STATE UNIVERSITY OF IOWA (NPI# 1821488172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821488172 |
| Entity Type | Organization |
| Organization Name | STATE UNIVERSITY OF IOWA |
| Other Organization Name | UI QUICKCARE-NORTH DODGE |
| Practice Address |
2557 N Dodge St Iowa City IA 52245-9556 |
| Practice Telephone | 3193848822 |
| Mailing Telephone | 3193848822 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |
| Authorized Official Name | PHILIP E ROUDABUSH (DIRECTOR, PATIENT FINANCIAL SERVICE) |
| Authorized Official Telephone | 3193842334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UI QuickCare-North Dodge | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306304027 | State University of Iowa | Pharmacy | 1360 N Dodge St Ste 1100, Iowa City, IA 52245-6104 | 2019-03-12 |
| 1710485123 | State University of Iowa | Eye Bank | 2500 Crosspark Rd Ste W300, Coralville, IA 52241-4710 | 2018-01-31 |
| 1811246473 | State University of Iowa | Pharmacy | 105 E 9th Street, Suite A, Coralville, IA 52241 | 2012-08-29 |
| 1548526189 | State University of Iowa | Family Medicine | 767 Mormon Trek Blvd, Iowa City, IA 52246-1812 | 2012-04-09 |
| 1194035436 | State University of Iowa | Durable Medical Equipment & Medical Supplies | 119 2nd St, Ste 400, Coralville, IA 52241-2691 | 2010-10-20 |
| 1013241850 | State University of Iowa | Family Medicine | 1632 Sycamore St, Iowa City, IA 52240-6044 | 2009-09-28 |
| 1053503755 | State University of Iowa | Public Health or Welfare | 100 Hawkins Dr, 247-a Cdd, Iowa City, IA 52242 | 2007-08-16 |
| 1225177579 | State University of Iowa | Registered Nurse | 3501 Harry Langdon Blvd Ste 1450, Child Health Specialty Clinics, Council Bluffs, IA 51503-7837 | 2007-02-05 |
| 1689712549 | State University of Iowa | Audiologist | 250 Hawkins Drive, The University of Iowa, Iowa City, IA 52242-1012 | 2007-02-02 |
| 1609956234 | State University of Iowa | Dentist | 322 Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | STATE UNIVERSITY OF IOWA ALUMNI ASSOCIATION | Po Box 1970, One West Park Rd, Iowa City, IA 52244-1970 |
| Iowa Business Entities | STATE UNIVERSITY OF IOWA FOUNDATION | One West Park Road, Po Box 4550, Iowa City, IA 52244 |
| Street Address |
2557 N DODGE ST |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52245-9556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043370315 | Tim Mangold | Physician Assistant | 2557 N Dodge St, Iowa City, IA 52245-9556 | 2006-12-09 |
| 1134780687 | Larew Internal Medicine Plc | Internal Medicine | 2557 N Dodge St, Iowa City, IA 52245-9556 | 2019-06-25 |
| 1154868149 | Karen Itzel Hammes | Nurse Practitioner | 2557 N Dodge St, Iowa City, IA 52245-9556 | 2017-01-27 |
| 1548631435 | Ashley Hunt | Nurse Practitioner | 2557 N Dodge St, Iowa City, IA 52245-9556 | 2015-10-17 |
| 1154760031 | Megan B Glastetter | Nurse Practitioner | 2557 N Dodge St, Iowa City, IA 52245-9556 | 2013-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699356 | Mary Beth Shapcott | Registered Nurse | 500 East Market St., Mercy Hospital Diabetes Education, Iowa City, IA 52245 | 2017-10-10 |
| 1366703167 | Elizabeth Bright | Occupational Therapist | 540 E. Jefferson Street., Ste.302, Iowa City, IA 52245 | 2012-06-07 |
| 1043518368 | Robert Brian Goffstein | Ophthalmology | 403 North 7th Ave, Iowa City, IA 52245 | 2011-03-10 |
| 1750682936 | Robert Alvin Blair | Dentist | 134 Broadmoor Lane, Iowa City, IA 52245 | 2010-11-04 |
| 1215167457 | Laura J Ericson | Occupational Therapist | 540 E Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-07-22 |
| 1780818294 | Kathryn Leigh Bossen | Physical Therapist | 540 E. Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-05-12 |
| 1073751095 | Jessica L Keeran | Physical Therapist | 2751 Northgate Dr. Ne, Iowa City, IA 52245 | 2009-01-29 |
| 1437330370 | Francine Mardarello Hunnicutt | Marriage & Family Therapist | 1610 East College St, Iowa City, IA 52245 | 2007-11-20 |
| 1659574853 | Joan Victoria Rinner | Marriage & Family Therapist | 121 University Services Building, University of Iowa, Iowa City, IA 52245 | 2007-06-06 |
| 1053529966 | Steve Bernt Hammerstrom | Chiropractor | 373 B Scott Court, Iowa City, IA 52245 | 2007-05-21 |
| Find all providers in zip 52245 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972162519 | Stephanie Anne Pickthorn | Family Medicine | 200 Hawkins Dr Dept Family, Iowa City, IA 52242-1009 | 2019-06-07 |
| 1326527284 | Ramy Salib | Family Medicine | 1000 Oakcrest St, Iowa City, IA 52246-5194 | 2018-08-11 |
| 1932685013 | Christian Ann Mann | Family Medicine | 826 Basswood Ln, Iowa City, IA 52246-5810 | 2018-07-12 |
| 1255760260 | Mintesinot Fitamo | Family Medicine | 825 Oakcrest St Apt 6, Iowa City, IA 52246-3421 | 2013-11-11 |
| 1548526189 | State University of Iowa | Family Medicine | 767 Mormon Trek Blvd, Iowa City, IA 52246-1812 | 2012-04-09 |
| 1336410471 | Catherine Dehaven Swanson | Family Medicine | 1717 Winston Dr, Iowa City, IA 52245-6047 | 2012-01-20 |
| 1881978047 | Bradley Center PC | Family Medicine | 1527 S Gilbert St, Iowa City, IA 52240-4367 | 2011-10-06 |
| 1205159688 | Mei Shi | Family Medicine | 1067 Ryan Ct, Iowa City, IA 52246-2847 | 2010-03-12 |
| 1013241850 | State University of Iowa | Family Medicine | 1632 Sycamore St, Iowa City, IA 52240-6044 | 2009-09-28 |
| 1972720274 | Cecilia M Redmond-norris | Family Medicine | 2440 Towncrest Dr, Iowa City, IA 52240-6622 | 2007-04-19 |
| Find all providers in IOWA CITY | ||||
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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.