BOONE COUNTY COMPREHENSIVE SPECIALTY CARE (NPI# 1316982200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316982200 |
| Entity Type | Organization |
| Organization Name | BOONE COUNTY COMPREHENSIVE SPECIALTY CARE |
| Other Organization Name | BOONE COUNTY HOSPITAL |
| Practice Address |
1015 Union St Suite 120 Boone IA 50036-4821 |
| Mailing Address |
1015 Union St Boone IA 50036 |
| Practice Telephone | 5154338700 |
| Practice Fax Number | 5154326962 |
| Mailing Telephone | 5154338700 |
| Mailing Fax Number | 5154326962 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2016-11-10 |
| Authorized Official Name | JOSEPH M DEVIN (CFO) |
| Authorized Official Telephone | 5154338461 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 3706 | IA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 4160 | IA | Allopathic & Osteopathic Physicians |
| N | 213E00000X | Podiatrist | 000872 | IA | Podiatric Medicine & Surgery Service Providers |
| Y | 208600000X | Surgery | 02837 | IA | Allopathic & Osteopathic Physicians |
| N | 213E00000X | Podiatrist | IA | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Boone County Hospital | Doing Business As Name - Organization |
| Street Address |
1015 UNION ST SUITE 120 |
| City | BOONE |
| State | IA |
| Zip Code | 50036-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051135 | Tamara S Chance | Emergency Medicine | 1015 Union St, Boone, IA 50036-4821 | 2005-05-27 |
| 1649752452 | Tessa Kleinwolterink | Occupational Therapist | 1015 Union St, Boone, IA 50036-4821 | 2018-08-29 |
| 1174987341 | Mindy Royster | Nurse Practitioner | 1015 Union St, Boone, IA 50036-4821 | 2016-04-13 |
| 1578924320 | Boone County Hospital | Clinic/Center | 1015 Union St, Boone, IA 50036-4821 | 2016-03-08 |
| 1023477486 | Kathy Ann Steffen | Physical Therapist | 1015 Union St, Boone, IA 50036-4821 | 2016-02-15 |
| 1639538291 | Brent Allen Drzycimski | Physical Therapist | 1015 Union St, Boone, IA 50036-4821 | 2016-02-11 |
| 1821499740 | Melinda Holly Altman | Nurse Practitioner | 1015 Union St, Boone, IA 50036-4821 | 2014-09-10 |
| 1528303260 | Angela Dawn Walsh | Physical Therapy Assistant | 1015 Union St, Boone, IA 50036-4821 | 2012-12-06 |
| 1750626701 | Ronald Jacob Stotts | Physical Therapist | 1015 Union St, Boone, IA 50036-4821 | 2012-12-03 |
| 1861737942 | Kyla Goza | Physical Therapy Assistant | 1015 Union St, Boone, IA 50036-4821 | 2012-11-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235639287 | Danielle A'lyce Bennett | Counselor | 1332 S Marshall St, Boone, IA 50036 | 2018-02-16 |
| 1588170567 | Melissa Joan Bartlett | Audiologist | 428 Story St, Boone, IA 50036 | 2017-12-28 |
| 1144544560 | Katherine M Dinges | Counselor | 806 7th St Unit U2, Boone, IA 50036 | 2010-03-15 |
| 1437338936 | Matthew John Sprecher | Chiropractor | 814 7th St, Boone, IA 50036 | 2007-10-31 |
| 1275662751 | Chris A Gage | Pharmacist | 310 Story Str, Boone, IA 50036 | 2007-03-02 |
| 1508919416 | Rxpert Inc | Pharmacy | 102 S Story St, Boone, IA 50036 | 2007-01-22 |
| 1376609677 | United Community School District | Local Education Agency (LEA) | 1284 U Avenue, Boone, IA 50036 | 2006-12-29 |
| 1245204692 | Renee Lynn Montag | Chiropractor | 806 7th St, Boone, IA 50036 | 2006-02-14 |
| 1316911761 | Raphael Martin Montag | Chiropractor | 806 7th St, Boone, IA 50036 | 2006-02-14 |
| 1013061753 | Boone County Transportation Service, Inc. | Bus | 328 Snedden Drive, Boone, IA 50036-0032 | 2007-01-22 |
| Find all providers in zip 50036 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528327079 | Richard Warren Furman | Surgery | 16740 Blue Ridge Pkwy, Boone, NC 28607-6709 | 2012-05-03 |
| 1730112434 | Blue Ridge Surgical Group, Pa | Surgery | 838 State Farm Road, Suite 1, Boone, NC 28607 | 2006-07-08 |
| 1871588434 | Paul Sami Dagher | Surgery | 965 State Farm Rd, Boone, NC 28607-4948 | 2005-09-20 |
| 1144748948 | Appalachian Regional Medical Associates Inc | Surgery | 965 State Farm Rd, Boone, NC 28607-4948 | 2017-09-01 |
| 1306057500 | Lionel Van Der Westhuizen | Surgery | 965 State Farm Rd, Boone, NC 28607-4948 | 2007-05-28 |
| 1942377874 | Jay Seligman | Surgery | 1015 Union St, Boone, IA 50036-4821 | 2006-11-29 |
| 1336215821 | Watauga Medical Center Inc | Surgery | 336 Deerfield Rd, Boone, NC 28607-5008 | 2006-11-27 |
| 1356445761 | Anne-corinne Beaver | Surgery | 965 State Farm Rd, Boone, NC 28607-4948 | 2006-09-08 |
| 1780679357 | Tim D Edmisten | Surgery | 965 State Farm Rd, Boone, NC 28607-4948 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730798810 | Abhinav Seth | Surgery | 200 Hawkins Dr Dept of Organ Transplant Center, Iowa City, IA 52242-1009 | 2020-07-24 |
| 1073137485 | Jeremy Chang | Surgery | 200 Hawkins Dr Dept of Surgery, Iowa City, IA 52242-1009 | 2020-06-01 |
| 1013579077 | Apoorve Nayyar | Surgery | 200 Hawkins Dr # Surgery, Iowa City, IA 52242-1009 | 2019-06-30 |
| 1093207268 | Rafael Alejandro Ramos Vecchio | Surgery | 200 Hawkins Dr Dept Surgery, Iowa City, IA 52242-1009 | 2018-06-04 |
| 1942714514 | Donald Joseph Anderson | Surgery | 3317 Southern Hills Dr, Des Moines, IA 50321-1434 | 2017-11-19 |
| 1609304336 | Catherine Tran | Surgery | 200 Hawkins Dr Dept Gensurg, Iowa City, IA 52242-1009 | 2017-05-25 |
| 1891112579 | Isaac Hinton | Surgery | 4480 Utica Ridge Rd Ste 1124, Bettendorf, IA 52722-1644 | 2014-03-19 |
| 1215376298 | Accelecare Wound Professionals LLC | Surgery | 4225 Fleur Dr # 190, Des Moines, IA 50321-2325 | 2013-06-23 |
| 1952749111 | Abhishek Krishna Kashyap | Surgery | Department of Surgery, 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2013-06-10 |
| 1063858553 | Phillip Gabriel Bailey | Surgery | 1515 Delhi St Ste 200, Dubuque, IA 52001-6320 | 2013-05-11 |
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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.