STATE UNIVERSITY OF IOWA


Address: 720 Pacha Pkwy, Ste 1, North Liberty, IA 52317-4797
Phone: 3193848801

STATE UNIVERSITY OF IOWA (NPI# 1497198279) 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) 1497198279
Entity Type Organization
Organization Name STATE UNIVERSITY OF IOWA
Other Organization Name UI QUICKCARE-NORTH LIBERTY
Practice Address 720 Pacha Pkwy
Ste 1
North Liberty
IA 52317-4797
Practice Telephone 3193848801
Mailing Telephone 3193848801
Enumeration Date 2013-04-11
Last Update Date 2013-06-12
Authorized Official Name PHILIP E ROUDABUSH (DIRECTOR, PATIENT FINANCIAL SERVICE)
Authorized Official Telephone 3193842334
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
UI QuickCare-North Liberty Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1306304027 State University of Iowa Pharmacy 1360 N Dodge St Ste 1100, Iowa City, IA 52245-6104 2019-03-12
1710485123 State University of Iowa Eye Bank 2500 Crosspark Rd Ste W300, Coralville, IA 52241-4710 2018-01-31
1811246473 State University of Iowa Pharmacy 105 E 9th Street, Suite A, Coralville, IA 52241 2012-08-29
1548526189 State University of Iowa Family Medicine 767 Mormon Trek Blvd, Iowa City, IA 52246-1812 2012-04-09
1194035436 State University of Iowa Durable Medical Equipment & Medical Supplies 119 2nd St, Ste 400, Coralville, IA 52241-2691 2010-10-20
1013241850 State University of Iowa Family Medicine 1632 Sycamore St, Iowa City, IA 52240-6044 2009-09-28
1053503755 State University of Iowa Public Health or Welfare 100 Hawkins Dr, 247-a Cdd, Iowa City, IA 52242 2007-08-16
1225177579 State University of Iowa Registered Nurse 3501 Harry Langdon Blvd Ste 1450, Child Health Specialty Clinics, Council Bluffs, IA 51503-7837 2007-02-05
1689712549 State University of Iowa Audiologist 250 Hawkins Drive, The University of Iowa, Iowa City, IA 52242-1012 2007-02-02
1609956234 State University of Iowa Dentist 322 Dental Science Bldg, Iowa City, IA 52242-1001 2006-10-17

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities STATE UNIVERSITY OF IOWA ALUMNI ASSOCIATION Po Box 1970, One West Park Rd, Iowa City, IA 52244-1970
Iowa Business Entities STATE UNIVERSITY OF IOWA FOUNDATION One West Park Road, Po Box 4550, Iowa City, IA 52244

Office Location

Street Address 720 PACHA PKWY
STE 1
City NORTH LIBERTY
State IA
Zip Code 52317-4797

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750331039 Judith Anderson-bruner Nurse Practitioner 720 Pacha Pkwy, Suite 1, North Liberty, IA 52317-4797 2006-05-10
1649669698 Jaime Bonner Nurse Practitioner 720 Pacha Pkwy, Suite 1, North Liberty, IA 52317-4797 2015-01-14
1265865943 Renee Messerly Physician Assistant 720 Pacha Pkwy, Suite 1, North Liberty, IA 52317-4797 2013-08-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720625478 Loving House of Hearts In Home Supportive Care 1129 Winchester Lane, North Liberty, IA 52317 2019-12-02
1508428673 Sensory Kids Iowa Speech-Language Pathologist 754 Community Drive, Unit H, North Liberty, IA 52317 2019-06-28
1720443948 Sarah Gallagher Social Worker 320 W Cherry St, North Liberty, IA 52317 2015-12-15
1902279797 Emily Sara Logan Social Worker 1785 Curtis Bridge Road Ne, Okerberg and Associates, North Liberty, IA 52317 2015-11-03
1033515408 Ashley Sconzo Contractor 1695 N Jones Blvd Apt 2, North Liberty, IA 52317 2014-11-13
1679900146 Brianna June Clarahan Physical Therapist 1565 Cedar Springs Drive, North Liberty, IA 52317 2013-09-30
1649521121 Ben Cooper Jorgensen Dentist 550 Pond View Dr Ste 2, North Liberty, IA 52317 2012-09-25
1164629937 Mercy Physician Associates, Inc Family Medicine 1765 Lininger Lane, North Liberty, IA 52317 2007-06-27
1023141330 Meadowlark Partners LLC Clinical Neuropsychologist 320 W. Cherry St, North Liberty, IA 52317 2007-03-14
1356352504 Vamc General Acute Care Hospital 640 Black Bear Bend, North Liberty, IA 52317 2006-08-11
Find all providers in zip 52317

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164629937 Mercy Physician Associates, Inc Family Medicine 1765 Lininger Lane, North Liberty, IA 52317 2007-06-27
1316099450 Natalie L Hempy Family Medicine 585 W Cherry St, North Liberty, IA 52317-9797 2007-01-17
1447206289 Sarah Von Harz Family Medicine 420 Community Dr Ste 1, North Liberty, IA 52317-6706 2006-05-25
1932188380 Katharine Jennifer Louis Saunders Family Medicine 1765 Lininger Ln, North Liberty, IA 52317-2335 2006-01-13
1598303216 Katie Lynn Braun Family Medicine 585 W Cherry St, North Liberty, IA 52317-9797 2019-12-12
1982084463 Safa Abukhalil Family Medicine 1765 Lininger Ln, North Liberty, IA 52317-2335 2015-06-01
1124389176 Stacie Ann Kasper Family Medicine 1765 Lininger Ln, North Liberty, IA 52317-2335 2012-06-06
1306118310 Mercy Physician Associates, Inc Family Medicine 1765 Lininger Ln, North Liberty, IA 52317-2316 2012-02-07
1750583605 Erika J Lauer Family Medicine 320 West Cherry Street, North Liberty, IA 52317 2007-06-04
1467504597 Cheryl K Johnson Family Medicine 585 W Cherry St, North Liberty, IA 52317-9797 2007-01-17
Find all providers in NORTH LIBERTY

Competitor

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City NORTH LIBERTY
Zip Code 52317

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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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