DR. ALEX KARTVELISHVILI (NPI# 1215124706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215124706 |
| Entity Type | Individual |
| Full Name | DR. ALEX KARTVELISHVILI |
| Credential | M.D. |
| Practice Address |
2225 Mormon Trek Blvd Ste 100 Iowa City IA 52246-4407 |
| Mailing Address |
309 E Church St Marshalltown IA 50158-2946 |
| Practice Telephone | 6417546200 |
| Practice Fax Number | 6417546245 |
| Mailing Telephone | 6417546200 |
| Mailing Fax Number | 6417546245 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2018-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 42695 | IA | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
42695 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1215124706 | 05 | |
| IA | WELLMARK | 1215124706 | 01 |
| Street Address |
2225 MORMON TREK BLVD STE 100 |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52246-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476573 | Nashika Antionette Tetteh | Registered Nurse | 601 Us-6 W, Iowa City, IA 52246 | 2020-08-05 |
| 1023523636 | Rebeca Marie Maynor | Specialist/Technologist | 2820 Prairie Meadow Dr., Iowa City, IA 52246 | 2017-12-05 |
| 1114436052 | Anna Salino-hugg | Social Worker | 601 Hwy 6. W, Iowa City, IA 52246 | 2017-09-22 |
| 1841718954 | Ashley Kathleen Norwood-strickland | Psychologist | 148 Penfro Dr, Iowa City, IA 52246 | 2017-09-08 |
| 1982156303 | Shilmi Patel | Student in an Organized Health Care Education/Training Program | 601 W Benton St, Iowa City, IA 52246 | 2016-11-02 |
| 1356794358 | Jenna Herrington | Registered Nurse | 601 Us 6, Iowa City, IA 52246 | 2016-07-14 |
| 1972959435 | Deborah Betsworth | Psychologist | Iowa City Va Health Care System, 601 Hwy 6 West, Iowa City, IA 52246 | 2016-05-13 |
| 1831550557 | Kara Joelle Kershner | Specialist/Technologist | 375 Newton Road, Iowa City, IA 52246 | 2016-03-08 |
| 1366819005 | Amanda Miller | Speech-Language Pathologist | 1522 Mall Dr, Iowa City, IA 52246 | 2015-08-28 |
| 1508253519 | Kiara Michelle Agosto- Burgos | Registered Nurse | 601 Hwy 65 W, Iowa City, IA 52246 | 2015-04-17 |
| Find all providers in zip 52246 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043518368 | Robert Brian Goffstein | Ophthalmology | 403 North 7th Ave, Iowa City, IA 52245 | 2011-03-10 |
| 1366604787 | Priya Gupta | Ophthalmology | 704 Westside Dr, Iowa City, IA 52246-4369 | 2008-06-26 |
| 1730199621 | Jacinthe Rouleau | Ophthalmology | 200 Hawkins Drive 11128 Pfp, University of Iowa Hospitals and Clinics, Iowa City, IA 52242 | 2006-08-09 |
| 1306843230 | Lyse Stuart Strnad | Ophthalmology | 2629 Northgate Dr, Iowa City, IA 52245-9565 | 2005-07-07 |
| 1962409623 | Stephen Henry Wolken | Ophthalmology | 540 E Jefferson St, Suite 201, Iowa City, IA 52245-2477 | 2005-07-07 |
| 1316561582 | Tina Marie Hendricks | Ophthalmology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-03 |
| 1245792662 | Caroline Yizhu Yu | Ophthalmology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2019-04-03 |
| 1700362522 | Razek Georges Coussa | Ophthalmology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-07-15 |
| 1003308297 | David Alan Ramirez Jr. | Ophthalmology | 200 Hawkins Dr, Iowa City, IA 52242 | 2018-06-04 |
| 1770070955 | Liang Cheng | Ophthalmology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-04-13 |
| Find all providers in IOWA CITY | ||||
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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.