DR. MATTHEW LEE HUSTRULID (NPI# 1316467053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316467053 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW LEE HUSTRULID |
| Credential | MD |
| Practice Address |
200 Hawkins Dr Dept Of Iowa City IA 52242-1009 |
| Mailing Address |
200 Hawkins Dr. Department of Radiology Iowa City IA 52242-1009 |
| Practice Telephone | (319) 356-3444 |
| Practice Fax Number | 3193848114 |
| Mailing Telephone | 3193563444 |
| Mailing Fax Number | 3193848114 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R-11049 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
200 HAWKINS DR DEPT OF |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598961187 | Shiv Patel | Radiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242 | 2007-06-21 |
| 1649897687 | Beatriz Dinh | Specialist | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-25 |
| 1417573882 | Harris Syed | Family Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-22 |
| 1124644828 | Taylor James Den Hartog | Orthopaedic Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-19 |
| 1366068942 | Melissa Toeller-desimone | Anesthesiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-19 |
| 1124644786 | Nathan Kemper | Otolaryngology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-19 |
| 1467078311 | Gregory Kirkpatrick | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-17 |
| 1407472327 | Stephen Stone | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-17 |
| 1235755026 | Melanie Claire Morris | Pediatrics | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-17 |
| 1720603608 | John Brennan Hunter Whitacre | Psychiatry & Neurology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891921813 | Christopher M. Luty | Radiology | 378 N Scott Blvd, Iowa City, IA 52245-4110 | 2009-06-04 |
| 1598961187 | Shiv Patel | Radiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242 | 2007-06-21 |
| 1083709885 | Radiologic Medical Services, PC | Radiology | 2405 Towncrest Dr., Iowa City, IA 52240 | 2006-10-04 |
| 1134175219 | Thomas D Berg | Radiology | 3089 Anita Dr Ne, Iowa City, IA 52240-9506 | 2006-05-26 |
| 1134743917 | Joseph Daniel Hindman | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-06-08 |
| 1518588789 | Maura Alessandra Alambert | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-04-29 |
| 1699394692 | Ayca Dundar | Radiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-04-10 |
| 1962056192 | Saleh Ali Abdulaziz Alkathiri | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2019-07-25 |
| 1023670064 | Sedat Giray Kandemirli | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2019-06-29 |
| 1447811013 | Karan Rao | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2019-06-25 |
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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.