ROBERT C WIEDERIEN (NPI# 1497741896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497741896 |
Entity Type | Individual |
Full Name | ROBERT C WIEDERIEN |
Credential | PT, DPT |
Practice Address |
500 Newton Rd 1-256 Medical Education Building Iowa City IA 52242-5224 |
Mailing Address |
34 Chad Ct Coralville IA 52241-3228 |
Practice Telephone | 8082953309 |
Mailing Telephone | 8082953309 |
Enumeration Date | 2005-09-22 |
Last Update Date | 2020-07-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251S0007X |
Physical Therapist Specialization: Sports |
IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
500 NEWTON RD 1-256 MEDICAL EDUCATION BUILDING |
City | IOWA CITY |
State | IA |
Zip Code | 52242-5224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124112719 | James Stacey Klutts | Pathology | 500 Newton Rd, Dept of Pathology, Room 137 Mrc, Univ. of Iowa Com, Iowa City, IA 52242 | 2006-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
Find all providers in zip 52242 |
Taxonomy Code | 2251S0007X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689200263 | Fit Life Therapies Pllc | Physical Therapist | 6816 Mill Pond Dr, Urbandale, IA 50322-8031 | 2020-03-16 |
1225326754 | Blake David Reinke | Physical Therapist | 1008 18th St, Spirit Lake, IA 51360-1014 | 2011-07-18 |
1073098372 | Alyssa Dlouhy | Physical Therapist | 233 S 2nd St, West Branch, IA 52358 | 2018-10-02 |
1750811212 | Dennis A Keefe | Physical Therapist | 901 Montgomery St, Decorah, IA 52101-2325 | 2017-06-18 |
1841595535 | Detlef James Maltas | Physical Therapist | 6000 University Ave Ste 250, West Des Moines, IA 50266-8206 | 2011-01-11 |
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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.