MIDWEST DYSPHAGIA DIAGNOSTICS (NPI# 1689208084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689208084 |
| Entity Type | Organization |
| Organization Name | MIDWEST DYSPHAGIA DIAGNOSTICS |
| Practice Address |
14452 280th St Radcliffe IA 50230-8018 |
| Practice Telephone | 3193507323 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | KATHRYN M DECKER (OWNER/PRESIDENT) |
| Authorized Official Telephone | 3193507323 |
| Authorized Official Credential | M.A. CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MIDWEST DYSPHAGIA DIAGNOSTICS LLC | 14452 280th St., Radcliffe, IA 50230 |
| Street Address |
14452 280TH ST |
| City | RADCLIFFE |
| State | IA |
| Zip Code | 50230-8018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306382718 | Kathryn Decker | Speech-Language Pathologist | 14452 280th St, Radcliffe, IA 50230-8018 | 2017-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255377768 | Patrick Andrew Favazza | Specialist/Technologist | 178/832 Moo7, Hang Dong, Chiang Mai, CHAING MAI 50230 | 2006-06-22 |
| 1689846248 | City of Radcliffe | Ambulance | 310 Isabella St, Radcliffe, IA 50230-1102 | 2008-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689846248 | City of Radcliffe | Ambulance | 310 Isabella St, Radcliffe, IA 50230-1102 | 2008-03-24 |
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710443445 | Northland Hearing Center, Inc. | Clinic/Center | 2401 4th St Sw Ste B, Waverly, IA 50677-4329 | 2019-02-19 |
| 1619444668 | Lutheran Retirement Home, Inc. | Clinic/Center | 700 10th St N, Northwood, IA 50459-1092 | 2018-10-29 |
| 1720564511 | Hearing Healthcare Centers LLC | Clinic/Center | 1011 Simms Ave, Council Bluffs, IA 51503-0579 | 2018-07-14 |
| 1295230803 | Clarity Speech Therapy, Pllc | Clinic/Center | 414 N 3rd St Ste 14, Fairfield, IA 52556-2466 | 2018-03-26 |
| 1043520497 | Accuquest Hearing Center | Clinic/Center | 220 W Salem Ave, Indianola, IA 50125-2421 | 2010-10-19 |
| 1760792113 | Accuquest Hearing Center | Clinic/Center | 1003 8th St Sw Ste J, Altoona, IA 50009-2350 | 2010-10-19 |
| 1821589656 | Northland Hearing Center, Inc. | Clinic/Center | 1704 W 1st St, Cedar Falls, IA 50613-1841 | 2018-05-29 |
| 1477937019 | Professional Hearing Services, Inc. | Clinic/Center | 1500 Center St Ne Ste 102, Cedar Rapids, IA 52402-5500 | 2015-07-14 |
| 1205132123 | Iowa Speech Therapy, LLC | Clinic/Center | 118 E Main St, Suite B, Anamosa, IA 52205-1871 | 2011-02-10 |
| 1487881397 | Pacifica Health Services LLC | Clinic/Center | 4911 Sw 19th St, Des Moines, IA 50315-4487 | 2009-06-18 |
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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.