DR. DUDLEY AUGUSTUS SYRE' (NPI# 1336239326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336239326 |
| Entity Type | Individual |
| Full Name | DR. DUDLEY AUGUSTUS SYRE' |
| Credential | M.D. |
| Practice Address |
201 Ridge St Suite #206 Council Bluffs IA 51503-4643 |
| Practice Telephone | 7123287171 |
| Practice Fax Number | 7123225510 |
| Mailing Telephone | 7123287171 |
| Mailing Fax Number | 7123225510 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 20276 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK | 127746 | 01 |
| IA | 0127746 | 05 |
| Street Address |
201 RIDGE ST SUITE #206 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-4643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700878220 | Michael Zlomke | Surgery | 201 Ridge St, Suite 214, Council Bluffs, IA 51503-4643 | 2005-08-19 |
| 1366701955 | Katelyn Elizabeth Larsen | Physician Assistant | 201 Ridge St, Suite 201, Council Bluffs, IA 51503-4643 | 2012-05-16 |
| 1982975652 | Quinn M Schulte | Physician Assistant | 201 Ridge St, Ste 302, Council Bluffs, IA 51503-4643 | 2012-01-26 |
| 1568773497 | Physicians Clinic, Inc. | Psychiatry & Neurology | 201 Ridge St, Ste. 311, Council Bluffs, IA 51503-4643 | 2010-06-25 |
| 1497073761 | Kelly A Heine | Nurse Anesthetist, Certified Registered | 201 Ridge St, Suite 102, Council Bluffs, IA 51503-4643 | 2010-05-12 |
| 1598928376 | Emily Marie Lange | Obstetrics & Gynecology | 201 Ridge St, Ste 312, Council Bluffs, IA 51503-4643 | 2008-07-02 |
| 1598923484 | Lori Ann Platt | Obstetrics & Gynecology | 201 Ridge St, St. 312, Council Bluffs, IA 51503-4643 | 2008-05-28 |
| 1669648713 | Linda J Layton | Physician Assistant | 201 Ridge St, #307, Council Bluffs, IA 51503-4643 | 2008-05-07 |
| 1699986745 | Travis John Hayes | Anesthesiology | 201 Ridge St, Suite 102, Council Bluffs, IA 51503-4643 | 2007-05-24 |
| 1588794234 | Kara D Dostal | Nurse Anesthetist, Certified Registered | 201 Ridge St, Suite 21, Council Bluffs, IA 51503-4643 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245380237 | Michael Crawford | Otolaryngology | 320 Mckenzie Ave Ste 202, Council Bluffs, IA 51503-1002 | 2007-01-11 |
| 1821260852 | Kelli Lynn Rudman | Otolaryngology | 320 Mckenzie Ave Ste 202, Council Bluffs, IA 51503-1002 | 2008-03-31 |
| 1679545289 | Patrick C Farrell | Otolaryngology | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134658552 | Kristen Leigh Seligman | Otolaryngology | 200 Hawkins Dr, Dept of Otolaryngology, Iowa City, IA 52242-1009 | 2017-06-08 |
| 1316389653 | Koch Facial Plastic Surgery PC | Otolaryngology | 4855 Mills Civic Parkway #100, West Des Moines, IA 50265 | 2013-07-29 |
| 1770835563 | Charles Douglas Jons | Otolaryngology | 2916 Forest Hills Dr, Ames, IA 50014-3583 | 2012-10-04 |
| 1457606584 | Lindsay Jo Sturm | Otolaryngology | 2122 Leopold Dr, Ames, IA 50010-4499 | 2012-07-15 |
| 1992099402 | Stephanie Lanae Burger | Otolaryngology | 2730 Pierce St Ste 204, Sioux City, IA 51104-3764 | 2011-06-01 |
| 1356451421 | Kurtis David Korver | Otolaryngology | 700 Juneau Ave Se, Orange City, IA 51041 | 2006-08-30 |
| 1184682189 | Douglas R Hoisington | Otolaryngology | 2600 Westown Pkwy Ste 360, West Des Moines, IA 50266-7306 | 2006-05-02 |
| 1205893781 | Gordon Ray Johnson | Otolaryngology | 3906 Lillie Ave., Suite 1, Davenport, IA 52806-4432 | 2006-04-27 |
| 1548241037 | Craig Charles Herther | Otolaryngology | 310 N Grandview Ave, Dubuque, IA 52001-6388 | 2005-11-10 |
| 1932180486 | Gregory Joseph White | Otolaryngology | 535 Cedar Cross Road, Dubuque, IA 52003-7704 | 2005-11-10 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on DR. DUDLEY AUGUSTUS SYRE'.
| 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.