Gary A Knudson, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Waterloo, IA
NPI 1700813441 · NPPES record last updated Jul 16, 2007
Key facts
- NPI
- 1700813441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 32397 (IA)
- Practice address
- 2710 Saint Francis Dr
Suite 319
Waterloo, IA 50702-5619 - Phone
- (319) 272-5000
- Fax
- (391) 272-4780
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Covenant Medical Center Inc
Practice addresses (Care Compare)
226 Bluebell Rd
Cedar Falls, IA 50613-6328
Phone (319) 575-5800
2710 Saint Francis Dr
Waterloo, IA 50702-5619
Phone (319) 272-5000
2710 Saint Francis Dr
Waterloo, IA 50702-5620
3421 W 9TH St
Waterloo, IA 50702-5401
515 College St
Cedar Falls, IA 50613-2500
Hospital & facility affiliations
- Mercyone Waterloo Medical Center
- Sartori Memorial Hospital, Inc
- Waverly Health Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 17 |
| Knee replacement | 22 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 57 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100513000254 | IA | Practitioner - Orthopedic Surgery | 6406984335 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center, Inc. | Current |
Accepting new patients | |
| Covenant Medical Center Inc | Current |
Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients | |
| Covenant Medical Center Inc | Past | Accepting new patients |
Locations
751 Main St
Arlington, IA 50606
Phone (563) 633-6965
226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800
2101 Kimball Ave
#14
Waterloo, IA 50702
2710 Saint Francis Dr
Waterloo, IA 50702
Phone (319) 272-5600
2710 Saint Francis Dr
Ste 319
Waterloo, IA 50702
Phone (319) 236-3876
3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050
Interoperability endpoints
- gknudson3933423@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 32397 | IA | Yes |
Addresses
Primary practice location
2710 Saint Francis Dr
Suite 319
Waterloo, IA 50702-5619
Mailing address
2101 Kimball Ave
LL14
Waterloo, IA 50702-5063
Phone (319) 272-1590
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1957670 | Medicaid | IA |
Other providers in Waterloo, IA
- Jeannine Marie Knickerbocker
- Tamra S Knipp
- Knox Eyecare
- Bradley Joseph Knox
- Amanda Marie Knudsen
- Megan Renee Knudtson
- Kobliska Chiropractic, PLC
- Rodney Vincent Kobliska
- Brooke Ann Koch
- Merri Koch
All providers in Waterloo, IA · Orthopaedic Surgery Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2007. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.