ALLEN MEMORIAL HOSPITAL CORPORATION (NPI# 1346292521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346292521 |
Entity Type | Organization |
Organization Name | ALLEN MEMORIAL HOSPITAL CORPORATION |
Other Organization Name | ALLEN HOSPITAL |
Practice Address |
1825 Logan Ave Waterloo IA 50703-1916 |
Practice Telephone | 3192353941 |
Mailing Telephone | 3192353941 |
Enumeration Date | 2006-05-16 |
Last Update Date | 2016-11-08 |
Authorized Official Name | MS. PAMELA K. DELAGARDELLE (PRESIDENT/CEO) |
Authorized Official Telephone | 3192353987 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
Nursing Service Providers | ||
N | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians | ||
N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | MEDICAID - NP GROUP | 0401143 | 01 |
IA | 0170142 | 05 | |
IA | WELLMARK BCBS/IOWA | 17014 | 01 |
Other Name | Type Code |
---|---|
Allen Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346336484 | Allen Memorial Hospital Corporation | Public Health or Welfare | 704 1/2 H Ave, Suite 3, Grundy Center, IA 50638-1446 | 2006-10-05 |
1104912203 | Allen Memorial Hospital Corporation | Home Health | 1117 Maxhelen Blvd, Waterloo, IA 50701-9346 | 2006-10-05 |
1598215659 | Allen Memorial Hospital Corporation | Pharmacy | 5100 Prairie Pkwy Ste 106, Cedar Falls, IA 50613-8155 | 2016-10-12 |
1942584784 | Allen Memorial Hospital Corporation | Rehabilitation Hospital | 1825 Logan Ave, Waterloo, IA 50703-1999 | 2011-09-28 |
1255657466 | Allen Memorial Hospital Corporation | Durable Medical Equipment & Medical Supplies | 1717 W Ridgeway Ave, Suite 50a, Waterloo, IA 50701-4543 | 2010-04-13 |
1982739082 | Allen Memorial Hospital Corporation | Public Health or Welfare | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2007-02-22 |
1609951276 | Allen Memorial Hospital Corporation | Home Health | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2006-10-25 |
1659461572 | Allen Memorial Hospital Corporation | Pharmacy | 146 W Dale St, Suite 103, Waterloo, IA 50703-1901 | 2006-10-13 |
1588750699 | Allen Memorial Hospital Corporation | Home Health | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2006-10-05 |
1508958265 | Allen Memorial Hospital Corporation | Skilled Nursing Facility | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2006-09-29 |
Street Address |
1825 LOGAN AVE |
City | WATERLOO |
State | IA |
Zip Code | 50703-1916 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881680130 | Jeffrey David Wilkins | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2005-09-22 |
1922614379 | Jade Marie Kalina | Nurse Practitioner | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-09-21 |
1942818877 | Julia Fifield | Pharmacist | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-07-16 |
1154939262 | Jacob John Peterson | Pharmacist | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-07-15 |
1962025767 | Abby Staudt | Nurse Practitioner | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-05-27 |
1083237234 | Kathryn E Soeder | Nurse Anesthetist, Certified Registered | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-05-22 |
1871120147 | Carolyn Anna Steenhoek | Physician Assistant | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-03-25 |
1497387989 | Nupur Chopra Harkness | Pharmacist | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-02-12 |
1750912523 | Patricia Leininger | Dietitian, Registered | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-01-30 |
1932739331 | Allison Katherine Bohlman | Dietitian, Registered | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-01-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
1568432615 | Wei Yang | Pathology | Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 | 2006-01-23 |
1689158040 | Megan Elizabeth O'neal | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2018-09-21 |
1972031359 | Stephanie Rose Smith | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2017-05-30 |
1801263462 | Krissy Jean Wieland | Nurse Practitioner | 220 Franklin St, Waterloo, IA 50703 | 2015-08-28 |
1649670852 | Sapna Aggarwal | Dentist | 905 Franklin St, Waterloo, IA 50703 | 2014-08-26 |
Find all providers in zip 50703 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164526349 | Robert Ansley Roof IIi | Emergency Medicine | 3421 West 9th St, Waterloo, IA 50702 | 2006-09-11 |
1881680130 | Jeffrey David Wilkins | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2005-09-22 |
1811384704 | Nicholas Wade Stull | Emergency Medicine | 3421 W 9th St, Waterloo, IA 50702-5401 | 2015-04-19 |
1699169698 | Jens Masters Olsen | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703 | 2015-03-27 |
1518387893 | Katie R Baker | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2014-04-24 |
1396000337 | Orietta Girard | Emergency Medicine | 3840 W 9th St, Waterloo, IA 50702-5914 | 2012-07-05 |
1457611931 | William Paul Fangman | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703 | 2012-05-18 |
1447559893 | Stacey Marie Marlow Fisher | Emergency Medicine | 1825 Logan Ave, Emergency Department, Allen Memorial Hospital, Waterloo, IA 50703-1916 | 2011-03-24 |
1386879427 | Iowa Emergency Physicians LLP | Emergency Medicine | 3421 West Ninth Street, Waterloo, IA 50702-5401 | 2009-05-19 |
1043479355 | Brian K Sankey | Emergency Medicine | 2710 Saint Francis Dr, Suite 210, Waterloo, IA 50702-5619 | 2008-06-03 |
Find all providers in WATERLOO |
Please comment or provide details below to improve the information on ALLEN MEMORIAL HOSPITAL CORPORATION.
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.