PANKAJ AGRAWAL (NPI# 1861706038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861706038 |
Entity Type | Individual |
Full Name | PANKAJ AGRAWAL |
Credential | MBBS |
Practice Address |
3 S 4th Ave Marshalltown Medical & Surgical Cent Marshalltown IA 50158-2924 |
Practice Telephone | 6417545151 |
Mailing Telephone | 6417545151 |
Enumeration Date | 2010-07-30 |
Last Update Date | 2013-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
40719 | IA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962661215 | Pankaj Haribhai Agrawal | Family Medicine | 5615 Westfield Ave, Pennsauken, NJ 08110-1836 | 2008-06-02 |
1356310270 | Pankaj B. Agrawal | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-03-14 |
Street Address |
3 S 4TH AVE MARSHALLTOWN MEDICAL & SURGICAL CENT |
City | MARSHALLTOWN |
State | IA |
Zip Code | 50158-2924 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710980032 | Central Iowa Healthcare | General Acute Care Hospital | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2005-05-31 |
1912528902 | Andrea Bergdale | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2020-04-30 |
1992338222 | Marci Burns | Pharmacist | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2020-02-14 |
1164054680 | Maria Gunnes Sibbel | Pharmacist | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2020-02-12 |
1750930426 | Melissa Michelle Hadwiger | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158 | 2019-09-05 |
1306406681 | Brandy M Reints | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2019-06-18 |
1821568858 | Leah M Haubrich | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-12-03 |
1073006698 | Callie M Williams | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-06-08 |
1487150991 | Mckenzie Mae Cooper | Physician Assistant | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-04-03 |
1851893135 | Ryan Matthew Foulkes | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-03-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386122455 | The Willows of Marshalltown LLC | Assisted Living Facility | 2315 Campbell Drive, Marshalltown, IA 50158 | 2018-08-01 |
1649654922 | Jennifer Marie Sitter | Physical Therapist | 55 Central Iowa Drive, Suite 70, Marshalltown, IA 50158 | 2015-07-16 |
1447685664 | Tara Lea Rathjen | Counselor | 2501 S Center Street, Suite M, Marshalltown, IA 50158 | 2013-09-06 |
1619232766 | Katie Elizabeth Mennenga | Hearing Instrument Specialist | 309 East Church Street, Marshalltown, IA 50158 | 2012-07-05 |
1043419070 | Iowa Veterans Home | Pharmacist | 1301 Summit Street, Marshalltown, IA 50158 | 2007-07-11 |
1710183637 | Leah A. Bethel | Emergency Medicine | 3 South 4th Ave, Mcfarland Clinic, PC, Marshalltown, IA 50158 | 2007-06-26 |
1902018179 | Daryl M. Lorell | Speech-Language Pathologist | 1902 South Center Street, Marshalltown, IA 50158 | 2007-05-03 |
1609934157 | Substance Abuse Treatment Unit of Central Iowa | Substance Abuse Rehabilitation Facility | 9 North 4th Avenue, Marshalltown, IA 50158 | 2006-12-05 |
1245319540 | Clark and Associates, Inc. | Prosthetic/Orthotic Supplier | 3109 S Center St # 102, Marshalltown, IA 50158 | 2006-11-06 |
1679669832 | Erin Voyles Hatcher | Nurse Practitioner | 9 North 4th Ave, Marshalltown, IA 50158 | 2006-10-05 |
Find all providers in zip 50158 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467820936 | Robert Tucker | Family Medicine | 4008 Mehaffey Ln Ne, Solon, IA 52333-8985 | 2015-09-14 |
1386902369 | Alfredo Daniel Socarras | Family Medicine | 1591 331st Dr, Madrid, IA 50156-7426 | 2012-04-27 |
1114185337 | Kenneth Andrew Hubel | Family Medicine | 2562 Oak Cir Ne, North Liberty, IA 52317-9376 | 2008-05-23 |
1518173392 | Forrest Waldo Smith | Family Medicine | 1920 Cromwell Cir, Davenport, IA 52807-2839 | 2007-05-16 |
1750471660 | Frank Joseph Filippelli | Family Medicine | 4908 Franklin Ave, Des Moines, IA 50310-1901 | 2006-10-13 |
1235182676 | Nelson H Chesney | Family Medicine | 200 Mercy Dr, Suite 106, Dubuque, IA 52001-7303 | 2006-05-18 |
1679524672 | Sarojini Kamaraju Ratnakar | Family Medicine | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2006-05-14 |
1417911967 | Traci L Skierka | Family Medicine | 513 N Cherry St, Shell Rock, IA 50670 | 2006-04-13 |
City | MARSHALLTOWN |
Zip Code | 50158 |
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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.