Active NPI
Eve Dillman Clark, MD
- Vascular & Interventional Radiology Physician
- Iowa City, IA
National Provider Identifier
1689891079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 37118
- Practice address
- 601 Highway 6 W
Iowa City, IA 52246-2209 - Phone
- (319) 338-0581
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 37118 | IA | |
| Diagnostic Radiology Physician | 2085R0202X | 37118 | IA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 37118 | IA | Primary |
Addresses
Primary practice location
601 Highway 6 W
Iowa City, IA 52246-2209
Mailing address
1171 Meadowlark Dr
Iowa City, IA 52246-7610
Phone (319) 321-0571
Other practice location 1
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-3375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01074 | Other | IA | WELLMARK BCBS |
Other names 1
- Eve Dillman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37118 | IA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1689891079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1171 MEADOWLARK DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522467610",
"telephone_number": "319-321-0571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 HIGHWAY 6 W",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522462209",
"telephone_number": "319-338-0581"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-356-3375",
"fax_number": "319-356-2220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "EVE",
"middle_name": "DILLMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2022-10-28",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "IA",
"license": "37118",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "37118",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IA",
"license": "37118",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "01074",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EVE",
"last_name": "DILLMAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.