Felipe Coscolluela Javier III, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

32545 Issued in IA

Practice address

2710 Saint Francis Dr Ste 411
Waterloo, IA 50702-5634

Phone

(319) 272-5000

Fax

(319) 272-5825

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003819624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 SAINT FRANCIS DR STE 411",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025634",
            "telephone_number": "319-272-5000",
            "fax_number": "319-272-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SAINT FRANCIS DR STE 411",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025634",
            "telephone_number": "319-272-5000",
            "fax_number": "319-272-5825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N 17th St",
            "address_purpose": "LOCATION",
            "city": "Keokuk",
            "state": "IA",
            "postal_code": "526323452",
            "country_code": "US",
            "telephone_number": "319-524-5734",
            "fax_number": "319-524-5758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAVIER",
        "first_name": "FELIPE",
        "middle_name": "COSCOLLUELA",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036-100466",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-100466",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "32545",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IA",
            "license": "32545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "O278374",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203896410",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-CARE GROUP NUMBER",
            "identifier": "421527584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "33628",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421527584003",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "42152758408",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James J. Cahill, D.D.S., P.C.
• Luke Houston Schurch James
• Jason Karol Alexander Jampoler, RNFA
• Jery Januszkiewicz, M.D
• Riley Noelle Jarrells
• Alicia Nicole Jefferson, MHC
• Erica M Jensen, ARNP
• Michele Lee Jensen, RN
• Katie Jeys, PHARM D
• Luiz Ramiro Jimenez

• Allergy & Immunology Physician in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Allergy & Immunology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.