RUSSELL EVAN BANDSTRA (NPI# 1619948098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619948098 |
| Entity Type | Individual |
| Full Name | RUSSELL EVAN BANDSTRA |
| Credential | M.D. |
| Practice Address |
122 4th Ave Grinnell IA 50112-1829 |
| Practice Telephone | 6412364323 |
| Practice Fax Number | 6412363411 |
| Mailing Telephone | 6412364323 |
| Mailing Fax Number | 6412363411 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2007-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 28246 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
122 4TH AVE |
| City | GRINNELL |
| State | IA |
| Zip Code | 50112-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588651129 | Stefanie Noun | Physician Assistant | 122 4th Ave, Grinnell, IA 50112-1829 | 2005-09-29 |
| 1215191523 | Mathew Severidt | Specialist | 122 4th Ave, Grinnell, IA 50112-1829 | 2008-07-16 |
| 1265692651 | Jarrod Duane Phelps | Physician Assistant | 122 4th Ave, Grinnell, IA 50112-1829 | 2008-06-10 |
| 1871614149 | Aaron Christopher Smith | Urology | 122 4th Ave, Grinnell, IA 50112-1829 | 2007-04-03 |
| 1538134275 | Stephen Merrill Sundberg | Surgery | 122 4th Ave, Grinnell, IA 50112-1829 | 2006-02-17 |
| 1033183884 | Surgical Associates, LLP | Surgery | 122 4th Ave, Grinnell, IA 50112-1829 | 2006-02-16 |
| 1780655191 | David D Coster | Surgery | 122 4th Ave, Grinnell, IA 50112-1829 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912451642 | Renfrow Senior Care | Internal Medicine | 120 W. St., Grinnell, IA 50112 | 2016-08-11 |
| 1114324605 | Grinnell Health Care Center, LLC | Skilled Nursing Facility | 415 S 6th Street, Grinnell, IA 50112 | 2014-11-26 |
| 1972907061 | Katie M Little | Counselor | 821 5th Ave Ste 401, Grinnell, IA 50112 | 2014-10-17 |
| 1366606287 | Kara Collings | Optometrist | 619 6th Ave, Grinnell, IA 50112 | 2008-07-10 |
| 1053510123 | Jennifer Davis | Speech-Language Pathologist | 79 Sixth Ave, Grinnell, IA 50112 | 2007-07-17 |
| 1306059506 | Grinnell Regional Medical Center, Inc | Anesthesiology | 210 Fourth Avenue, Grinnell, IA 50112 | 2007-05-07 |
| 1609906510 | Poweshiek County Case Management | Case Management | 120 W. Street, Grinnell, IA 50112 | 2007-03-07 |
| 1982756284 | The Grinnell Institute for Bone Health | Orthopaedic Surgery | 810 Commercial St., Grinnell, IA 50112 | 2007-01-17 |
| 1689771412 | Brandon L Davis | Psychologist | 200 4th Ave West, Grinnell, IA 50112 | 2006-09-20 |
| 1740240456 | Beth Mi Gallegos | Social Worker | 807 4th, Grinnell, IA 50112 | 2006-03-25 |
| Find all providers in zip 50112 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871614149 | Aaron Christopher Smith | Urology | 122 4th Ave, Grinnell, IA 50112-1829 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871944017 | Ahmed Alkaram | Urology | 1229 Hunters Run, Iowa City, IA 52246-8670 | 2016-06-29 |
| 1548414188 | Garrett Steven Korrect | Urology | 1215 Duff Avenue., Mcfarland Clinic. PC, Ames, IA 50010-3014 | 2008-11-10 |
| 1083898779 | Alexandria Urology P.C. | Urology | 112 Park Lane, Room 5, Waterloo, IA 50701 | 2007-12-18 |
| 1194930081 | Damon J. Dyche | Urology | 1215 Duff Ave., Mcfarland Clinic, PC, Ames, IA 50010-3014 | 2007-05-14 |
| 1407831365 | Burlington Urology PC | Urology | 400 S Broadway St, Burlington, IA 52601 | 2005-12-13 |
| 1124018999 | Paul E.l. Richardson | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2005-10-24 |
| 1679567663 | Richard L Glowacki | Urology | 1350 Des Moines St Ste 100, Des Moines, IA 50309-5507 | 2005-09-06 |
| 1801889472 | Markham J Anderson | Urology | 2943 Northgate Dr, Iowa City, IA 52245-9571 | 2005-08-29 |
| 1003818493 | Fawad Sabooh Zafar | Urology | 13682 Lake Shore Dr, Clive, IA 50325-8640 | 2005-08-15 |
| 1205834793 | Gordon Goldsmith | Urology | 2943 Northgate Drive, Iowa City, IA 52245 | 2005-07-08 |
| Find all providers with the same taxonomy | ||||
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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.