DR. NICOLE MARIE JEDLICKA (NPI# 1295047512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295047512 |
Entity Type | Individual |
Full Name | DR. NICOLE MARIE JEDLICKA |
Credential | DPM |
Practice Address |
1500 Delhi St Suite 2200 Dubuque IA 52001-6358 |
Practice Telephone | 5635575930 |
Mailing Telephone | 5635575930 |
Enumeration Date | 2010-07-02 |
Last Update Date | 2014-03-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000835 | IA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 1295047512 | 05 |
Street Address |
1500 DELHI ST SUITE 2200 |
City | DUBUQUE |
State | IA |
Zip Code | 52001-6358 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134122831 | Michael W Ward | Podiatrist | 1500 Delhi St, Ste 2200, Dubuque, IA 52001-6359 | 2005-05-27 |
1609240282 | The Finley Hospital | Pediatrics | 1500 Delhi St, Suite 3500, Dubuque, IA 52001-6358 | 2015-11-19 |
1639433030 | Jennifer Marie Burds | Nurse Practitioner | 1500 Delhi St, Suite 4100, Dubuque, IA 52001-6358 | 2012-06-29 |
1649419672 | Ryan Cloos | Orthopaedic Surgery | 1500 Delhi St, Suite 4200, Dubuque, IA 52001-6358 | 2009-02-15 |
1962675264 | Jamie Jo Quintana | Pediatrics | 1500 Delhi St, Suite 3500, Dubuque, IA 52001-6321 | 2008-04-08 |
1356370001 | Dubuque Obstetrics & Gynecology, P.C. | Obstetrics & Gynecology | 1500 Delhi St, Ste 3100, Dubuque, IA 52001-6358 | 2006-07-02 |
1922048529 | Curtis Elliott Page | Obstetrics & Gynecology | 1500 Delhi St, Suite 3100, Dubuque, IA 52001-6358 | 2006-06-08 |
1033158209 | Alex M Horchak | Urology | 1500 Delhi St, Suite 4300, Dubuque, IA 52001-6358 | 2006-06-05 |
1295788214 | Dubuque Internal Medicine PC | Clinic/Center | 1500 Delhi St, Ste 2100, Dubuque, IA 52001-6358 | 2006-05-19 |
1699723775 | Tri-state Family Practice LLP | Legal Medicine | 1500 Delhi St, Suite 4100, Dubuque, IA 52001-6358 | 2006-05-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
1710496427 | Ryan Michael Chatfield | Counselor | 799 Main St. Suite 110, Dubuque, IA 52001 | 2017-09-26 |
1396274791 | Patricia Ochs | Social Worker | 200 Mercy Dr., Ste. 200, Dubuque, IA 52001 | 2017-06-08 |
1770025264 | Young Men's Christian Association of Dubuque, Iowa | Health Educator | 35 North Booth Street, Dubuque, IA 52001 | 2016-11-15 |
1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
1376815209 | Umeka Latasha Lewis | Adult Companion | 1308 1/2 Jackson St, Dubuque, IA 52001 | 2012-02-08 |
1861777450 | Kevin Joseph Natzke | Pharmacist | 250 Mercy Drvie, Mercy Family Pharmacy, Dubuque, IA 52001 | 2011-10-15 |
1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
Find all providers in zip 52001 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780068114 | Kara Franzen | Podiatrist | 1500 Delhi St Ste 2200, Dubuque, IA 52001-6359 | 2015-07-15 |
1134122831 | Michael W Ward | Podiatrist | 1500 Delhi St, Ste 2200, Dubuque, IA 52001-6359 | 2005-05-27 |
1770759953 | Jason Rosco E Keppler | Podiatrist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2008-05-07 |
1417920265 | Dubuque Podiatry PC | Podiatrist | 1500 Delhi St, Suite 2200, Dubuque, IA 52001-6358 | 2006-02-10 |
1538162227 | Timothy J Quagliano | Podiatrist | 1500 Delhi St, Ste 2200, Dubuque, IA 52001-6359 | 2005-05-27 |
1053314740 | Robert S Kelsey | Podiatrist | 1500 Delhi St, Ste 2200, Dubuque, IA 52001-6358 | 2005-05-27 |
1013910603 | Michael Arnz | Podiatrist | 1500 Delhi St, Ste 2200, Dubuque, IA 52001-6359 | 2005-05-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578189296 | Linda Bratkiewicz Podiatry Pllc | Podiatrist | 1301 Pennsylvania Ave Ste 115, Des Moines, IA 50316-2364 | 2020-06-18 |
1407377344 | Fusion Foot and Ankle, LLC | Podiatrist | 110 Us Hwy 6 Suite 80, Waukee, IA 50263 | 2017-06-30 |
1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
1265835474 | Iowa Foot & Ankle Specialists, Pllc | Podiatrist | 2884 Aaa Ct, Bettendorf, IA 52722-3406 | 2014-10-01 |
1932462256 | Jennifer Ann Fuehrer | Podiatrist | 1327 Sunset Drive, Suite 300, Norwalk, IA 50211 | 2012-06-21 |
1912278490 | Collin E. Pehde Dpm, Pllc | Podiatrist | 500 E Court Ave, Suite 314, Des Moines, IA 50309-2057 | 2012-01-16 |
1912285479 | Joshua R Modlin | Podiatrist | 4214 Fleur Dr Ste 7, Des Moines, IA 50321-2300 | 2011-08-01 |
1326336397 | Brian David Hunziker | Podiatrist | 80 E Hickman Rd, Waukee, IA 50263-5011 | 2011-07-12 |
1306175104 | Justin J. Raatz | Podiatrist | 500 E Court Ave Ste 314, Des Moines, IA 50309-2057 | 2009-12-08 |
1003059841 | Cedar Valley Podiatry, PC | Podiatrist | 700 11th St, Charles City, IA 50616-3406 | 2009-04-09 |
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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.