DUBUQUE RADIOLOGICAL ASSOCIATES, PC (NPI# 1619925260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619925260 |
| Entity Type | Organization |
| Organization Name | DUBUQUE RADIOLOGICAL ASSOCIATES, PC |
| Practice Address |
350 N Grandview Ave Dubuque IA 52001-6392 |
| Mailing Address |
998 Fremont Ave Ste L5 Po Box 1655 Dubuque IA 52003-0300 |
| Practice Telephone | 5635821881 |
| Practice Fax Number | 5635892491 |
| Mailing Telephone | 5635566895 |
| Mailing Fax Number | 5635563618 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2014-02-20 |
| Authorized Official Name | KIRBY CLARK (PRESIDENT) |
| Authorized Official Telephone | 5635566895 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0147348 | 05 | |
| IL | BLUE SHIELD | 4323751 | 01 |
| IA | WELLMARK OFFICE LOCATION | 04719 | 01 |
| IA | WELLMARK FINLEY | 30951 | 01 |
| IA | WELLMARK MAQUOKETA LOCATI | 32663 | 01 |
| WI | 32651500 | 05 | |
| IA | 0145417 | 05 |
| Street Address |
350 N GRANDVIEW AVE |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52001-6392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171349 | David Kurtz | Family Medicine | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2005-08-19 |
| 1497229991 | Lucas Evett | Physician Assistant | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2019-01-17 |
| 1558844852 | Steven Bryan Jones | Registered Nurse | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2018-09-12 |
| 1407340268 | Alexander Koch | Specialist/Technologist | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2018-06-15 |
| 1326541871 | Halo Health & Pain Management LLC | Nurse Practitioner | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2018-03-12 |
| 1275067985 | Chelsea Roth | Dietitian, Registered | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2017-04-19 |
| 1366976110 | Maureen Kay Olson | Dietitian, Registered | 350 N Grandview Ave, Unity Point Health Finley Hospital, Food Service, Dubuque, IA 52001-6388 | 2017-04-19 |
| 1558810978 | Angelique Mccoy | Nurse Practitioner | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2016-09-27 |
| 1376908897 | The Finley Hospital | Orthopaedic Surgery | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2015-12-29 |
| 1699147124 | Lorraine Jane Lorenz | Dietitian, Registered | 350 N Grandview Ave, Dubuque, IA 52001 | 2015-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
| 1710496427 | Ryan Michael Chatfield | Counselor | 799 Main St. Suite 110, Dubuque, IA 52001 | 2017-09-26 |
| 1396274791 | Patricia Ochs | Social Worker | 200 Mercy Dr., Ste. 200, Dubuque, IA 52001 | 2017-06-08 |
| 1770025264 | Young Men's Christian Association of Dubuque, Iowa | Health Educator | 35 North Booth Street, Dubuque, IA 52001 | 2016-11-15 |
| 1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
| 1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
| 1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
| 1376815209 | Umeka Latasha Lewis | Adult Companion | 1308 1/2 Jackson St, Dubuque, IA 52001 | 2012-02-08 |
| 1861777450 | Kevin Joseph Natzke | Pharmacist | 250 Mercy Drvie, Mercy Family Pharmacy, Dubuque, IA 52001 | 2011-10-15 |
| 1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
| Find all providers in zip 52001 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033189105 | Gregory Richard Grotz | Radiology | 350 North Grandview, Dubuque, IA 52001-6392 | 2006-01-23 |
| 1942293220 | Stephen Michael Clifford | Radiology | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2005-08-23 |
| 1376536524 | Jason David Hughes | Radiology | 2700 Arbor Hills Dr, Dubuque, IA 52001-1597 | 2005-08-23 |
| 1134356322 | Thomas J Knudtson | Radiology | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2009-06-16 |
| 1013132034 | Edward James Hannon | Radiology | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2007-04-16 |
| 1326083874 | Barbara L Knisely | Radiology | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2006-06-18 |
| 1033161096 | John Daniel Engelken | Radiology | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2006-05-17 |
| 1013968205 | Mercy Radiologists of Dubuque, P.C. | Radiology | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2006-05-13 |
| 1194799577 | Michael Andrew Riley | Radiology | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2006-02-14 |
| 1801885900 | John Colin Kirkpatrick | Radiology | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2005-10-20 |
| Find all providers in DUBUQUE | ||||
Please comment or provide details below to improve the information on DUBUQUE RADIOLOGICAL ASSOCIATES, PC.
| 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.