COREY MINECK (NPI# 1669586251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669586251 |
| Entity Type | Individual |
| Full Name | COREY MINECK |
| Credential | MD |
| Practice Address |
1601 Nw 114th St Suite 230 Clive IA 50325-7007 |
| Mailing Address |
Po Box 1475 Des Moines IA 50305-1475 |
| Practice Telephone | 5152227761 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2009-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 35983 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0459941 | 05 |
| Street Address |
1601 NW 114TH ST SUITE 230 |
| City | CLIVE |
| State | IA |
| Zip Code | 50325-7007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890611 | Deborah Huber | Nurse Practitioner | 1601 Nw 114th St, Ste 342, Clive, IA 50325-7036 | 2005-06-09 |
| 1578049367 | Elizabeth Rachel Pedersen | Pharmacist | 1601 Nw 114th St, Clive, IA 50325-7007 | 2018-07-14 |
| 1689093551 | Andrea Reser | Physical Therapist | 1601 Nw 114th St, Suite 155, Clive, IA 50325-7007 | 2014-04-08 |
| 1346580735 | Mercy Clinics, Inc | Occupational Therapist | 1601 Nw 114th St, Clive, IA 50325-7007 | 2013-02-21 |
| 1942597315 | Serenity Women's Clinic | Obstetrics & Gynecology | 1601 Nw 114th St, Suite 334, Clive, IA 50325-7007 | 2011-07-06 |
| 1528388998 | Mercy Clinics, Inc | Internal Medicine | 1601 Nw 114th St, Suite 342, Clive, IA 50325-7036 | 2010-06-08 |
| 1689906448 | Kellie Vermett | Specialist/Technologist, Other | 1601 Nw 114th St, Suite 244, Clive, IA 50325-7007 | 2010-02-04 |
| 1538390810 | Janet Lebsack | Occupational Therapist | 1601 Nw 114th St, Suite 155, Clive, IA 50325-7046 | 2009-08-04 |
| 1285874362 | Farhoud Khosravi | Internal Medicine | 1601 Nw 114th St, Suite 342, Clive, IA 50325-7007 | 2009-03-02 |
| 1629229091 | Karen Kraemer | Audiologist | 1601 Nw 114th St, Suite 230, Clive, IA 50325-7007 | 2008-10-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
| 1609426519 | Caroline Silva Pereira Lara Ribeiro | Occupational Therapist | 15500 Boston Parkway, Appt 110, Clive, IA 50325 | 2019-09-13 |
| 1487203873 | Karen Turnure | Technician | 4524 Nw 16th St, Clive, IA 50325 | 2019-09-09 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1811337389 | Metro West Learning Center, LLC | Counselor | 13300 Hickman Rd Ste 110, Clive, IA 50325 | 2013-06-28 |
| 1700110343 | Rodolfo Mallorca Legislador Sr. | Family Medicine | 1665 Nw 97th St., Clive, IA 50325 | 2009-09-30 |
| 1891961900 | Erin Ducharme | Dermatology | 16349 Sheridan Drive, Suite 101, Clive, IA 50325 | 2008-05-08 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| Find all providers in zip 50325 | ||||
| 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 |
|---|---|---|---|---|
| 1083874853 | Jeffrey Ryan Smit | Otolaryngology | 1601 Nw 114th St, Ste: 230, Clive, IA 50325-7007 | 2008-06-14 |
| 1376657957 | Marshall Greiman | Otolaryngology | 1601 Nw 114th St, Suite 230, Clive, IA 50325-7007 | 2006-08-19 |
| 1538273123 | Matthew B Morgan | Otolaryngology | 1601 Nw 114th St, Suite 230, Clive, IA 50325-7007 | 2006-08-19 |
| 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.