DR. KELLEN L HUSTON (NPI# 1134358500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134358500 |
| Entity Type | Individual |
| Full Name | DR. KELLEN L HUSTON |
| Credential | M.D. |
| Practice Address |
1 Edmundson Pl Suite 500 Council Bluffs IA 51503-4658 |
| Practice Telephone | 7123235333 |
| Mailing Telephone | 7123235333 |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2016-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
29287 | NE | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
43471 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
1 EDMUNDSON PL SUITE 500 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-4658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036916 | Clifford Kent Boese | Orthopaedic Surgery | 1 Edmundson Pl, Ste 500, Council Bluffs, IA 51503-4619 | 2005-07-07 |
| 1457992497 | Andrea Celeste White | Registered Nurse | 1 Edmundson Pl, Council Bluffs, IA 51503-4658 | 2019-10-01 |
| 1821554007 | Alexandria A Leu | Nurse Practitioner | 1 Edmundson Pl, Council Bluffs, IA 51503-4658 | 2019-02-13 |
| 1265813232 | Hayley Mignonne Timm | Pediatrics | 1 Edmundson Pl, Council Bluffs, IA 51503-4658 | 2015-06-15 |
| 1477989499 | Michelle E Misek Saub | Nurse Practitioner | 1 Edmundson Pl, Ste. 310, Council Bluffs, IA 51503-4658 | 2013-09-23 |
| 1326471517 | Margaret E Kinney | Registered Nurse | 1 Edmundson Pl, Council Bluffs, IA 51503-4658 | 2013-08-12 |
| 1396177036 | Kimberli Christine Greiner | Physical Therapist | 1 Edmundson Pl, Suite 500, Council Bluffs, IA 51503-4658 | 2013-08-05 |
| 1831437235 | Nadia Lynn Tymkowych | Family Medicine | 1 Edmundson Pl, Council Bluffs, IA 51503-4658 | 2013-01-21 |
| 1972899730 | Danielle M Starr | Audiologist | 1 Edmundson Pl, Council Bluffs, IA 51503-4658 | 2011-06-21 |
| 1053600296 | Jessica Mccool | Family Medicine | 1 Edmundson Pl, Council Bluffs, IA 51503-4658 | 2011-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356392062 | James D Wolff Md PC | Orthopaedic Surgery | 2700 1st Ave S, Suite 100, Fort Dodge, IA 50501-4306 | 2006-05-15 |
| 1790749448 | William C Jacobson | Orthopaedic Surgery | 12499 University Ave, Suite 210, Des Moines, IA 50325-8281 | 2006-04-12 |
| 1245745074 | Grand View University | Orthopaedic Surgery | 1200 Grandview Ave, Des Moines, IA 50316-1529 | 2017-12-01 |
| 1376908897 | The Finley Hospital | Orthopaedic Surgery | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2015-12-29 |
| 1386048650 | Bastian Uribe-echevarria Marbach | Orthopaedic Surgery | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2014-10-15 |
| 1033485404 | Ruslan Safarov | Orthopaedic Surgery | 2730 Pierce St Ste 300, Sioux City, IA 51104 | 2012-03-29 |
| 1902190879 | Kristyn Marie Darmafall | Orthopaedic Surgery | 3385 Dexter Ct Ste 300, Davenport, IA 52807-3471 | 2011-06-08 |
| 1326378720 | Iowa Orthopaedic Center, P.C. | Orthopaedic Surgery | 450 Laurel St, Ste A, Des Moines, IA 50314-3045 | 2010-01-06 |
| 1902134406 | Tri-state Specialists, LLP | Orthopaedic Surgery | 2730 Pierce St Ste 300, Sioux City, IA 51104-3765 | 2009-11-23 |
| 1104058502 | Keith Robert Wolstenholme | Orthopaedic Surgery | 200 Hawkins Dr, Orthopaedic Surgery Department, Iowa City, IA 52242-1009 | 2009-08-18 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
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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.