CEDAR VALLEY MEDICAL SPECIALISTS PC (NPI# 1346295011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346295011 |
| Entity Type | Organization |
| Organization Name | CEDAR VALLEY MEDICAL SPECIALISTS PC |
| Practice Address |
105 20th St Nw Waverly IA 50677-2059 |
| Mailing Address |
Po Box 2758 Waterloo IA 50704-2758 |
| Practice Telephone | 3193521711 |
| Practice Fax Number | 3193520291 |
| Mailing Telephone | 3193521711 |
| Mailing Fax Number | 3193520291 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-11-17 |
| Authorized Official Name | GILMORE JOHN IREY (CEO) |
| Authorized Official Telephone | 3192355390 |
| Is Organization Subpart | Y |
| Parent Organization Name | CEDAR VALLEY MEDICAL SPECIALISTS PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 028333 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881150886 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 2405 Rock Island Rd, Oelwein, IA 50662-3102 | 2019-02-14 |
| 1497794242 | Cedar Valley Medical Specialists PC | Allergy & Immunology | 4150 Kimball Ave, Waterloo, IA 50704-2758 | 2006-06-06 |
| 1760437453 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 1661 W Ridgeway Ave, Waterloo, IA 50701-4541 | 2006-05-23 |
| 1992759328 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 1600 1st St East, Independence, IA 50644-3155 | 2006-05-20 |
| 1346294782 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 5165 Division St, Cedar Falls, IA 50613-2380 | 2006-05-20 |
| 1821042318 | Cedar Valley Medical Specialists PC | Clinic/Center | 405 Highway 150 N, West Union, IA 52175-1003 | 2006-05-20 |
| 1659934180 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 502 N 9th Ave, Vinton, IA 52349-2254 | 2019-04-19 |
| 1083105779 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 709 W Main St, Manchester, IA 52057-1526 | 2018-05-29 |
| 1568417293 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 909 E San Marnan Dr, Waterloo, IA 50702-5611 | 2006-05-23 |
| 1962457622 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 1753 W Ridgeway Ave, Ste 107, Waterloo, IA 50701-4588 | 2006-05-23 |
| Street Address |
105 20TH ST NW |
| City | WAVERLY |
| State | IA |
| Zip Code | 50677-2059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699089078 | Mp Eyecare, LLC | Optometrist | 105 20th St Nw, Waverly, IA 50677-2059 | 2010-07-28 |
| 1811929805 | Matthew J Pollastrini | Optometrist | 105 20th St Nw, Waverly, IA 50677-2059 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225514540 | North Iowa Counseling, LLC | Community/Behavioral Health | 506 E Bremer Ave, Waverly, IA 50677 | 2018-07-19 |
| 1942707211 | Eastern Iowa Therapeutics P.C. | Occupational Therapist | 155 Cedar River Parkway, Suite 101, Waverly, IA 50677 | 2018-04-12 |
| 1255887170 | Amy Susan Roling | Counselor | 118 1 Street Sw, Waverly, IA 50677 | 2016-08-31 |
| 1770995581 | Pauline Beth Meyer | Chiropractor | 307 Crestwood Ave, Waverly, IA 50677 | 2014-05-28 |
| 1043652860 | Jan Paula Davis | Nurse Practitioner | 312 9th St Sw Ste 3300, Waverly, IA 50677 | 2013-07-22 |
| 1134425648 | Jerry P Mahacek | Dentist | 601 Brown Lane, Waverly, IA 50677 | 2011-01-31 |
| 1851619811 | Phillip Nathaniel Fitch | Optometrist | 1300 10th Ave Sw, Waverly, IA 50677 | 2010-05-13 |
| 1801008545 | Leasa Marie Lantzky | Occupational Therapist | 315 3rd Ave. N.e., Waverly, IA 50677 | 2007-05-04 |
| 1891860490 | Joel M Walsworth | Dentist | 121 20th St Nw, Waverly, IA 50677 | 2006-11-21 |
| 1205900602 | Cynthia Sue Peters | Social Worker | 825 1st Ave Ne, Waverly, IA 50677 | 2006-11-17 |
| Find all providers in zip 50677 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124575865 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 210 E Emmitt Ave, Waverly, OH 45690-1336 | 2016-09-09 |
| 1114369766 | P and B Eye Care, LLC | Durable Medical Equipment & Medical Supplies | 1300 10th Avenue Sw, Waverly, IA 50677-3771 | 2013-07-24 |
| 1215164157 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 320 W Bremer Ave, Waverly, IA 50677-3102 | 2009-06-18 |
| 1306962444 | Genesis Respiratory Services Inc | Durable Medical Equipment & Medical Supplies | 600 W Emmitt Ave, Waverly, OH 45690-1010 | 2007-03-21 |
| 1922170067 | Thurber and Thurber, Dpm PC | Durable Medical Equipment & Medical Supplies | 1 Garfield St, Suite 400, Waverly, NY 14892-1217 | 2006-11-14 |
| 1922117274 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 501 East Emmitt Avenue, Waverly, OH 45690-1206 | 2006-08-30 |
| 1073530267 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 275 Walton Dr, Waverly, TN 37185-3382 | 2006-07-16 |
| 1487671863 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2700 4th St Sw, Waverly, IA 50677-4351 | 2006-07-16 |
| 1104843309 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 990 W Emmitt Ave, Waverly, OH 45690-1095 | 2006-07-16 |
| 1417981127 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 220 Waverly Plz, Waverly, OH 45690-1222 | 2006-07-10 |
| Find all providers in WAVERLY | ||||
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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.