MATTHEW D DANILSON (NPI# 1669669628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669669628 |
| Entity Type | Individual |
| Full Name | MATTHEW D DANILSON |
| Credential | PA- C |
| Practice Address |
12499 University Ave Suite 210 Clive IA 50325-8281 |
| Practice Telephone | 5154402676 |
| Practice Fax Number | 5154402677 |
| Mailing Telephone | 5154402676 |
| Mailing Fax Number | 5154402677 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2013-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 2199 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
002044 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1112 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCCPA | 1079661 | 01 |
| Street Address |
12499 UNIVERSITY AVE SUITE 210 |
| City | CLIVE |
| State | IA |
| Zip Code | 50325-8281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033561295 | Paula Elizabeth Stageman | Nurse Practitioner | 12499 University Ave, Suite 280, Clive, IA 50325-8288 | 2016-07-11 |
| 1699177360 | Trisha Hittenmiller | Nurse Practitioner | 12499 University Ave, Ste 200, Clive, IA 50325-8281 | 2014-09-24 |
| 1275886053 | Beth Joann Macpherson | Audiologist | 12499 University Ave, Suite 200, Clive, IA 50325-8288 | 2012-10-18 |
| 1932432457 | Capital Orthopaedics and Sports Medicine PC | Orthopaedic Surgery | 12499 University Ave, Suite 210, Clive, IA 50325-8281 | 2009-09-16 |
| 1407085103 | Todd Charles Peterson | Orthopaedic Surgery | 12499 University Ave, Clive, IA 50325-8288 | 2009-07-02 |
| 1780818138 | Iowa Ear Center | Specialist | 12499 University Ave, Suite 200, Clive, IA 50325-8288 | 2009-05-13 |
| 1861614646 | Matthew J Carfrae | Otolaryngology | 12499 University Ave, Ste 200, Clive, IA 50325-8281 | 2007-05-03 |
| 1962547356 | Jill A Frerichs | Podiatrist | 12499 University Ave, Suite 210, Clive, IA 50325-8288 | 2007-02-21 |
| 1497809859 | Gregory J Yanish | Surgery | 12499 University Ave, Ste. 210, Clive, IA 50325-8288 | 2007-01-23 |
| 1134277429 | Sarah M Fugleberg | Audiologist | 12499 University Ave, Ste 200, Clive, IA 50325-8281 | 2007-01-05 |
| Find all providers in the same location | ||||
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710406590 | Jordan Lee Reiner | Physician Assistant | 12499 University Ave Ste 210, Clive, IA 50325-8288 | 2017-09-13 |
| 1609473842 | Hannah Marissa Lester | Physician Assistant | 12499 University Ave Ste 210, Clive, IA 50325-8288 | 2020-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932607009 | Margaret Mary Storbakken | Physician Assistant | 200 Hawkins Dr Ste 1562, Iowa City, IA 52242-1009 | 2018-01-24 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1629140041 | Joel E Rand | Physician Assistant | 411 Laurel St Ste 2100, Des Moines, IA 50314-3026 | 2006-11-14 |
| 1073511572 | Stephen Edward Gunn | Physician Assistant | 200 Hawkins Drive, Se 500 Gh, Iowa City, IA 52242 | 2005-07-08 |
| 1154937001 | Christopher Randall | Physician Assistant | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2020-09-16 |
| 1114580495 | Amanda C Mcdonagh | Physician Assistant | 788 8th Ave Se Ste 300, Cedar Rapids, IA 52401-2106 | 2019-04-22 |
| 1184182305 | Ryan E Anderson | Physician Assistant | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2019-03-06 |
| 1760952238 | Kyle J Kroymann | Physician Assistant | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-11-27 |
| 1376028845 | Mikal Kidder | Physician Assistant | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2018-10-01 |
| 1578040119 | Bryan Foster | Physician Assistant | 5880 University Ave Ste 103, West Des Moines, IA 50266-8209 | 2018-07-26 |
| 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.