COUNCIL BLUFFS SURGICAL ASSOCIATES, P.C. (NPI# 1790862043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790862043 |
| Entity Type | Organization |
| Organization Name | COUNCIL BLUFFS SURGICAL ASSOCIATES, P.C. |
| Practice Address |
201 Ridge St Suite 214 Council Bluffs IA 51503-4643 |
| Practice Telephone | 7123964320 |
| Mailing Telephone | 7123964320 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-09-30 |
| Authorized Official Name | HEIDI NEAL (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7123964395 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
201 RIDGE ST SUITE 214 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-4643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700878220 | Michael Zlomke | Surgery | 201 Ridge St, Suite 214, Council Bluffs, IA 51503-4643 | 2005-08-19 |
| 1366701955 | Katelyn Elizabeth Larsen | Physician Assistant | 201 Ridge St, Suite 201, Council Bluffs, IA 51503-4643 | 2012-05-16 |
| 1982975652 | Quinn M Schulte | Physician Assistant | 201 Ridge St, Ste 302, Council Bluffs, IA 51503-4643 | 2012-01-26 |
| 1568773497 | Physicians Clinic, Inc. | Psychiatry & Neurology | 201 Ridge St, Ste. 311, Council Bluffs, IA 51503-4643 | 2010-06-25 |
| 1497073761 | Kelly A Heine | Nurse Anesthetist, Certified Registered | 201 Ridge St, Suite 102, Council Bluffs, IA 51503-4643 | 2010-05-12 |
| 1598928376 | Emily Marie Lange | Obstetrics & Gynecology | 201 Ridge St, Ste 312, Council Bluffs, IA 51503-4643 | 2008-07-02 |
| 1598923484 | Lori Ann Platt | Obstetrics & Gynecology | 201 Ridge St, St. 312, Council Bluffs, IA 51503-4643 | 2008-05-28 |
| 1669648713 | Linda J Layton | Physician Assistant | 201 Ridge St, #307, Council Bluffs, IA 51503-4643 | 2008-05-07 |
| 1699986745 | Travis John Hayes | Anesthesiology | 201 Ridge St, Suite 102, Council Bluffs, IA 51503-4643 | 2007-05-24 |
| 1588794234 | Kara D Dostal | Nurse Anesthetist, Certified Registered | 201 Ridge St, Suite 21, Council Bluffs, IA 51503-4643 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740555242 | Jose Martinez | Specialist | 561 Cogleywood Ln, Council Bluffs, IA 51503-4956 | 2012-03-15 |
| 1518283050 | Flex Physical Therapy LLC | Specialist | Flex Physical Therapy LLC, 928 Valley View Drive, Suite 7, Council Bluffs, IA 51502-1541 | 2010-04-08 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| 1083740898 | Bluffs Imaging Associates | Specialist | 1414 Ave J, Council Bluffs, IA 51501-1167 | 2007-02-26 |
| 1972729903 | Joan Marie Blum | Specialist | 1 Edmundson Pl, Suite 100, Council Bluffs, IA 51503-4658 | 2007-04-18 |
| 1952423071 | Sakeer Hussain | Specialist | 1 Edmundson Pl, Suite 100, Council Bluffs, IA 51503-4658 | 2007-04-06 |
| 1952458697 | Heartland Neurology PC | Specialist | 800 Mercy Dr, Ste 110, Council Bluffs, IA 51503-3128 | 2007-01-04 |
| 1942370457 | Southwest Iowa Spine Care | Specialist | 800 Mercy Dr, Suite 110, Council Bluffs, IA 51503-3128 | 2006-11-09 |
| 1558447169 | Eric Matthew Bendorf | Specialist | 201 Ridge St, Suite 214, Council Bluffs, IA 51503-4643 | 2006-10-27 |
| 1902908544 | Jason T Ohr | Specialist | 800 Mercy Dr, Suite 110, Council Bluffs, IA 51503-3128 | 2006-09-03 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on COUNCIL BLUFFS SURGICAL ASSOCIATES, P.C..
| 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.