JOHN FREDERICK DOORNBOS


Address: 1120 Kirkwood Ct, Iowa City, IA 52240-5752
Phone: 3193544795

JOHN FREDERICK DOORNBOS (NPI# 1174580344) 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) 1174580344
Entity Type Individual
Full Name JOHN FREDERICK DOORNBOS
Credential M.D.
Practice Address 1120 Kirkwood Ct
Iowa City
IA 52240-5752
Practice Telephone 3193544795
Mailing Telephone 3193544795
Enumeration Date 2006-04-29
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0203X Radiology
Specialization: Therapeutic Radiology
25256 IA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA 0001234187 05

Office Location

Street Address 1120 KIRKWOOD CT
City IOWA CITY
State IA
Zip Code 52240-5752

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Taxonomy Information

Taxonomy Code 2085R0203X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Therapeutic Radiology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851702831 Awad Ahmed Radiology 200 E Ridgeway Ave, Waterloo, IA 50702-5060 2014-05-13

Competitor

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City IOWA CITY
Zip Code 52240

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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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