DR. KELSEY LEE HARVEY (NPI# 1710278486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710278486 |
| Entity Type | Individual |
| Full Name | DR. KELSEY LEE HARVEY |
| Credential | D.P.M. |
| Practice Address |
44 Brookeridge Dr Waterloo IA 50701-5214 |
| Practice Telephone | 3192342644 |
| Practice Fax Number | 3192344938 |
| Mailing Telephone | 3192342644 |
| Mailing Fax Number | 3192344938 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2014-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000845 | IA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1710278486 | 05 | |
| IA | UNITED HEALTHCARE | 1710278486 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336799063 | Kelsey Marie Harvey | Physician Assistant | 686 Stoneleigh Ave, Carmel, NY 10512-3931 | 2019-09-15 |
| Street Address |
44 BROOKERIDGE DR |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-5214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982699831 | Stephen Solomon | Podiatrist | 44 Brookeridge Dr, Waterloo, IA 50701-5214 | 2005-09-16 |
| 1114215415 | Michael A. Murdock | Podiatrist | 44 Brookeridge Dr, Waterloo, IA 50701-5214 | 2011-07-20 |
| 1356387799 | Northeast Iowa Podiatry PC | Podiatrist | 44 Brookeridge Dr, Waterloo, IA 50701-5214 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306408125 | Trent Boyer | Podiatrist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2019-07-01 |
| 1306322201 | Erica Seybold | Podiatrist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2018-07-13 |
| 1578058962 | Dallen Pope | Podiatrist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2018-06-27 |
| 1043627292 | Travis Tidwell | Podiatrist | 2710 Saint Francis Dr Ste 510, Waterloo, IA 50702-5620 | 2014-07-21 |
| 1013944412 | Ronald M Kane | Podiatrist | 2710 Saint Francis Dr, Suite 210, Waterloo, IA 50702-5619 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744749 | Foot and Ankle Specialists of Ames, LLC | Podiatrist | 1606 S Duff Ave Ste 500, Ames, IA 50010-8156 | 2020-09-11 |
| 1659842045 | Iowa Foot Care Center LLC | Podiatrist | 217 Duff Ave Ste 2, Ames, IA 50010-6609 | 2018-12-10 |
| 1114417078 | Heartland Foot & Ankle Clinic PC | Podiatrist | 2850 Mount Pleasant St Ste 103, Burlington, IA 52601-2002 | 2018-05-16 |
| 1104316108 | Family Foot Care Clinic, PC | Podiatrist | 3200 F Avenue Nw, Cedar Rapids, IA 52405 | 2018-05-15 |
| 1952846321 | Swfac Plc | Podiatrist | 631 N. 8th St., Missouri Valley, IA 51555 | 2016-12-21 |
| 1811367535 | Swfac Plc | Podiatrist | 1101 East 7th Street, Atlantic, IA 50022 | 2015-10-07 |
| 1578946018 | Donald Godfree Jr. | Podiatrist | 3600 30th St Dept Of, Des Moines, IA 50310-5753 | 2015-07-01 |
| 1811303480 | Jennifer Lee Hall | Podiatrist | 5950 University Ave Ste 160, West Des Moines, IA 50266 | 2014-07-03 |
| 1760894323 | Drew Michael Davidson | Podiatrist | 255 Sw Brookside Dr, Ste 200, Grimes, IA 50111-5244 | 2014-05-29 |
| 1609201227 | Patricia A Russo | Podiatrist | 2958 Ingram Ave, Melbourne, IA 50162-9559 | 2013-09-13 |
| 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.