Wayne Alberts, MD
Individual provider Active NPI Family Medicine Physician · Cedar Rapids, IA
NPI 1760450100 · NPPES record last updated Oct 25, 2007
Key facts
- NPI
- 1760450100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 22593 (IA)
- Practice address
- 411 10TH St SE
Suite 2300
Cedar Rapids, IA 52403-2442 - Phone
- (319) 378-9356
- Fax
- (319) 294-9009
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22593 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Medical Laboratories of Eastern Iowa | Past | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Family Medicine | Past | Accepting new patients |
Locations
300 W May St
Marengo, IA 52301
Phone (319) 462-8011
Interoperability endpoints
- walberts40184@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22593 | IA | Yes |
Addresses
Primary practice location
411 10TH St SE
Suite 2300
Cedar Rapids, IA 52403-2442
Mailing address
PO Box 1824
Cedar Rapids, IA 52406-1824
Phone (319) 369-4505
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2202937 | Medicaid | IA |
Other providers in Cedar Rapids, IA
- Mitil Alam
- Amber Alaniz
- Katherine Joanne Alatorre
- Lani J Alber
- Gary Ronald Albers
- Courtney Renee Albritton
- John J Alcini Jr.
- Alex Alderdyce
- Gary Lee Aldrich Jr.
- Alexander Wallace DC PLLC
All providers in Cedar Rapids, IA · Family Medicine 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 Oct 25, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.