COREY LYNNE ANDRADE (NPI# 1285027847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285027847 |
| Entity Type | Individual |
| Full Name | COREY LYNNE ANDRADE |
| Credential | PA-C |
| Practice Address |
3640 Middlebury Rd Iowa City IA 52245 |
| Mailing Address |
200 Hawkins Dr Iowa City IA 52242-1009 |
| Practice Telephone | 3194676789 |
| Practice Fax Number | 3194677400 |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2019-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 094440 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 004345 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 002420 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 1899 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11129 Kenwood Rd, Blue Ash, OH 452421817 | 5138911622 | |
| 1632 Sycamore St, Iowa City, IA 522406044 | 3193848822 | 3193541002 |
| 201 S Clinton St Ste 168, Iowa City, IA 522404034 | 3193848877 | 3193840603 |
| 2510 Corridor Way Ste 6a, Coralville, IA 522417604 | 3193848500 | 3193385847 |
| 720 Pacha Pkwy Ste 1, North Liberty, IA 523174797 | 3193848801 | 3193848811 |
| 767 Mormon Trek Blvd, Iowa City, IA 522461812 | 3193848333 | 3193848171 |
| Street Address |
3640 MIDDLEBURY RD |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437148285 | Matthew L Lanternier | Family Medicine | 3640 Middlebury Rd, Iowa City, IA 52245-2712 | 2005-10-14 |
| 1689204141 | April Elizabeth Allen | Physician Assistant | 3640 Middlebury Rd, Iowa City, IA 52245-2712 | 2020-01-23 |
| 1750942892 | Johanna Theresa Clark | Nurse Practitioner | 3640 Middlebury Rd, Iowa City, IA 52245-2712 | 2019-06-27 |
| 1669959573 | State University of Iowa | Clinic/Center | 3640 Middlebury Rd, Iowa City, IA 52245-2712 | 2018-07-24 |
| 1598292534 | Minh-anh Pham | Nurse Practitioner | 3640 Middlebury Rd, Iowa City, IA 52245-2712 | 2017-05-22 |
| 1790226629 | Tinu Bastian | Nurse Practitioner | 3640 Middlebury Rd, Iowa City, IA 52245-2712 | 2017-03-11 |
| 1093251381 | Tiffany Sorensen | Physician Assistant | 3640 Middlebury Rd, Iowa City, IA 52245-2712 | 2017-01-11 |
| 1922458405 | Jessica Lynn Alston | Family Medicine | 3640 Middlebury Rd, Iowa City, IA 52245-2712 | 2016-06-15 |
| 1083089189 | Elizabeth Mary Highland-fonder | Nurse Practitioner | 3640 Middlebury Rd, Iowa City, IA 52245 | 2015-12-01 |
| 1548692585 | Anne M Daggett | Registered Nurse | 3640 Middlebury Rd, Iowa City, IA 52245-2712 | 2013-08-01 |
| Find all providers in the same location | ||||
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912521444 | Charles Bradley Walters | Physician Assistant | 201 S Clinton St # 168, Iowa City, IA 52240-4034 | 2020-06-01 |
| 1336774488 | Jakob J. Olson | Physician Assistant | 2751 Northgate Dr Ste 1, Iowa City, IA 52245-9509 | 2020-03-10 |
| 1215561006 | Paul David Kretkowski | Physician Assistant | 714 N Johnson St, Iowa City, IA 52245-2014 | 2020-03-02 |
| 1427617471 | Susan Graves | Physician Assistant | 4663 Rapid Creek Trl Ne, Iowa City, IA 52240-7721 | 2019-06-12 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1558744763 | Evan Eastman | Physician Assistant | 1843 Lower Muscatine Rd, Iowa City, IA 52240-3105 | 2015-07-07 |
| 1053666123 | Lance Christensen | Physician Assistant | 201 S Clinton St Ste 195, Iowa City, IA 52240-4023 | 2012-07-16 |
| 1003073834 | Jacquelyn Loesche | Physician Assistant | Uiowa College of Public Health Dept Epidemiology C21gh, Iowa City, IA 52246 | 2008-05-20 |
| 1710005871 | Thomas R Dean | Physician Assistant | 540 E Jefferson St Suite 205, Iowa City, IA 52245 | 2007-03-27 |
| 1689684292 | Michele Marie Whaylen | Physician Assistant | 936 Ball St, Iowa City, IA 52245-1507 | 2006-08-08 |
| 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.