized Official Telephone | 5152303363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2676 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0415497 | 05 |
| Street Address |
1015 UNION ST |
| City | BOONE |
| State | IA |
| Zip Code | 50036-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051135 | Tamara S Chance | Emergency Medicine | 1015 Union St, Boone, IA 50036-4821 | 2005-05-27 |
| 1649752452 | Tessa Kleinwolterink | Occupational Therapist | 1015 Union St, Boone, IA 50036-4821 | 2018-08-29 |
| 1174987341 | Mindy Royster | Nurse Practitioner | 1015 Union St, Boone, IA 50036-4821 | 2016-04-13 |
| 1578924320 | Boone County Hospital | Clinic/Center | 1015 Union St, Boone, IA 50036-4821 | 2016-03-08 |
| 1023477486 | Kathy Ann Steffen | Physical Therapist | 1015 Union St, Boone, IA 50036-4821 | 2016-02-15 |
| 1639538291 | Brent Allen Drzycimski | Physical Therapist | 1015 Union St, Boone, IA 50036-4821 | 2016-02-11 |
| 1821499740 | Melinda Holly Altman | Nurse Practitioner | 1015 Union St, Boone, IA 50036-4821 | 2014-09-10 |
| 1528303260 | Angela Dawn Walsh | Physical Therapy Assistant | 1015 Union St, Boone, IA 50036-4821 | 2012-12-06 |
| 1750626701 | Ronald Jacob Stotts | Physical Therapist | 1015 Union St, Boone, IA 50036-4821 | 2012-12-03 |
| 1861737942 | Kyla Goza | Physical Therapy Assistant | 1015 Union St, Boone, IA 50036-4821 | 2012-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235639287 | Danielle A'lyce Bennett | Counselor | 1332 S Marshall St, Boone, IA 50036 | 2018-02-16 |
| 1588170567 | Melissa Joan Bartlett | Audiologist | 428 Story St, Boone, IA 50036 | 2017-12-28 |
| 1144544560 | Katherine M Dinges | Counselor | 806 7th St Unit U2, Boone, IA 50036 | 2010-03-15 |
| 1437338936 | Matthew John Sprecher | Chiropractor | 814 7th St, Boone, IA 50036 | 2007-10-31 |
| 1275662751 | Chris A Gage | Pharmacist | 310 Story Str, Boone, IA 50036 | 2007-03-02 |
| 1508919416 | Rxpert Inc | Pharmacy | 102 S Story St, Boone, IA 50036 | 2007-01-22 |
| 1376609677 | United Community School District | Local Education Agency (LEA) | 1284 U Avenue, Boone, IA 50036 | 2006-12-29 |
| 1245204692 | Renee Lynn Montag | Chiropractor | 806 7th St, Boone, IA 50036 | 2006-02-14 |
| 1316911761 | Raphael Martin Montag | Chiropractor | 806 7th St, Boone, IA 50036 | 2006-02-14 |
| 1013061753 | Boone County Transportation Service, Inc. | Bus | 328 Snedden Drive, Boone, IA 50036-0032 | 2007-01-22 |
| Find all providers in zip 50036 | ||||
| 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 |
|---|---|---|---|---|
| 1992125108 | Christopher Joseph Shuman | Radiology | 155 Furman Rd Ste 101a, Boone, NC 28607-5049 | 2014-04-27 |
| 1023065661 | Tammy N Crumpler | Radiology | 336 Deerfield Rd, Boone, NC 28607-5008 | 2006-05-28 |
| 1811964604 | Rick Jay Cornella | Radiology | 400 Shadowline Dr, Boone, NC 28607-5089 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821411547 | Robert Picchiotti | Radiology | 2189 Saint Andrews Cir, Bettendorf, IA 52722-6655 | 2014-01-31 |
| 1295097970 | Alexander Macrae Harvin | Radiology | 5095 S Shore Dr, Clear Lake, IA 50428 | 2012-06-08 |
| 1871825281 | Gregory Day | Radiology | 2609 Bittersweet Pl, Burlington, IA 52601-2510 | 2010-02-10 |
| 1891921813 | Christopher M. Luty | Radiology | 378 N Scott Blvd, Iowa City, IA 52245-4110 | 2009-06-04 |
| 1609012145 | Kfl Radiology Plc | Radiology | 1002 River Forest Ct, Fort Dodge, IA 50501-7019 | 2009-01-06 |
| 1447400288 | Sarah Pauley | Radiology | Radiology Consultants of Iowa, Plc, 1948 1st Ave Ne, Cedar Rapids, IA 52402-5321 | 2008-09-29 |
| 1982869764 | Khaled Ali Hamada | Radiology | 801 Fifth Street, Sioux City, IA 51101-1326 | 2008-07-22 |
| 1902068083 | Ashlesha Sharma | Radiology | 3617 Ross Rd, Ames, IA 50014 | 2008-06-30 |
| 1598961187 | Shiv Patel | Radiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242 | 2007-06-21 |
| 1164640041 | Bryan P Navarette | Radiology | 1010 4th St Sw Ste 100, Mason City, IA 50401-2856 | 2007-04-23 |
| 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.