DR. DOV ROTENBERG (NPI# 1558303222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558303222 |
| Entity Type | Individual |
| Full Name | DR. DOV ROTENBERG |
| Credential | M.D. |
| Practice Address |
2710 Saint Francis Dr Suite 411 Waterloo IA 50702-5619 |
| Mailing Address |
2101 Kimball Ave Ll14 Waterloo IA 50702-5063 |
| Practice Telephone | 3192725000 |
| Practice Fax Number | 3192725825 |
| Mailing Telephone | 3192721590 |
| Mailing Fax Number | 3192721535 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 29034 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 7093575 | 05 |
| Street Address |
2710 SAINT FRANCIS DR SUITE 411 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166390 | Lisa M Coleman | Dietitian, Registered | 2710 Saint Francis Dr, Suite 510, Waterloo, IA 50702-5619 | 2005-09-28 |
| 1003303165 | Summer Morgan Lenth | Nurse Practitioner | 2710 Saint Francis Dr, Waterloo, IA 50702-5619 | 2018-04-15 |
| 1033621586 | Hilary Pates | Counselor | 2710 Saint Francis Dr, Waterloo, IA 50702-5619 | 2017-10-24 |
| 1447676812 | Katherine Renner | Pharmacist | 2710 Saint Francis Dr, Suite 510, Waterloo, IA 50702-5619 | 2014-03-10 |
| 1649611567 | Toni Lynn Luck | Nurse Practitioner | 2710 Saint Francis Dr, Suite 319, Waterloo, IA 50702-5619 | 2013-07-08 |
| 1275809584 | Marietta Elizabeth Walsh | Neurological Surgery | 2710 Saint Francis Dr, Suite 110, Waterloo, IA 50702-5619 | 2012-03-30 |
| 1902174584 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 2710 Saint Francis Dr, #411, Waterloo, IA 50702-5619 | 2011-12-09 |
| 1851671192 | Melissa Ann Groeneveld | Nurse Practitioner | 2710 Saint Francis Dr, Suite 419, Waterloo, IA 50702-5619 | 2011-08-18 |
| 1336428697 | Victor Adam Abrich | Internal Medicine | 2710 Saint Francis Dr, Ste 320, Waterloo, IA 50702-5620 | 2011-08-04 |
| 1821301649 | Kristin Marie Davis | Nurse Practitioner | 2710 Saint Francis Dr, Ste 111, Waterloo, IA 50702-5619 | 2010-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467446401 | Ann F Bell | Otolaryngology | 2710 St Francis Dr Ste 411, Waterloo, IA 50702-5634 | 2005-09-06 |
| 1720035900 | William Richards Burgman | Otolaryngology | 2710 Saint Francis Dr, Suite 411, Waterloo, IA 50702 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134658552 | Kristen Leigh Seligman | Otolaryngology | 200 Hawkins Dr, Dept of Otolaryngology, Iowa City, IA 52242-1009 | 2017-06-08 |
| 1316389653 | Koch Facial Plastic Surgery PC | Otolaryngology | 4855 Mills Civic Parkway #100, West Des Moines, IA 50265 | 2013-07-29 |
| 1770835563 | Charles Douglas Jons | Otolaryngology | 2916 Forest Hills Dr, Ames, IA 50014-3583 | 2012-10-04 |
| 1457606584 | Lindsay Jo Sturm | Otolaryngology | 2122 Leopold Dr, Ames, IA 50010-4499 | 2012-07-15 |
| 1992099402 | Stephanie Lanae Burger | Otolaryngology | 2730 Pierce St Ste 204, Sioux City, IA 51104-3764 | 2011-06-01 |
| 1245380237 | Michael Crawford | Otolaryngology | 320 Mckenzie Ave Ste 202, Council Bluffs, IA 51503-1002 | 2007-01-11 |
| 1356451421 | Kurtis David Korver | Otolaryngology | 700 Juneau Ave Se, Orange City, IA 51041 | 2006-08-30 |
| 1184682189 | Douglas R Hoisington | Otolaryngology | 2600 Westown Pkwy Ste 360, West Des Moines, IA 50266-7306 | 2006-05-02 |
| 1205893781 | Gordon Ray Johnson | Otolaryngology | 3906 Lillie Ave., Suite 1, Davenport, IA 52806-4432 | 2006-04-27 |
| 1548241037 | Craig Charles Herther | Otolaryngology | 310 N Grandview Ave, Dubuque, IA 52001-6388 | 2005-11-10 |
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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.