Dana Ghazaleh, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

R-12425 Issued in IA

Practice address

30 Redtail BND
Apt 8
Coralville, IA 52241-4023

Phone

(612) 707-7682

NPI assigned

Jul 29, 2022

Last updated

Jul 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1053047258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 REDTAIL BND APT 8",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522414023",
            "telephone_number": "612-707-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 REDTAIL BND",
            "address_2": "APT 8",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522414023",
            "telephone_number": "612-707-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZALEH",
        "first_name": "DANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IA",
            "license": "R-12425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydnee Gatewood
• Sarah Gauger
• Genesis Health System (Genesis Pediatric Physical Therapy Clinic)
• Patricia Genus, CERTIFIED
• Amanda Gernant, PSYD
• Kirk R Gieswein, MD
• Gregory Alan Gilbaugh, D.D.S.
• Marcia Gilbert, LISW
• Raymond Williaam Gill, DDS
• Thomas John Gill, D.D.S.

• Neurology Physician in Coralville, IA
• Providers in Coralville, IA by specialty
• Neurology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.