State University of Iowa
Organization Active NPI Student Health Clinic/Center · Iowa City, IA
NPI 1285635664 · NPPES record last updated May 9, 2013
Key facts
- NPI
- 1285635664
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Student Health Clinic/Center 261QS1000X
- Legal business name
- STATE UNIVERSITY OF IOWA
- Practice address
- 4189 WL University of Iowa
Iowa City, IA 52242-1100 - Phone
- (319) 335-8376
- Fax
- (319) 335-7247
- NPI assigned
- Aug 9, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- STATE UNIVERSITY OF IOWA
Authorized official
- Name
- James Kellogg
- Title
- Director Student Health Service
- Phone
- (319) 384-1135
Other NPIs on the same Medicare enrollment 36
Practitioners 1,619
-
Samantha Lorene Bemrich, PA-C
-
Jeniece Nott, M.D.
-
Mayumi Oakland, PA-C
-
Barbara L. Patrick, M.D.
-
Kathleen Sue Wittich, M.D.
-
Lama Abdel Wahed, MD
-
Mahmoud Aboualaiwa, M.D.
-
Maen Aboul Hosn, M.D.
-
Thad E Abrams, MD
-
Dean A Abramson, MD
-
Arwa Aburizik, M.B., B.S.
-
Anece Hong Adam, ARNP
-
Kelli E Africh, NNPBC
-
Anjana Aggarwal, MD
-
Ferhaan Ahmad, M.D.
-
Ishtiaq Ahmad, MD
-
Karen Anne Ajram, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031107000060 | IA | Part B Supplier - Clinic/Group Practice | 7618884230 |
Receives reassigned benefits from 2,348 practitioners 37 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
- Part of
- Louis V Kirchoff MD
Locations (25 of 63)
865 Lincoln Rd
Bettendorf, IA 52722
Phone (563) 344-2240
865 Lincoln Rd
Ste 500
Bettendorf, IA 52722
Phone (563) 344-2250
411 10th St SE
Cedar Rapids, IA 52403
Phone (319) 363-3600
411 10th St SE
Ste 300
Cedar Rapids, IA 52403
Phone (319) 364-5321
411 10th St SE
Ste 1200
Cedar Rapids, IA 52403
Phone (319) 362-3434
1601 NW 114th St
Ste 242
Clive, IA 50325
Phone (515) 222-7337
12495 University Ave
Ste 200
Clive, IA 50325
Phone (515) 223-6605
920 E 2nd Ave
Ste 2018
Coralville, IA 52241
2593 Holiday Rd
Coralville, IA 52241
Phone (319) 248-0065
105 E 9th St
#A
Coralville, IA 52241
Phone (319) 467-2050
2220 9th St
Coralville, IA 52241
2401 Coral Ct
Ste 5
Coralville, IA 52241
16773 State Highway 2
Decatur, IA 50067
1601 NW 114th St
Ste 240
Des Moines, IA 50325
Phone (515) 222-7700
200 Hawkins Dr
Des Moines, IA 50331
804 Kenyon Rd
Ste 205
Fort Dodge, IA 50501
804 Kenyon Rd
Ste L
Fort Dodge, IA 50501
Phone (515) 955-8326
804 Kenyon Rd
Ste G
Fort Dodge, IA 50501
Phone (515) 573-4141
269 N 1st Ave
Iowa City, IA 52245
Phone (319) 339-3541
2557 N Dodge St
Iowa City, IA 52245
Phone (319) 338-1535
356 Dental Science S
Iowa City, IA 52242
200 Hawkins Dr
#11128
Iowa City, IA 52242
Phone (319) 356-2864
100 Hawkins Dr
Ste 221CDD
Iowa City, IA 52242
200 Hawkins Dr
#C33
Iowa City, IA 52242
Phone (319) 353-6239
200 Hawkins Dr
Ste 100
Iowa City, IA 52242
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | Yes |
Addresses
Primary practice location
4189 WL University of Iowa
Iowa City, IA 52242-1100
Mailing address
4189 WL University of Iowa
Iowa City, IA 52242-1100
Phone (319) 335-8376
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0089771 | Medicaid | IA | |
| 08977 | Other | IA | WELLMARK BC/BS |
Other names
- Student Health & Wellness
Other providers in Iowa City, IA
- State University of Iowa
- State University of Iowa
- State University of Iowa
- State University of Iowa
- State University of Iowa
- State University of Iowa
- State University of Iowa
- State University of Iowa
- State University of Iowa
- State University of Iowa
All providers in Iowa City, IA · Student Health Clinic/Center in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2013. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.