PHYSICIANS' CLINIC OF IOWA, PC, DEPT OF SURGICAL SPECIALISTS


Address: 830 4th Ave Se, Cedar Rapids, IA 52403-2423
Phone: 3193625118

PHYSICIANS' CLINIC OF IOWA, PC, DEPT OF SURGICAL SPECIALISTS (NPI# 1437209137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437209137
Entity Type Organization
Organization Name PHYSICIANS' CLINIC OF IOWA, PC, DEPT OF SURGICAL SPECIALISTS
Practice Address 830 4th Ave Se
Cedar Rapids
IA 52403-2423
Practice Telephone 3193625118
Practice Fax Number 3193640574
Mailing Telephone 3193625118
Mailing Fax Number 3193640574
Enumeration Date 2007-01-12
Last Update Date 2020-08-22
Authorized Official Name DONNA S COOPER (CEO)
Authorized Official Telephone 3193981772
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA WELLMARK GROUP NUMBER 56498 01

Office Location

Street Address 830 4TH AVE SE
City CEDAR RAPIDS
State IA
Zip Code 52403-2423

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134293327 Iowa Physicians Clinic Medical Foundation Durable Medical Equipment & Medical Supplies 830 4th Ave Se, Suite 1, Cedar Rapids, IA 52403-2423 2006-11-20
1306371158 Janelle Marie Knight Student in an Organized Health Care Education/Training Program 830 4th Ave Se, Suite 1, Cedar Rapids, IA 52403-2445 2017-04-28
1356638266 Sara Marie Hubbell Nurse Practitioner 830 4th Ave Se, Cedar Rapids, IA 52403-2423 2011-06-30
1225167448 Physicians' Clinic of Iowa, PC Durable Medical Equipment & Medical Supplies 830 4th Ave Se, Cedar Rapids, IA 52403-2423 2007-03-05

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NPI Name Taxonomy Address Enumeration
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1306090147 John Daniel Schuchmann Anesthesiology 3629 Random Road Se, Cedar Rapids, IA 52403 2008-11-06
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912153321 William Amin Audeh Surgery 3846 Lost Valley Road Se, Cedar Rapids, IA 52403-2008 2008-08-18
1114390358 State University of Iowa Surgery 3705 River Ridge Dr Ne, Cedar Rapids, IA 52402-7596 2015-11-10
1134562762 Bradley Gordan Surgery 202 10th St Se, Cedar Rapids, IA 52403 2013-04-13
1497048805 Takintope Akinbiyi Surgery 3705 River Ridge Dr Ne, Cedar Rapids, IA 52402-7596 2011-05-18
1952612616 Patrick J Hawkes Surgery 3705 River Ridge Dr Ne, Cedar Rapids, IA 52402 2010-06-28
1932338837 Jared Kray Surgery 202 10th St Se, Cedar Rapids, IA 52403-2414 2009-07-13
1144474370 Vincent Junior Reid Surgery 701 10th St Se, Cedar Rapids, IA 52403-1251 2008-11-14
1528277563 Kerri Ann Nowell Surgery 202 10th St Se, Cedar Rapids, IA 52403-2414 2007-05-22
1538378591 Nora A Royer Surgery 788 8th Ave Se, Suite 300, Cedar Rapids, IA 52401-2107 2007-05-22
1851500995 Andrew George Nowell Surgery 202 10th Street Se, Cedar Rapids, IA 52403-2404 2007-05-22
Find all providers in CEDAR RAPIDS

Competitor

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City CEDAR RAPIDS
Zip Code 52403

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Dataset Information

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.

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