IOWA CITY AMBULATORY SURGICAL CENTER, LLC (NPI# 1255500781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255500781 |
| Entity Type | Organization |
| Organization Name | IOWA CITY AMBULATORY SURGICAL CENTER, LLC |
| Practice Address |
2963 Northgate Dr Iowa City IA 52245-9571 |
| Practice Telephone | 3193210096 |
| Mailing Telephone | 3193210096 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2009-01-26 |
| Authorized Official Name | DR. THOMAS A SIMPSON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3193210096 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
NA | IA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BLUE CROSS OF IOWA | 1255500781 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407142037 | Iowa City Ambulatory Surgical Center, LLC | Non-Pharmacy Dispensing Site | 2963 Northgate Dr, Iowa City, IA 52245-9571 | 2011-06-22 |
| Street Address |
2963 NORTHGATE DR |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52245-9571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407142037 | Iowa City Ambulatory Surgical Center, LLC | Non-Pharmacy Dispensing Site | 2963 Northgate Dr, Iowa City, IA 52245-9571 | 2011-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699356 | Mary Beth Shapcott | Registered Nurse | 500 East Market St., Mercy Hospital Diabetes Education, Iowa City, IA 52245 | 2017-10-10 |
| 1366703167 | Elizabeth Bright | Occupational Therapist | 540 E. Jefferson Street., Ste.302, Iowa City, IA 52245 | 2012-06-07 |
| 1043518368 | Robert Brian Goffstein | Ophthalmology | 403 North 7th Ave, Iowa City, IA 52245 | 2011-03-10 |
| 1750682936 | Robert Alvin Blair | Dentist | 134 Broadmoor Lane, Iowa City, IA 52245 | 2010-11-04 |
| 1215167457 | Laura J Ericson | Occupational Therapist | 540 E Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-07-22 |
| 1780818294 | Kathryn Leigh Bossen | Physical Therapist | 540 E. Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-05-12 |
| 1073751095 | Jessica L Keeran | Physical Therapist | 2751 Northgate Dr. Ne, Iowa City, IA 52245 | 2009-01-29 |
| 1437330370 | Francine Mardarello Hunnicutt | Marriage & Family Therapist | 1610 East College St, Iowa City, IA 52245 | 2007-11-20 |
| 1659574853 | Joan Victoria Rinner | Marriage & Family Therapist | 121 University Services Building, University of Iowa, Iowa City, IA 52245 | 2007-06-06 |
| 1053529966 | Steve Bernt Hammerstrom | Chiropractor | 373 B Scott Court, Iowa City, IA 52245 | 2007-05-21 |
| Find all providers in zip 52245 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467010736 | Mercy Surgery Center LLC | Clinic/Center | 1195 Boyson Rd Ste 3, Hiawatha, IA 52233-2214 | 2019-06-03 |
| 1649748708 | Ankeny Medical Park Surgery Center Lc | Clinic/Center | 3625 N Ankeny Blvd Ste J, Ankeny, IA 50023-4610 | 2018-11-07 |
| 1922514421 | Westown Ambulatory Surgery Center | Clinic/Center | 1300 37th St Ste 3, West Des Moines, IA 50266-1900 | 2017-12-19 |
| 1699856260 | Alegent Health - Mercy Hospital, Corning Iowa | Clinic/Center | 603 Rosary Dr, Corning, IA 50841-1683 | 2006-10-18 |
| 1083638647 | West Des Moines Ambulatory Surgical Center Inc | Clinic/Center | 2425 Westown Pkwy Ste 200, West Des Moines, IA 50266 | 2006-07-27 |
| 1902841398 | Mason City Ambulatory Surgery Center, LLC | Clinic/Center | 990 4th St Sw, Mason City, IA 50401-2861 | 2006-06-18 |
| 1881651206 | Gateway Surgery Center, L.L.C. | Clinic/Center | 841 Springdale Dr, Clinton, IA 52732-3579 | 2006-04-28 |
| 1639135346 | Surgery Centers of Des Moines Ltd | Clinic/Center | 717 Lyon St, Des Moines, IA 50309-5458 | 2006-04-21 |
| 1780651075 | Fox Eye Surgery, LLC | Clinic/Center | 1138 H Ave Ne, Cedar Rapids, IA 52402-4624 | 2006-03-05 |
| 1447221486 | Orthopaedic Outpatient Surgery Center, LLC | Clinic/Center | 1600 60th St, West Des Moines, IA 50266-7700 | 2006-01-29 |
| Find all providers with the same taxonomy | ||||
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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.