DR. RODJAWAN SUPAKUL (NPI# 1730463720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730463720 |
| Entity Type | Individual |
| Full Name | DR. RODJAWAN SUPAKUL |
| Credential | M.D. |
| Practice Address |
855 A Ave Ne Ste 400 Cedar Rapids IA 52402-5064 |
| Practice Telephone | 3193633565 |
| Practice Fax Number | 3193634001 |
| Mailing Telephone | (319) 363-3565 |
| Mailing Fax Number | 3193634001 |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2017-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD-43716 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
855 A AVE NE STE 400 |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402-5064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821280207 | Vijaya Kumar Gogineni | Internal Medicine | 855 A Ave Ne Ste 400, Cedar Rapids, IA 52402-5064 | 2007-08-09 |
| 1457988875 | Kirstan Marie Wanninger | Nurse Practitioner | 855 A Ave Ne Ste 400, Cedar Rapids, IA 52402-5064 | 2020-03-25 |
| 1790167344 | Kristin A Baker | Nurse Practitioner | 855 A Ave Ne Ste 400, Cedar Rapids, IA 52402-5064 | 2015-06-19 |
| 1558674176 | Hafiz Rizwan Talib Hashmi | Internal Medicine | 855 A Ave Ne Ste 400, Cedar Rapids, IA 52402-5064 | 2010-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
| 1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
| 1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
| 1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
| 1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
| Find all providers in zip 52402 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184988453 | Hassan Sajjad | Internal Medicine | 788 8th Ave Se Ste 200, Cedar Rapids, IA 52401 | 2012-07-01 |
| 1821280207 | Vijaya Kumar Gogineni | Internal Medicine | 855 A Ave Ne Ste 400, Cedar Rapids, IA 52402-5064 | 2007-08-09 |
| 1558674176 | Hafiz Rizwan Talib Hashmi | Internal Medicine | 855 A Ave Ne Ste 400, Cedar Rapids, IA 52402-5064 | 2010-07-24 |
| 1508008566 | Brian D. Lindsay | Internal Medicine | 855 A Ave Ne, Suite 400, Cedar Rapids, IA 52402-5057 | 2009-04-06 |
| 1477739985 | Respiratory and Critical Care Associates | Internal Medicine | 600 7th St Se, Cedar Rapids, IA 52401-2112 | 2008-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231229 | Melissa Sue Wright | Internal Medicine | 2730 Pierce St Ste 401, Sioux City, IA 51104-3766 | 2018-07-15 |
| 1871849208 | Brian Mccullagh | Internal Medicine | 200 Hawkins Drive, C33 Gh, Iowa, IA 52242 | 2012-08-03 |
| 1902810575 | William Lister Dull | Internal Medicine | 321 E Market St, Ste 106, Iowa City, IA 52245-2176 | 2006-07-28 |
| 1912950205 | James Patrick Cafaro | Internal Medicine | 146 W Dale St Ste 203, Waterloo, IA 50703-1901 | 2006-05-18 |
| 1407819816 | Steven K Zorn | Internal Medicine | 4060 Westown Pkwy, West Des Moines, IA 50266 | 2006-04-07 |
| 1104891704 | Akshay Kantilal Mahadevia | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1578542155 | Quad City Pulmonary Consultants Plc | Internal Medicine | 1230 E Rusholme St Ste 105, Davenport, IA 52803-2400 | 2006-01-12 |
| 1083604748 | Sugata Sensarma | Internal Medicine | 540 E Jefferson St Ste 301, Iowa City, IA 52245-2460 | 2005-10-25 |
| 1326043514 | Naveen R Kanathur | Internal Medicine | 4480 Utica Ridge Rd, Suite 108, Bettendorf, IA 52722-1656 | 2005-06-15 |
| 1619409331 | Miles David Hagner | Internal Medicine | 200 Hawkins Dr Dept of Internal Medicine, Iowa City, IA 52242-1009 | 2017-03-31 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
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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.