HEALOGICS SPECIALTY PHYSICIANS OF IOWA, LLC (NPI# 1184041113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184041113 |
| Entity Type | Organization |
| Organization Name | HEALOGICS SPECIALTY PHYSICIANS OF IOWA, LLC |
| Practice Address |
933 E Pierce St Council Bluffs IA 51503-4626 |
| Mailing Address |
Po Box 848203 Boston MA 02284-8203 |
| Practice Telephone | 9044463701 |
| Mailing Telephone | 9044463701 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | CHRISTOPHER MORRISON (EXECUTIVE MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8556895105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | HEALOGICS SPECIALTY PHYSICIANS OF IOWA, LLC | 5220 Belfort Rd Ste 130, Jacksonville, FL 32256 |
| Street Address |
933 E PIERCE ST |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144220260 | Michelle A Haessler | Radiology | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2005-07-29 |
| 1497352165 | Jennie Edmundson Memorial Hospital | Clinical Medical Laboratory | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2020-10-06 |
| 1306455506 | Mariah C. Schaaf | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2020-07-24 |
| 1215589395 | Stefanie Till | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2019-07-10 |
| 1508422635 | Carli A. Zegers | Registered Nurse | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2019-05-14 |
| 1205336740 | Monica E. Wilcox | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2018-02-20 |
| 1578072351 | Lisa A. Pape | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2017-09-25 |
| 1861929168 | Misty D Wahab | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2017-05-17 |
| 1821535550 | Joni K. Anderson | Dietitian, Registered | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2017-01-19 |
| 1083077358 | Clifton R. Davis | Internal Medicine | 933 E Pierce St, Council Bluffs, IA 51503 | 2016-04-03 |
| 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 | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447454145 | Rachel Antoinette Oliverio | Preventive Medicine | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2007-06-14 |
| 1497747935 | Jonathan Arnold | Preventive Medicine | 701 10th St Se, Cedar Rapids, IA 52403-1292 | 2005-08-19 |
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on HEALOGICS SPECIALTY PHYSICIANS OF IOWA, LLC.
| 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.