STATE UNIVERSITY OF IOWA (NPI# 1962047522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962047522 |
| Entity Type | Organization |
| Organization Name | STATE UNIVERSITY OF IOWA |
| Other Organization Name | UI HEALTH CARE HOLIDAY ROAD--OCCUPATIONAL HEALTH |
| Practice Address |
2591 Holiday Rd Coralville IA 52241-3039 |
| Practice Telephone | 3193563335 |
| Practice Fax Number | 3194677181 |
| Mailing Telephone | 3193563335 |
| Mailing Fax Number | 3194677181 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | DOUGLAS J VANDAELE (ASSOCIATE DEAN) |
| Authorized Official Telephone | 3193538162 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE UNIVERSITY OF IOWA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| UI Health Care Holiday Road--Occupational Health | 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 |
2591 HOLIDAY RD |
| City | CORALVILLE |
| State | IA |
| Zip Code | 52241-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982799045 | Pediatric Associates of Iowa City and Coralville | Pediatrics | 2591 Holiday Rd, Coralville, IA 52241-3039 | 2006-10-04 |
| 1821634825 | State University of Iowa | Clinic/Center | 2591 Holiday Rd, Coralville, IA 52241-3039 | 2019-11-25 |
| 1508114992 | North Corridor Internal Medicine P.C. | Internal Medicine | 2591 Holiday Rd, Coralville, IA 52241-3039 | 2012-08-16 |
| 1184902835 | Sara Ann Beer | Physician Assistant | 2591 Holiday Rd, Coralville, IA 52241-3039 | 2011-07-29 |
| 1982902789 | Susan Mortweet Vanscoyoc | Psychologist | 2591 Holiday Rd, Coralville, IA 52241-3039 | 2011-03-03 |
| 1952519993 | Sandra Dewi Abramoff | Psychiatry & Neurology | 2591 Holiday Rd, Coralville, IA 52241-3039 | 2007-05-21 |
| 1265551832 | Tracie Lea Neustel | Nurse Practitioner | 2591 Holiday Rd, Coralville, IA 52241-3039 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281915 | Impact Physician Group Iowa LLC | Internal Medicine | 2801 Heartland Dr, Coralville, IA 52241 | 2020-10-01 |
| 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 |
| Find all providers in zip 52241 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396054581 | St. Luke's Health Resources | Clinic/Center | 4230 War Eagle Dr, Sioux City, IA 51109-1700 | 2010-10-05 |
| 1528434065 | Quad City Occupational Health | Clinic/Center | 1820 W 3rd St, Davenport, IA 52802-1812 | 2015-08-19 |
| 1255698957 | Center for Occupational and Physical Medicine | Clinic/Center | 13375 University Ave, Suite 100, Clive, IA 50325-8261 | 2012-04-19 |
| 1942339403 | Ui Healthworks, LLC | Clinic/Center | 3 Lions Dr, North Liberty, IA 52317-9575 | 2007-03-02 |
| 1386716074 | Iowa Physical Therapy PC | Clinic/Center | 2750 1st Ave Ne, Suite 310, Cedar Rapids, IA 52402-4831 | 2006-11-15 |
| 1639145527 | Corporate Medical Services of Se Iowa PC | Clinic/Center | 823 N 6th St, Burlington, IA 52601 | 2006-02-28 |
| City | CORALVILLE |
| Zip Code | 52241 |
Please comment or provide details below to improve the information on STATE UNIVERSITY OF IOWA.
| 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.