CHUCK CORWIN (NPI# 1215359054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215359054 |
| Entity Type | Individual |
| Full Name | CHUCK CORWIN |
| Practice Address |
607 Sycamore Street, Suite 300 Waterloo IA 50703 |
| Mailing Address |
607 Sycamore St Ste 300 Waterloo IA 50703-4799 |
| Practice Telephone | 3192325363 |
| Practice Fax Number | 3192325487 |
| Mailing Telephone | 3192325363 |
| Mailing Fax Number | 3192325484 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
95124 | IA | Behavioral Health & Social Service Providers |
| Street Address |
607 SYCAMORE STREET, SUITE 300 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
| 1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
| 1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
| 1568432615 | Wei Yang | Pathology | Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 | 2006-01-23 |
| 1689158040 | Megan Elizabeth O'neal | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2018-09-21 |
| 1972031359 | Stephanie Rose Smith | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2017-05-30 |
| 1801263462 | Krissy Jean Wieland | Nurse Practitioner | 220 Franklin St, Waterloo, IA 50703 | 2015-08-28 |
| 1699169698 | Jens Masters Olsen | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703 | 2015-03-27 |
| 1649670852 | Sapna Aggarwal | Dentist | 905 Franklin St, Waterloo, IA 50703 | 2014-08-26 |
| Find all providers in zip 50703 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1841738788 | Kristina Marie Metz | Counselor | 31 Thurber Dr., Waterloo, NY 13165 | 2017-02-10 |
| 1184160152 | Danielle Sharar | Counselor | 607 Sycamore St, Ste. 300, Waterloo, IA 50703-4736 | 2017-01-13 |
| 1114310356 | Amy Holt | Counselor | 607 Sycamore St Ste 300, Waterloo, IA 50703-4799 | 2015-03-12 |
| 1841612264 | Sarah Panther | Counselor | 1237 Eleanor Dr, Waterloo, IA 50701-3420 | 2014-01-21 |
| 1053678425 | Amanda Schara | Counselor | 3366 University Ave, Waterloo, IA 50701-2006 | 2012-04-23 |
| 1730366949 | Tammy Lynn Orlopp | Counselor | 3776 Yost Rd, Waterloo, NY 13165-8445 | 2008-01-30 |
| 1316001845 | Holly A Helm | Counselor | 1727 University Ave, Waterloo, IA 50701-2422 | 2006-12-20 |
| 1689734451 | Pathways Behavioral Services Inc | Counselor | 3362 University Ave, Waterloo, IA 50701-2006 | 2006-12-11 |
| 1619046406 | Mary Eileen Crawford | Counselor | 3356 Kimball Ave, Waterloo, IA 50702-5700 | 2006-11-07 |
| Find all providers in WATERLOO | ||||
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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.