MARY SUSAN PRUZINSKY (NPI# 1326097296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326097296 |
| Entity Type | Individual |
| Full Name | MARY SUSAN PRUZINSKY |
| Credential | MD |
| Practice Address |
2710 Saint Francis Dr Ste 411 Waterloo IA 50702-5619 |
| Practice Telephone | 3192725000 |
| Practice Fax Number | 3192725825 |
| Mailing Telephone | 3192725000 |
| Mailing Fax Number | 3192725825 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2016-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
30009 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BLUE CROSS BLUE SHIELD | 56464 | 01 |
| Street Address |
2710 SAINT FRANCIS DR STE 411 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166390 | Lisa M Coleman | Dietitian, Registered | 2710 Saint Francis Dr, Suite 510, Waterloo, IA 50702-5619 | 2005-09-28 |
| 1003303165 | Summer Morgan Lenth | Nurse Practitioner | 2710 Saint Francis Dr, Waterloo, IA 50702-5619 | 2018-04-15 |
| 1033621586 | Hilary Pates | Counselor | 2710 Saint Francis Dr, Waterloo, IA 50702-5619 | 2017-10-24 |
| 1447676812 | Katherine Renner | Pharmacist | 2710 Saint Francis Dr, Suite 510, Waterloo, IA 50702-5619 | 2014-03-10 |
| 1649611567 | Toni Lynn Luck | Nurse Practitioner | 2710 Saint Francis Dr, Suite 319, Waterloo, IA 50702-5619 | 2013-07-08 |
| 1275809584 | Marietta Elizabeth Walsh | Neurological Surgery | 2710 Saint Francis Dr, Suite 110, Waterloo, IA 50702-5619 | 2012-03-30 |
| 1902174584 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 2710 Saint Francis Dr, #411, Waterloo, IA 50702-5619 | 2011-12-09 |
| 1851671192 | Melissa Ann Groeneveld | Nurse Practitioner | 2710 Saint Francis Dr, Suite 419, Waterloo, IA 50702-5619 | 2011-08-18 |
| 1336428697 | Victor Adam Abrich | Internal Medicine | 2710 Saint Francis Dr, Ste 320, Waterloo, IA 50702-5620 | 2011-08-04 |
| 1821301649 | Kristin Marie Davis | Nurse Practitioner | 2710 Saint Francis Dr, Ste 111, Waterloo, IA 50702-5619 | 2010-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639123243 | David James Congdon | Otolaryngology | 2515 Cyclone Dr Ste B, Waterloo, IA 50701-9746 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740629906 | Jay Burmeister | Otolaryngology | 3385 Dexter Ct Ste 101, Davenport, IA 52807-3471 | 2013-06-20 |
| 1285784983 | Physicians' Clinic of Iowa, PC, Dept of Ent | Otolaryngology | 901 8th Ave Se, Cedar Rapids, IA 52401-2121 | 2007-01-12 |
| 1851346282 | Dwayne Thomas Capper | Otolaryngology | 2615 Northgate Dr, Iowa City, IA 52245-9565 | 2006-05-24 |
| 1700201407 | Dennis P Porto Md PC | Otolaryngology | 6000 University Ave, Suite 230, West Des Moines, IA 50266-8203 | 2014-03-04 |
| 1003049115 | Cassie Noreen Carney | Otolaryngology | 915 13th Ave N, Clinton, IA 52732-5067 | 2009-08-24 |
| 1013138270 | Melanie Lucille Giesler-spellman | Otolaryngology | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2007-05-02 |
| 1447292800 | Jeremy D Vos | Otolaryngology | 2615 Northgate Dr, Iowa City, IA 52245-9565 | 2006-06-11 |
| 1285672428 | Thomas Allen Simpson | Otolaryngology | 2615 Northgate Dr, Iowa City, IA 52245-9565 | 2006-06-02 |
| 1902844145 | Thomas Frederic Viner | Otolaryngology | 2615 Northgate Dr, Iowa City, IA 52245-9565 | 2006-06-02 |
| 1932155900 | Daniel Robert Olney | Otolaryngology | 2615 Northgate Dr, Iowa City, IA 52245-9565 | 2006-05-25 |
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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.