IMPACT PHYSICIAN GROUP IOWA LLC (NPI# 1780281915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780281915 |
| Entity Type | Organization |
| Organization Name | IMPACT PHYSICIAN GROUP IOWA LLC |
| Practice Address |
2801 Heartland Dr Coralville IA 52241 |
| Mailing Address |
21 Eastbrook Bnd Ste 218 Peachtree City GA 30269-1546 |
| Practice Telephone | 3196454001 |
| Practice Fax Number | 2604078009 |
| Mailing Telephone | 2604078009 |
| Mailing Fax Number | 2604078009 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | PAUL MILLER (CEO) |
| Authorized Official Telephone | 2604078009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2801 HEARTLAND DR |
| City | CORALVILLE |
| State | IA |
| Zip Code | 52241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114550886 | Encompass Health Rehabilitation Hospital of Iowa City, LLC | Rehabilitation Hospital | 2450 Coral Court, Coralville, IA 52241 | 2020-02-20 |
| 1215575394 | Eastern Iowa Rehabilitation Hospital, LLC | Rehabilitation Hospital | 2801 Heartland Drive, Coralville, IA 52241 | 2019-12-19 |
| 1851938690 | Matthew Easley | Speech-Language Pathologist | 2854 Coral Court, Ste 1, On With Life Outpatient Neuro Rehabilitation, Coralville, IA 52241 | 2019-11-27 |
| 1245892629 | On With Life, Inc | Clinic/Center | 2854 Coral Court, Suite 1, Coralville, IA 52241 | 2019-07-05 |
| 1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
| 1861996191 | Roggy Vision Center, Pllc | Optometrist | 708 5th St Ste 1, Coralville, IA 52241 | 2018-03-21 |
| 1013446467 | Monica Basile | Midwife | 501 12th Ave, St 102, Coralville, IA 52241 | 2017-06-08 |
| 1568893121 | Mohamed Karim | Chiropractor | 1801 Brown Deer Trail, Coralville, IA 52241 | 2013-12-09 |
| 1689011405 | Nicole Ann Wagaman | Family Medicine | 2801 Heartland Dr., Coralville, IA 52241 | 2013-06-03 |
| 1811246473 | State University of Iowa | Pharmacy | 105 E 9th Street, Suite A, Coralville, IA 52241 | 2012-08-29 |
| Find all providers in zip 52241 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1396935730 | Karuna Posani | Internal Medicine | 30 Redtail Bnd Apt 12, Coralville, IA 52241-4023 | 2007-08-01 |
| 1558488502 | Edward R O'brien | Internal Medicine | 2700 27th Ave., Coralville, IA 52241 | 2007-03-23 |
| 1942345186 | Venugopal S Reddiar | Internal Medicine | 520 10th Ave Ste 200, Coralville, IA 52241-1923 | 2007-02-21 |
| 1699723635 | Ming Liu | Internal Medicine | 520 10th Ave, Coralville, IA 52241-1923 | 2006-05-04 |
| 1790764751 | Gregory Bozek | Internal Medicine | 2769 Heartland Dr Ste 205, Coralville, IA 52241-2732 | 2006-01-10 |
| 1790762672 | Dean Alexander Mcnaughton | Internal Medicine | 2769 Heartland Drive, Suite 105, Coralville, IA 52241 | 2005-12-30 |
| 1013917558 | Vanaja Thondapu | Internal Medicine | 105 E 9th St, Coralville, IA 52241 | 2005-07-27 |
| 1811541543 | Jessica Lynn Jacobson | Internal Medicine | 2769 Heartland Dr, Coralville, IA 52241-2732 | 2019-07-31 |
| 1336597525 | Amanda Lee Hoffman | Internal Medicine | 105 E 9th St, Coralville, IA 52241-2209 | 2016-05-27 |
| 1790133288 | Michael Wayne Klein | Internal Medicine | 105 E 9th St, Coralville, IA 52241-2209 | 2016-05-25 |
| Find all providers in CORALVILLE | ||||
| City | CORALVILLE |
| Zip Code | 52241 |
Please comment or provide details below to improve the information on IMPACT PHYSICIAN GROUP IOWA LLC.
| 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.