Robert K. Dekoster, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

21538 Issued in IA

Practice address

1825 Logan Ave
Emergency Department
Waterloo, IA 50703-1916

Phone

(319) 235-3697

Fax

(319) 235-3844

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1417926643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 LOGAN AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031916",
            "telephone_number": "319-235-3697",
            "fax_number": "319-235-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 LOGAN AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031916",
            "telephone_number": "319-235-3697",
            "fax_number": "319-235-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKOSTER",
        "first_name": "ROBERT",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "21538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1182121",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS IOWA",
            "identifier": "22454",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00207112",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruselle Sue Debonis, ARNP
• Neal Benjamin Debuhr, DC
• Fnu Deepika, MD
• Colin Wilfred Deford, D.O.
• Sabrina Dehoet, LMHC, LPCC
• Nicole Diana Del Carpio, D.D.S.
• Kathleen A Delagardelle, LMSW
• Nicole Delagardelle, ARNP
• Toni Delagardelle, ARNP
• Ryan Stuart Dennis, CRNA

• Emergency Medicine Physician in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Emergency Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.