DR. GARY A KNUDSON (NPI# 1700813441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700813441 |
| Entity Type | Individual |
| Full Name | DR. GARY A KNUDSON |
| Credential | MD |
| Practice Address |
2710 Saint Francis Dr Suite 319 Waterloo IA 50702-5619 |
| Mailing Address |
2101 Kimball Ave Ll14 Waterloo IA 50702-5063 |
| Practice Telephone | 3192725000 |
| Practice Fax Number | 3912724780 |
| Mailing Telephone | 3192721590 |
| Mailing Fax Number | 3192721535 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 32397 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1957670 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023163144 | Gary L Knudson | Social Worker | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2007-01-25 |
| Street Address |
2710 SAINT FRANCIS DR SUITE 319 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166390 | Lisa M Coleman | Dietitian, Registered | 2710 Saint Francis Dr, Suite 510, Waterloo, IA 50702-5619 | 2005-09-28 |
| 1003303165 | Summer Morgan Lenth | Nurse Practitioner | 2710 Saint Francis Dr, Waterloo, IA 50702-5619 | 2018-04-15 |
| 1033621586 | Hilary Pates | Counselor | 2710 Saint Francis Dr, Waterloo, IA 50702-5619 | 2017-10-24 |
| 1447676812 | Katherine Renner | Pharmacist | 2710 Saint Francis Dr, Suite 510, Waterloo, IA 50702-5619 | 2014-03-10 |
| 1649611567 | Toni Lynn Luck | Nurse Practitioner | 2710 Saint Francis Dr, Suite 319, Waterloo, IA 50702-5619 | 2013-07-08 |
| 1275809584 | Marietta Elizabeth Walsh | Neurological Surgery | 2710 Saint Francis Dr, Suite 110, Waterloo, IA 50702-5619 | 2012-03-30 |
| 1902174584 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 2710 Saint Francis Dr, #411, Waterloo, IA 50702-5619 | 2011-12-09 |
| 1851671192 | Melissa Ann Groeneveld | Nurse Practitioner | 2710 Saint Francis Dr, Suite 419, Waterloo, IA 50702-5619 | 2011-08-18 |
| 1336428697 | Victor Adam Abrich | Internal Medicine | 2710 Saint Francis Dr, Ste 320, Waterloo, IA 50702-5620 | 2011-08-04 |
| 1821301649 | Kristin Marie Davis | Nurse Practitioner | 2710 Saint Francis Dr, Ste 111, Waterloo, IA 50702-5619 | 2010-07-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174559447 | Arnold Eugene Delbridge | Orthopaedic Surgery | 164 West Dale St, Waterloo, IA 50703-1925 | 2006-06-25 |
| 1861448128 | Christopher L Eagan | Orthopaedic Surgery | 2750 Saint Francis Dr, Ste 319, Waterloo, IA 50702-5644 | 2006-05-26 |
| 1417900705 | Jay Paul Ginther | Orthopaedic Surgery | 4006 Johnathan St, Suite B, Waterloo, IA 50701-9395 | 2006-05-18 |
| 1356789390 | Mark Gorsche | Orthopaedic Surgery | 1631 Logan Ave, Waterloo, IA 50703 | 2013-06-12 |
| 1346509403 | Parkcrest Orthopedics LLC | Orthopaedic Surgery | 509 Hamacher St, Ste 202, Waterloo, IL 62298-1592 | 2012-05-10 |
| 1851411532 | Robert Boyd Bartelt | Orthopaedic Surgery | 1631 Logan Ave, Waterloo, IA 50703 | 2007-03-29 |
| 1750317756 | Richard W. Naylor | Orthopaedic Surgery | 2710 Saint Francis Dr, Suite 319, Waterloo, IA 50702-5619 | 2006-06-23 |
| 1821042516 | Jim Eldon Crouse | Orthopaedic Surgery | 1753 W Ridgeway Ave, Ste 103 B, Waterloo, IA 50701-4521 | 2006-05-19 |
| 1568416196 | Thomas Stewart Gorsche | Orthopaedic Surgery | 1631 Logan Ave, Waterloo, IA 50703 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740660802 | Mercy Medical Center - Newton | Orthopaedic Surgery | 300 N 4th Ave E Ste C, Newton, IA 50208-3155 | 2015-06-04 |
| 1891057550 | Cnos, PC | Orthopaedic Surgery | 2735 Outer Drive N, Sioux City, IA 51104-1590 | 2012-06-08 |
| 1568730323 | Jonathan D Winston | Orthopaedic Surgery | 2300 53rd Ave Ste 100, Bettendorf, IA 52722-7565 | 2011-12-08 |
| 1770874034 | Megan Crosmer | Orthopaedic Surgery | 3385 Dexter Ct Ste 300, Davenport, IA 52807-3471 | 2011-04-21 |
| 1457672719 | Paul Butler | Orthopaedic Surgery | 350 Ne 36th St Ste 213, Ankeny, IA 50021-6728 | 2010-06-21 |
| 1164690574 | Md West One, PC | Orthopaedic Surgery | 201 Ridge St Ste 311, Council Bluffs, IA 51503-4643 | 2008-02-19 |
| 1487849527 | Joseph Albert Brunkhorst IIi | Orthopaedic Surgery | 350 Ne 36th St, Ankeny, IA 50021-6728 | 2007-09-12 |
| 1942409172 | David S. Tearse M.d., LLC | Orthopaedic Surgery | 112 14th St Se, Cedar Rapids, IA 52403-4025 | 2007-07-17 |
| 1134334006 | Jason Stanford | Orthopaedic Surgery | 516 Division St Ste 125, Cedar Falls, IA 50613-2380 | 2007-05-13 |
| 1982756284 | The Grinnell Institute for Bone Health | Orthopaedic Surgery | 810 Commercial St., Grinnell, IA 50112 | 2007-01-17 |
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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.