DR. ALAN RUSSELL KOSLOW (NPI# 1427004464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427004464 |
| Entity Type | Individual |
| Full Name | DR. ALAN RUSSELL KOSLOW |
| Credential | M.D. |
| Practice Address |
974 73rd St Suite 23 Windsor Heights IA 50324-1024 |
| Practice Telephone | 5152841976 |
| Practice Fax Number | 5152233010 |
| Mailing Telephone | 5152841976 |
| Mailing Fax Number | 5152233010 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2010-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
30390 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 2119164 | 05 | |
| IA | BLUE CROSS & BLUE SHIELD | 38296 | 01 |
| Street Address |
974 73RD ST SUITE 23 |
| City | WINDSOR HEIGHTS |
| State | IA |
| Zip Code | 50324-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164429403 | Praveen Chandra Prasad | Surgery | 974 73rd St, Suite 25, Windsor Heights, IA 50312-1024 | 2005-07-01 |
| 1932630167 | Brown Therapy Resources LLC | Community/Behavioral Health | 974 73rd St, Suite 24, Windsor Heights, IA 50324-1024 | 2017-03-21 |
| 1891230447 | Rebecca Lake | Chiropractor | 974 73rd St, #40, Windsor Heights, IA 50324-1024 | 2017-01-05 |
| 1851643019 | Demarco Dental Practice,p.c. | Dentist | 974 73rd St, Suite 37, Windsor Heights, IA 50324-1024 | 2012-10-11 |
| 1477709228 | Kevin Scott Brown | Counselor | 974 73rd St, Suite 24, Windsor Heights, IA 50324-1024 | 2008-08-13 |
| 1972760916 | Rick Nelson Endodontic PC | Preferred Provider Organization | 974 73rd St, Suite 18, Windsor Heights, IA 50312-1024 | 2008-05-19 |
| 1124216882 | Kelly Jesica Pearson | Nurse Practitioner | 974 73rd St, Windsor Heights, IA 50312-1024 | 2007-10-09 |
| 1891990271 | Rachelle L Gammon | Pediatrics | 974 73rd St, Suite 30, Windsor Heights, IA 50312-1024 | 2007-06-18 |
| 1811108749 | Demarco Dental Practice,p.c. | Dentist | 974 73rd St, Suite 37, Windsor Heights, IA 50312-1026 | 2007-05-24 |
| 1093922940 | William L Pearce Jr.,dds,pc | Dentist | 974 73rd St, Suite37, Windsor Heights, IA 50312-1024 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396262291 | Nuspine IIi Inc. | Chiropractor | 7241 Apple Valley Drive, Windsor Heights, IA 50324 | 2017-08-23 |
| 1396921508 | Elisabeth Lee Jones | Nurse Practitioner | 7700 Hickman Road, Windsor Heights, IA 50324 | 2008-01-17 |
| 1942627336 | Brandon Travis Cramer | Chiropractor | 974 73rd St Ste 40, Windsor Heights, IA 50324-1026 | 2014-03-24 |
| 1982984183 | Amanda Marie Ostergaard | Nurse Practitioner | 974 73rd Street, Suite 33, Windsor Heights, IA 50324-1026 | 2011-08-19 |
| 1841528585 | Michael Andrew Sullivan | Counselor | 974 73rd St Ste 9, Windsor Heights, IA 50324-1026 | 2009-11-18 |
| 1497286538 | Andrea Lauren Klein | Nurse Practitioner | 974 73rd Street, Suite 33, Windsor Heights, IA 50324-1026 | 2017-03-21 |
| 1376936427 | Firm Foundation Chiropractic LLC | Chiropractor | 974 73rd St Ste 40, Windsor Heights, IA 50324-1026 | 2015-03-13 |
| 1336648088 | L Baxter Lisw LLC | Social Worker | 974 73rd St Ste 24, Windsor Heights, IA 50324-1200 | 2018-02-08 |
| 1740279470 | Mark L. Bottelson, O.d. and Associates, P.C. | Optometrist | 1001 73rd St, Vision Center, Windsor Heights, IA 50324-1311 | 2005-10-15 |
| 1548885734 | Purva Patel | Pharmacist | 1001 73rd St, Des Moines, IA 50324-1311 | 2020-06-12 |
| Find all providers in zip 50324 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1184787343 | Heartland Vascular Medicine and Surgery PC | Surgery | 974 73rd St, Suite 23, Windsor Heights, IA 50324-1024 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801147269 | North Iowa Mercy Clinics | Surgery | 250 S Crescent Dr Ste 200, Mason City, IA 50401-2911 | 2012-09-26 |
| 1326305830 | Ryan Deets | Surgery | 1223 S Gear Ave Ste 202, West Burlington, IA 52655 | 2012-04-20 |
| 1366424509 | David K.w. Chew | Surgery | 5880 University Ave Ste 103, West Des Moines, IA 50266-8209 | 2005-11-15 |
| 1932199395 | Afzal H Abdullah | Surgery | 1075 Golden Valley Dr, Bettendorf, IA 52722-1649 | 2005-10-26 |
| 1730175795 | Dan Lee Morehouse | Surgery | 1306 4th St Sw, Mason City, IA 50401-2742 | 2005-09-26 |
| 1538169941 | John J Klosak | Surgery | 2101 Nicholas Ct, Bettendorf, IA 52722-2177 | 2005-07-28 |
| 1457976748 | Victor Herbert Hatcher Jr. | Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2020-06-11 |
| 1750942595 | Nicole Marie Gensicke | Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2019-06-24 |
| 1477047215 | Crystal Nicole Rodriguez | Surgery | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-06-15 |
| 1710415740 | Jeanette Ho-si Man | Surgery | 200 Hawkins Dr, Dept of Surgery, Iowa City, IA 52242-1009 | 2017-06-04 |
| Find all providers with the same taxonomy | ||||
| City | WINDSOR HEIGHTS |
| Zip Code | 50324 |
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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.