Mayumi Oakland, PA-C
Individual provider Active NPI Physician Assistant · Iowa City, IA
NPI 1255830006 · NPPES record last updated Mar 12, 2019
Key facts
- NPI
- 1255830006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 090435 (IA)
- Practice address
- 4189 Westlawn S
Iowa City, IA 52242 - Phone
- (319) 335-8390
- Fax
- (319) 335-7247
- NPI assigned
- Feb 7, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180315001208 | IA | Practitioner - Physician Assistant | 7113289976 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090435 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State University of Iowa | Current |
Accepting new patients |
Locations
920 E 2nd Ave
Ste 201B
Coralville, IA 52241
Phone (319) 467-2000
200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616
4189 Westlawn S
Iowa City, IA 52242
Phone (319) 335-8370
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
Interoperability endpoints
- moakland64951@uihcdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 090435 | IA | Yes |
Addresses
Primary practice location
4189 Westlawn S
Iowa City, IA 52242
Mailing address
4189 Westlawn S
Iowa City, IA 52242-1100
Phone (319) 335-8390
Other practice location 1
920 E 2nd Ave Ste 201B
Coralville, IA 52241-2225
Phone (319) 367-2000
Other practice location 2
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 384-7222
Other names
- Mayumi Fukuda
Other providers in Iowa City, IA
- Sean Patrick O'Neill
- Barbara Wolf O'Rourke
- Howard John O'Rourke
- Rebecca S O'Rourke
- Cormac T O'Sullivan
- Detlef Ernst-Rudolf Obal
- Patrick Oben Oben
- Megan R Oberbillig
- Ewa Maria Oberdorfer
- Joseph R Oberdorfer
All providers in Iowa City, IA · Physician Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.