Individual provider Active NPI

Jeremy Dale Glawatz, PA-C

  • Physician Assistant
  • Cedar Rapids, IA
National Provider Identifier
1275733735
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1026 A Ave NE
Suite 5000
Cedar Rapids, IA 52402-5036
Phone
(319) 369-7085
Fax
(319) 368-5932
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Surgical Physician Assistant 363AS0400X

Addresses

Primary practice location

1026 A Ave NE
Suite 5000
Cedar Rapids, IA 52402-5036

Mailing address

1026 A Ave NE
Suite 5000
Cedar Rapids, IA 52402-5036
Phone (319) 369-7085

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070911000350 IA Practitioner - Physician Assistant 4082707716 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians
The Finley HospitalGroup PAC ID 5092622944, 84 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone (319) 369-7211

1500 Delhi St
Suite 4300
Dubuque, IA 52001-6319
Phone (563) 557-5971

1632 Sycamore St
Iowa City, IA 52240-6044
Phone (319) 467-8350

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

201 S Clinton St
168 Univ of Ia Health Care Quickcare
Iowa City, IA 52240-4034
Phone (319) 384-0520

2591 Holiday Rd
Coralville, IA 52241-3039
Phone (319) 467-7150

350 N Grandview Ave
Dubuque, IA 52001-6388

3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone (319) 339-7475

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950

720 Pacha Pkwy
Suite 1
North Liberty, IA 52317-4797
Phone (319) 384-8801

767 Mormon Trek Blvd
Iowa City, IA 52246-1812
Phone (319) 384-8333

Hospital & facility affiliations

  • Finley Hospital Hospital, Dubuque, IA, CCN 160117
  • St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045
  • University of Iowa Hospital & Clinics Hospital, Iowa City, IA, CCN 160058
  • Jones Regional Medical Center Hospital, Anamosa, IA, CCN 161306
  • Jackson County Regional Health Center Hospital, Maquoketa, IA, CCN 161329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001828IAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Sep 10, 2015 Accepting new patients
State University of Iowa CurrentSince Jun 22, 2017 Accepting new patients
The Finley Hospital Physician Assistant CurrentSince May 1, 2023 Accepting new patients
State University of Iowa CurrentSince Jun 22, 2017 Accepting new patients
Iowa Physicians Clinic Medical Foundation Physician Assistant CurrentSince Sep 10, 2015 Accepting new patients
The Finley Hospital CurrentSince May 1, 2023 Accepting new patients
Mercy Health Services-Iowa Corp Past Accepting new patients
State University of Iowa Past Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

1026 A Ave NE
Ste 5000
Cedar Rapids, IA 52402
Phone (319) 368-5757

411 10th St SE
Ste 2300
Cedar Rapids, IA 52403
Phone (319) 731-1430

153 Collins Rd NE
Cedar Rapids, IA 52402
Phone (319) 826-2972

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

202 10th St SE
Ste 225
Cedar Rapids, IA 52403
Phone (319) 364-7101

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

1500 Delhi St
Ste 4300
Dubuque, IA 52001
Phone (563) 557-5971

350 N Grandview Ave
Ste 2145
Dubuque, IA 52001
Phone (563) 589-2557

1940 Blairs Ferry Rd
Ste 104
Hiawatha, IA 52233
Phone (319) 393-0178

1632 Sycamore St
Iowa City, IA 52240
Phone (319) 467-8350

767 Mormon Trek Blvd
Iowa City, IA 52246
Phone (319) 384-8333

201 S Clinton St
Ste 168
Iowa City, IA 52240
Phone (319) 384-8877

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

3640 Middlebury Rd
Iowa City, IA 52245
Phone (319) 467-6789

2591 Holiday Rd
Iowa City, IA 52241
Phone (319) 467-7150

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

2992 7th Ave
Marion, IA 52302
Phone (319) 730-8300

720 Pacha Pkwy
Ste 1
North Liberty, IA 52317
Phone (319) 384-8801

1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589

Interoperability endpoints

  • Direct secure messaging: jglawatz40617@direct.unitypoint.org

Organizations & group practices 10

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1275733735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "address_2": "SUITE 5000",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-369-7085",
            "fax_number": "319-368-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "address_2": "SUITE 5000",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-369-7085",
            "fax_number": "319-368-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAWATZ",
        "first_name": "JEREMY",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.