LOUIS C KANTZAVELOS (NPI# 1811106826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811106826 |
| Entity Type | Individual |
| Full Name | LOUIS C KANTZAVELOS |
| Credential | M.D. |
| Practice Address |
1223 S Gear Ave Eastman Plaza Suite 303 West Burlington IA 52655-1682 |
| Mailing Address |
Po Box 540 West Burlington IA 52655-0540 |
| Practice Telephone | 3197683925 |
| Practice Fax Number | 3197683937 |
| Mailing Telephone | 3197683925 |
| Mailing Fax Number | 3197683937 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2011-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 38430 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
1223 S GEAR AVE EASTMAN PLAZA SUITE 303 |
| City | WEST BURLINGTON |
| State | IA |
| Zip Code | 52655-1682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095027 | Daniel J. Peasley | Internal Medicine | 1223 S Gear Ave, #205, West Burlington, IA 52655-1682 | 2005-07-01 |
| 1689115727 | Meredith Alicia Lee | Nurse Practitioner | 1223 S Gear Ave, #304, West Burlington, IA 52655-1682 | 2017-03-08 |
| 1346795226 | Dawn Marie Rohrer | Nurse Practitioner | 1223 S Gear Ave, West Burlington, IA 52655-1682 | 2016-08-19 |
| 1083168967 | Brandy Parker | Nurse Practitioner | 1223 S Gear Ave, Eastman Plaza, Suite 304, West Burlington, IA 52655-1682 | 2016-08-09 |
| 1902270317 | Laura Lee Martin | Nurse Practitioner | 1223 S Gear Ave, Suite 208, Eastman Plaza, West Burlington, IA 52655-1682 | 2015-11-23 |
| 1457618100 | River Cities Ophthalmology, P.C. | Ophthalmology | 1223 S Gear Ave, 307 Eastman Plaza, West Burlington, IA 52655-1682 | 2012-04-19 |
| 1760790851 | Jane Ann Schuler | Nurse Practitioner | 1223 S Gear Ave, West Burlington, IA 52655-1682 | 2010-09-22 |
| 1275861080 | Norah Khangura | Ophthalmology | 1223 S Gear Ave, Eastman, Suite 309, West Burlington, IA 52655-1682 | 2009-12-07 |
| 1134387012 | Erin Margaret Haeger | Obstetrics & Gynecology | 1223 S Gear Ave, Ste 208, West Burlington, IA 52655-1682 | 2008-05-28 |
| 1598932204 | Elisabeth A Long | Nurse Practitioner | 1223 S Gear Ave, Ste 208, West Burlington, IA 52655-1682 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679920045 | Breanne Vogel | Nurse Practitioner | 1225 South Gear Avenue, Suite 159, Great River Family Practice Clinic, West Burlington, IA 52655 | 2016-05-16 |
| 1639538010 | Kala Haisch | Nurse Practitioner | 1225 S. Gear Ave., Mercy Plaza, Suite 251, West Burlington, IA 52655 | 2016-02-15 |
| 1326305830 | Ryan Deets | Surgery | 1223 S Gear Ave Ste 202, West Burlington, IA 52655 | 2012-04-20 |
| 1912100173 | Jennifer Yancey | Dietitian, Registered | Great River Medical Center Center for Rehabilitation, 1401 W. Agency Rd., West Burlington, IA 52655 | 2007-06-06 |
| 1043348196 | Wilson Hearing Aids & Services Inc | Hearing Instrument Specialist | 313 E Agency Rd, West Burlington, IA 52655 | 2007-03-01 |
| 1730286204 | Eric A Hanks | Chiropractor | 433 E Mt Pleasant St, West Burlington, IA 52655 | 2006-09-19 |
| 1093825176 | Michael Steven Mathews | Dentist | 409 Layne Dr, West Burlington, IA 52655 | 2006-08-30 |
| 1952383259 | Craig Huston | Emergency Medical Technician, Basic | 1221d S Gear Ave, West Burlington, IA 52655 | 2005-11-14 |
| 1932101466 | Theron Jameson | Specialist | 1225 S Gear Ave, Ste 159, West Burlington, IA 52655 | 2005-08-15 |
| 1255339750 | Community Health Centers of Southeastern Iowa Inc | Internal Medicine | 1706 West Agency Road, West Burlington, IA 52655 | 2005-07-08 |
| Find all providers in zip 52655 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871944017 | Ahmed Alkaram | Urology | 1229 Hunters Run, Iowa City, IA 52246-8670 | 2016-06-29 |
| 1548414188 | Garrett Steven Korrect | Urology | 1215 Duff Avenue., Mcfarland Clinic. PC, Ames, IA 50010-3014 | 2008-11-10 |
| 1083898779 | Alexandria Urology P.C. | Urology | 112 Park Lane, Room 5, Waterloo, IA 50701 | 2007-12-18 |
| 1194930081 | Damon J. Dyche | Urology | 1215 Duff Ave., Mcfarland Clinic, PC, Ames, IA 50010-3014 | 2007-05-14 |
| 1407831365 | Burlington Urology PC | Urology | 400 S Broadway St, Burlington, IA 52601 | 2005-12-13 |
| 1124018999 | Paul E.l. Richardson | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2005-10-24 |
| 1679567663 | Richard L Glowacki | Urology | 1350 Des Moines St Ste 100, Des Moines, IA 50309-5507 | 2005-09-06 |
| 1801889472 | Markham J Anderson | Urology | 2943 Northgate Dr, Iowa City, IA 52245-9571 | 2005-08-29 |
| 1003818493 | Fawad Sabooh Zafar | Urology | 13682 Lake Shore Dr, Clive, IA 50325-8640 | 2005-08-15 |
| 1205834793 | Gordon Goldsmith | Urology | 2943 Northgate Drive, Iowa City, IA 52245 | 2005-07-08 |
| Find all providers with the same taxonomy | ||||
| City | WEST BURLINGTON |
| Zip Code | 52655 |
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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.