Kelli E Deserano (NPI# 1457801326, PAC ID# 3577841816) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1457801326 |
PAC ID by PECOS | 3577841816 |
Professional Enrollment ID | I20161020002001 |
Full Name | Kelli E Deserano |
Organization Legal Name | CEDAR VALLEY MEDICAL SPECIALISTS PC |
Address |
125 E Tower Park Dr Waterloo IA 50701-9330 |
Phone Number | 3192345990 |
Gender | F |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 1759291487 |
Number of Group Practice Members | 102 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
160110 | ALLEN HOSPITAL |
161303 | GRUNDY COUNTY MEMORIAL HOSPITAL |
161335 | BUCHANAN COUNTY HEALTH CENTER |
161339 | WAVERLY HEALTH CENTER |
Address | Phone | Organization |
---|---|---|
1600 1st St E, Independence, IA 50644-3155 | 3193320999 | PEOPLE'S MEMORIAL HOSPITAL |
125 E Tower Park Dr, Waterloo, IA 50701-9330 | 3192345990 | CEDAR VALLEY MEDICAL SPECIALISTS PC |
Organization Legal Name | CEDAR VALLEY MEDICAL SPECIALISTS PC |
Physicians | 111 |
Name | Specialty | Organization | Address |
---|---|---|---|
Megan E Imoehl | Nurse Practitioner | Cedar Valley Medical Specialists PC | 164 W Dale St, Waterloo, IA 50703-1925 |
Vishal Goyal | Cardiac Electrophysiology | Cedar Valley Medical Specialists PC | 419 E Donald St, Waterloo, IA 50703-1500 |
Oz A Wolfensperger | Physical Therapy | Cedar Valley Medical Specialists PC | 7024 Nordic Dr, Suite 200, Cedar Falls, IA 50613-6309 |
Staci Anne Boon | Optometry | Cedar Valley Medical Specialists PC | 909 E San Marnan Dr, Waterloo, IA 50702-5611 |
Cari Lynn Graham | Physical Therapy | Cedar Valley Medical Specialists PC | 1731 W Ridgeway Ave, Suite 600, Waterloo, IA 50701-4595 |
Thomas P Petrie | Ophthalmology | Cedar Valley Medical Specialists PC | 1409 W 1st St, Cedar Falls, IA 50613-2115 |
Kerri M Vanee | Nurse Practitioner | Cedar Valley Medical Specialists PC | 2351 Hudson Rd, Cedar Falls, IA 50614-0065 |
Gregory K Harter | Family Medicine | Cedar Valley Medical Specialists PC | 220 W Ridgeway Ave, Suite 106, Waterloo, IA 50701-4200 |
Ivo Bekavac | Neurology | Cedar Valley Medical Specialists PC | 1243 4th St Sw, Waverly, IA 50677-4322 |
Keeran Ghandivel | Anesthesiology | Cedar Valley Medical Specialists PC | 1753 W Ridgeway Ave, Suite 107, Waterloo, IA 50701-4588 |
Street Address |
125 E TOWER PARK DR |
City | WATERLOO |
State | IA |
Zip | 50701-9330 |
Name | Specialty | Organization | Address |
---|---|---|---|
Arun K Muthusamy | Gastroenterology | Cedar Valley Medical Specialists PC | 125 E Tower Park Dr, Waterloo, IA 50701-9330 |
Edward L Burkhalter | Gastroenterology | Cedar Valley Medical Specialists PC | 125 E Tower Park Dr, Waterloo, IA 50701-9330 |
Name | Specialty | Organization | Address |
---|---|---|---|
Morgan C Schoof | Nurse Practitioner | United Community Services Inc | 3362 University Ave, Waterloo, IA 50701-2006 |
Samarah Lisw Greeves | Clinical Social Worker | 3261 University Ave, Waterloo, IA 50701-2051 | |
Leslie R Frost | Physical Therapy | Athletico Ltd | 1111 Ansborough Ave, Waterloo, IA 50701-2248 |
Michael Donnelly | Physical Therapy | Athletico Ltd | 1111 Ansborough Ave, Waterloo, IA 50701-2248 |
Rodney V Kobliska | Chiropractic | 2000 Falls Ave, Suite 1, Waterloo, IA 50701-2302 | |
Zachary P Wilson | Chiropractic | 751 Progress Ave, Waterloo, IA 50701-3108 | |
Bradley J Knox | Optometry | 1030 Alabar Ave, Waterloo, IA 50701-3200 | |
Jason Kirk Eller | Chiropractic | University Chiropractic PC | 2807 University Ave, Waterloo, IA 50701-3335 |
Adam Lee Hoogestraat | Chiropractic | University Chiropractic PC | 2807 University Ave, Waterloo, IA 50701-3335 |
Kaila Egan | Optometry | 918 Decathlon Dr, Waterloo, IA 50701-3441 | |
Find all physicians in zip 50701 |
City | WATERLOO |
Zip Code | 50701 |
Specialty | NURSE PRACTITIONER |
City + Specialty | WATERLOO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelli E Deserano.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.