Rodjawan Supakul (NPI# 1730463720, PAC ID# 3779852108) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1730463720 |
| PAC ID by PECOS | 3779852108 |
| Professional Enrollment ID | I20170628002362 |
| Full Name | Rodjawan Supakul |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Address |
1026 A Ave Ne Cedar Rapids IA 52402-5036 |
| Phone Number | 3193697211 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE |
| Group Practice PAC ID | 8729992318 |
| Number of Group Practice Members | 956 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160045 | ST LUKES HOSPITAL |
| 161349 | VIRGINIA GAY HOSPITAL |
| 161306 | JONES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4480 Utica Ridge Rd, Suite 160, Bettendorf, IA 52722-1637 | 5637425950 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 3193697211 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| 855 A Ave Ne, Cedar Rapids, IA 52402-5064 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Physicians | 930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Ann Burgard | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 2515 Sw State St, 100 Internal Med Ankeny At Prairie Trai, Ankeny, IA 50023-7079 |
| Meredith Swenson | Family Medicine | Iowa Physicians Clinic Medical Foundation | 6010 Mills Civic Pkwy, Suite 200, West Des Moines, IA 50266-8345 |
| Aimee R Sarchet | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 3591 Griffin Ave, Pekin, IL 61554-6258 |
| Valerie Hannenberg | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 1824 W 8th St, Cedar Falls, IA 50613-2056 |
| Maged A Ghoprial | Family Medicine | Iowa Physicians Clinic Medical Foundation | 5401 44th Ave Dr, Suite 101, Moline, IL 61265-8126 |
| Emily A Grarup | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2140 Logan Ave, Suite C, Waterloo, IA 50703-1002 |
| Kyle P Kosman | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 801 Colonial Cir, Norwalk, IA 50211-9637 |
| Nicholas C Rains | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 111 Tower St, Denver, IA 50622-2201 |
| Kurtis A Lucas | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1825 Logan Ave, Waterloo, IA 50703-1999 |
| Christina L Aquino | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 830 4th Ave Se, 1 Family Medicine Medical District, Cedar Rapids, IA 52403-2445 |
| Street Address |
1026 A AVE NE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip | 52402-5036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie M Beard | Emergency Medicine | East Central Iowa Acute Care LLP | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 |
| Stanley J Mathew | Physical Medicine and Rehabilitation | Stanley Mathew, Md Pllc | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 |
| Stephen L Pedron | Obstetrics/gynecology | Iowa Physicians Clinic Medical Foundation | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 |
| Lance S Krueger | Physician Assistant | St Lukes Methodist Hospital | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 |
| Mark D Kline | Anesthesiology | Linn County Anesthesiologists PC | 1026 A Ave Ne, St Lukes Hospital, Cedar Rapids, IA 52402-5036 |
| Ravneet K Gill | Hospice/palliative Care | St Lukes Methodist Hospital | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 |
| Dale L Waldner | Pathology | Cedar Valley Pathologists PC | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 |
| Hans E Steine | Anesthesiology | Linn County Anesthesiologists PC | 1026 A Ave Ne, St Lukes Hospital, Cedar Rapids, IA 52402-5036 |
| David Burkamper | Anesthesiology | Linn County Anesthesiologists PC | 1026 A Ave Ne, St Lukes Hospital, Cedar Rapids, IA 52402-5036 |
| Tork H Harman | Anesthesiology | Linn County Anesthesiologists PC | 1026 A Ave Ne, St Lukes Hospital, Cedar Rapids, IA 52402-5036 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Logan J Jenkins | Chiropractic | 1146 Blairs Ferry Rd Ne, Suite 5, Cedar Rapids, IA 52402-1274 | |
| Teresa R Stewart | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 6911 C Ave Ne, Family Medicine Bowman Woods, Cedar Rapids, IA 52402-1349 |
| Myong J Kang | Family Medicine | Iowa Physicians Clinic Medical Foundation | 6911 C Ave Ne, Family Medicine Bowman Woods, Cedar Rapids, IA 52402-1349 |
| Susan Marie Mason | Family Medicine | Iowa Physicians Clinic Medical Foundation | 6911 C Ave Ne, Family Medicine Bowman Woods, Cedar Rapids, IA 52402-1349 |
| Brandy M Leclere | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 6911 C Ave Ne, Family Medicine Bowman Woods, Cedar Rapids, IA 52402-1349 |
| Therese B Molloy | Occupational Therapy | 6915 Wilton Ct Ne, Cedar Rapids, IA 52402-1448 | |
| Dennis J Bradley | Chiropractic | 214 Blairs Ferry Rd Ne, Suite 2, Cedar Rapids, IA 52402-1602 | |
| Chris Allan Smith | Chiropractic | 214 Blairs Ferry Rd Ne, Suite 2, Cedar Rapids, IA 52402-1602 | |
| Amanda Osullivan | Chiropractic | 214 Blairs Ferry Rd Ne, Suite 2, Cedar Rapids, IA 52402-1602 | |
| Nathan T Broghammer | Chiropractic | 214 Blairs Ferry Rd Ne, 2 Chiropractic Clinic of Iowa, Cedar Rapids, IA 52402-1602 | |
| Find all physicians in zip 52402 | |||
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | CEDAR RAPIDS + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Rodjawan Supakul.
| 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.