STATE UNIVERSITY OF IOWA (NPI# 1972588465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972588465 |
| Entity Type | Organization |
| Organization Name | STATE UNIVERSITY OF IOWA |
| Other Organization Name | UNIVERSITY OF IOWA HOSPITALS & CLINICS-MUSCATINE DIALYSIS CENTER |
| Practice Address |
3465 Mulberry Ave Muscatine IA 52761-2324 |
| Mailing Address |
200 Hawkins Dr Iowa City IA 52242-1009 |
| Practice Telephone | 5632629303 |
| Mailing Telephone | 3193561616 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2018-11-21 |
| Authorized Official Name | JAY BROOKS JACKSON (VP FOR MEDICAL AFFAIRS) |
| Authorized Official Telephone | 3193358064 |
| 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 | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BCBS | 62306 | 01 |
| IA | 0600585 | 05 |
| Other Name | Type Code |
|---|---|
| University of Iowa Hospitals & Clinics-Muscatine Dialysis Center | 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 |
3465 MULBERRY AVE |
| City | MUSCATINE |
| State | IA |
| Zip Code | 52761-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548619349 | Whitney Kaefring | Family Medicine | 3465 Mulberry Ave, Muscatine, IA 52761-2324 | 2016-06-13 |
| 1750656542 | Christina Nelson | Nurse Practitioner | 3465 Mulberry Ave, Muscatine, IA 52761-2324 | 2012-03-13 |
| 1245550094 | Leslie Elise George-paulsen | Family Medicine | 3465 Mulberry Ave, University of Iowa, Muscatine, IA 52761 | 2010-06-03 |
| 1609191238 | State University of Iowa | Nurse Practitioner | 3465 Mulberry Ave, Muscatine, IA 52761-2324 | 2010-04-07 |
| 1710139597 | Christine Kaye Tisinger | Nurse Practitioner | 3465 Mulberry Ave, Muscatine, IA 52761-2324 | 2008-10-13 |
| 1487810875 | Valerie O'neel Kies | Physician Assistant | 3465 Mulberry Ave, Muscatine, IA 52761-2324 | 2008-08-05 |
| 1932188802 | Cheryl A Patterson-reeves | Physician Assistant | 3465 Mulberry Ave, Muscatine, IA 52761-2324 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282327 | Jaime S Jose Jr. | Physical Therapist | Lutheran Living Senior Campus, 2421 Lutheran Drive, Muscatine, IA 52761 | 2020-10-15 |
| 1871063446 | Stephanie Marie Fiser | Counselor | 503 Iowa Ave, Muscatine, IA 52761 | 2018-11-27 |
| 1194215269 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 3426 N Port Dr Ste 200, Muscatine, IA 52761 | 2018-05-15 |
| 1538614086 | Sejal Savani | Dentist | 3020 N Highway 61, Muscatine, IA 52761 | 2016-08-24 |
| 1932468006 | Jason R Carstens | Chiropractor | 3800 Grandview Avenue, Muscatine, IA 52761 | 2012-05-10 |
| 1699062166 | Joyce Esther Hart-leon | Marriage & Family Therapist | 2821 Hwy 22 East., Muscatine, IA 52761 | 2011-07-06 |
| 1750533667 | Sunnybrook of Muscatine | Assisted Living Facility | 3515 Dianna Queen Drive, Muscatine, IA 52761 | 2008-10-22 |
| 1346415403 | Marcie L. Nithang | Counselor | 315 Iowa Ave., Ste. C, Muscatine, IA 52761 | 2008-04-29 |
| 1023238474 | Barbara Joan Gipple | Dentist | 2195 North Hill Road, Muscatine, IA 52761 | 2007-04-26 |
| 1154484954 | Holly Ann Krystek | Dentist | 2920 Cedar St, Muscatine, IA 52761 | 2006-12-19 |
| Find all providers in zip 52761 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124345301 | Muscatine Kidney Center, LLC | Clinic/Center | 311 Parham St, Muscatine, IA 52761-2604 | 2010-04-27 |
| 1912367392 | Fresenius Medical Care Quad Cities, LLC | Clinic/Center | 311 Parham St, Muscatine, IA 52761-2604 | 2016-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817218 | Fresenius Medical Care Ottumwa, LLC | Clinic/Center | 1655 E San Marnan Dr Ste E, Waterloo, IA 50702-4380 | 2020-09-30 |
| 1669001038 | Honeyman Dialysis LLC | Clinic/Center | 701 Tama St Ste 150, Marion, IA 52302-4806 | 2020-04-07 |
| 1588221824 | Rcg Mercy Des Moines LLC | Clinic/Center | 9080 University Ave, West Des Moines, IA 50266-1892 | 2019-05-22 |
| 1639634207 | Fresenius Medical Care Ottumwa, LLC | Clinic/Center | 1110 N Quincy Ave Ste 44, Ottumwa, IA 52501-3884 | 2019-02-07 |
| 1245755529 | Trusten Dialysis LLC | Clinic/Center | 1119 73rd St, Windsor Heights, IA 50324-1313 | 2017-08-08 |
| 1477086692 | Wallips Dialysis, LLC | Clinic/Center | 1117 Hazel St, Pella, IA 50219-1338 | 2017-04-05 |
| 1821499245 | Clyfee Dialysis LLC | Clinic/Center | 1228 E Rusholme St Ste 1000, Davenport, IA 52803-2467 | 2014-09-05 |
| 1477980365 | Honeyman Dialysis LLC | Clinic/Center | 1002 4th Ave Se Ste A, Ste A, Cedar Rapids, IA 52403-2425 | 2013-10-09 |
| 1982947792 | Davis Dialysis LLC | Clinic/Center | 5865 Sunnybrook Dr, Sioux City, IA 51106-4203 | 2013-03-29 |
| 1972843738 | Geyser Dialysis LLC | Clinic/Center | 2625 N Ankeny Blvd, Ankeny, IA 50023 | 2013-02-15 |
| Find all providers with the same taxonomy | ||||
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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.