CEDAR VALLEY MEDICAL SPECIALISTS PC (NPI# 1750336491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750336491 |
| Entity Type | Organization |
| Organization Name | CEDAR VALLEY MEDICAL SPECIALISTS PC |
| Practice Address |
4612 Prairie Pkwy Cedar Falls IA 50613-7971 |
| Mailing Address |
Po Box 2758 Waterloo IA 50704-2758 |
| Practice Telephone | 3194727222 |
| Mailing Telephone | 3198335922 |
| Mailing Fax Number | 3198335923 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | GILMORE JOHN IREY (CEO) |
| Authorized Official Telephone | 3192355390 |
| Is Organization Subpart | Y |
| Parent Organization Name | CEDAR VALLEY MEDICAL SPECIALISTS PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0285148 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1753 W Ridgeway Ave, Ste 103, Waterloo, IA 507014588 | 3198335922 | 3198335922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881150886 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 2405 Rock Island Rd, Oelwein, IA 50662-3102 | 2019-02-14 |
| 1497794242 | Cedar Valley Medical Specialists PC | Allergy & Immunology | 4150 Kimball Ave, Waterloo, IA 50704-2758 | 2006-06-06 |
| 1346295011 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 105 20th St Nw, Waverly, IA 50677-2059 | 2006-05-23 |
| 1760437453 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 1661 W Ridgeway Ave, Waterloo, IA 50701-4541 | 2006-05-23 |
| 1992759328 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 1600 1st St East, Independence, IA 50644-3155 | 2006-05-20 |
| 1346294782 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 5165 Division St, Cedar Falls, IA 50613-2380 | 2006-05-20 |
| 1821042318 | Cedar Valley Medical Specialists PC | Clinic/Center | 405 Highway 150 N, West Union, IA 52175-1003 | 2006-05-20 |
| 1659934180 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 502 N 9th Ave, Vinton, IA 52349-2254 | 2019-04-19 |
| 1083105779 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 709 W Main St, Manchester, IA 52057-1526 | 2018-05-29 |
| 1568417293 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 909 E San Marnan Dr, Waterloo, IA 50702-5611 | 2006-05-23 |
| Street Address |
4612 PRAIRIE PKWY |
| City | CEDAR FALLS |
| State | IA |
| Zip Code | 50613-7971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972556330 | Roswell Maccallum Johnston | Orthopaedic Surgery | 4612 Prairie Pkwy, Cedar Falls, IA 50613-7971 | 2006-05-18 |
| 1972165116 | Taylor Joseph Kettman | Physical Therapist | 4612 Prairie Pkwy, Cedar Falls, IA 50613-7971 | 2019-07-08 |
| 1811422108 | Elysia Anne Jones | Nurse Practitioner | 4612 Prairie Pkwy, Cedar Falls, IA 50613-7971 | 2017-04-25 |
| 1326412719 | Mary C. Nading | Physician Assistant | 4612 Prairie Pkwy, Cedar Falls, IA 50613-7971 | 2015-11-23 |
| 1467821975 | Cari Graham | Physical Therapist | 4612 Prairie Pkwy, Cedar Falls, IA 50613-7971 | 2015-09-15 |
| 1952786998 | Elizabeth Mary Shover | Nurse Practitioner | 4612 Prairie Pkwy, Cedar Falls, IA 50613-7971 | 2015-07-20 |
| 1841446382 | Benjamin L Torrez | Orthopaedic Surgery | 4612 Prairie Pkwy, Cedar Falls, IA 50613-7971 | 2008-08-15 |
| 1871516112 | Todd Loring Johnston | Orthopaedic Surgery | 4612 Prairie Pkwy, Cedar Falls, IA 50613-7971 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315424 | Travis Ray Turner | Pharmacist | 6301 University Ave., A3 College Square Mall, Cedar Falls, IA 50613 | 2020-01-09 |
| 1770047078 | Jake Hanson | Chiropractor | 204 W Seerley Blvd, Cedar Falls, IA 50613 | 2019-01-31 |
| 1184192577 | Payton C Stock | Student in an Organized Health Care Education/Training Program | 2250 Hudson Rd, Hpc 003, Cedar Falls, IA 50613 | 2018-11-05 |
| 1326526641 | Transcend Mind-body Wellness & Floatation Clinic LLC | Nurse Practitioner | 409 Washington St Ste D, Cedar Falls, IA 50613 | 2018-07-30 |
| 1073000444 | Shannon Lee Lindeland | Nurse Practitioner | 5100 Prairie Pkwy Ste 300, Cedar Falls, IA 50613 | 2018-04-20 |
| 1598270126 | Eastern Iowa Therapeutics P.C. | Physical Therapist | 912 Viking Road, #101, Cedar Falls, IA 50613 | 2017-12-05 |
| 1366952368 | Holahan & Boe Orthodontics, Pllc | Dentist | 1013 Hudson Road, Cedar Falls, IA 50613 | 2017-10-04 |
| 1982134870 | Shanna Lynne Elliott | Physical Therapist | 912 Viking Rd Ste 101, Cedar Falls, IA 50613 | 2017-06-14 |
| 1124476767 | Michelle Henny | Social Worker | 2616 Orchard Dr Ste B, Cedar Falls, IA 50613 | 2016-05-24 |
| 1326417478 | Rebecca Lynn Gelhaus | Dietitian, Registered | 325 Alvarado Alvarado, Cedar Falls, IA 50613 | 2015-09-18 |
| Find all providers in zip 50613 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639525892 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 7024 Nordic Drive, Suite 200, Cedar Falls, IA 50613-6309 | 2016-05-06 |
| 1154749208 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 1409 W 1st St, Cedar Falls, IA 50613-2115 | 2014-04-04 |
| 1326190927 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2509 White Tail Dr, Cedar Falls, IA 50613-7222 | 2007-01-17 |
| 1447358312 | Martin Brothers Distributing | Durable Medical Equipment & Medical Supplies | 406 Viking Rd, Cedar Falls, IA 50613-6930 | 2006-09-21 |
| 1386661775 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 525 Brandilynn Blvd, Cedar Falls, IA 50613-7416 | 2006-07-16 |
| 1134165624 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 6301 University Ave, Cedar Falls, IA 50613-5200 | 2006-06-21 |
| 1568406932 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2302 W 1st St, Cedar Falls, IA 50613-1879 | 2006-06-16 |
| 1346294782 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 5165 Division St, Cedar Falls, IA 50613-2380 | 2006-05-20 |
| 1750384624 | L&b Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 103 E 18th St, Cedar Falls, IA 50613 | 2005-05-24 |
| 1831635119 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 5100 Prairie Pkwy, Suite 204, Cedar Falls, IA 50613-8155 | 2017-01-11 |
| Find all providers in CEDAR FALLS | ||||
| City | CEDAR FALLS |
| Zip Code | 50613 |
Please comment or provide details below to improve the information on CEDAR VALLEY MEDICAL SPECIALISTS PC.
| 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.