Iowa Cancer Specialists, P.C.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

IOWA CANCER SPECIALISTS, P.C.

Doing business as

Susannah Friemel, MD

Practice address

1750 E 53Rd Street
Davenport, IA 52807

Phone

(563) 345-4325

Fax

(563) 345-4326

NPI assigned

Aug 28, 2006

Last updated

Oct 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Susannah Friemel, MDNPI 1356352116

Title

President

Phone

(563) 345-4325

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Susannah Friemel, MD Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: icsmain@ics.oncoemrdirect.com

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susannah Parker Friemel, M.D.

  • Hematology & Oncology Physician
  • Davenport, IA
  • NPI 1356352116
  Medicare reassignment Care Compare group Authorized official
• Tami Kay Sheldon, ARNP

  • Women's Health Nurse Practitioner
  • Davenport, IA
  • NPI 1164857504
  Medicare reassignment Care Compare group NPD
• Gayle M Wallace, ARNP

  • Women's Health Nurse Practitioner
  • Davenport, IA
  • NPI 1679552871
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1891803011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E 53RD STREET",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52807",
            "telephone_number": "563-345-4325",
            "fax_number": "563-345-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E 53RD STREET",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52807",
            "telephone_number": "563-345-4325",
            "fax_number": "563-345-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA CANCER SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "FRIEMEL",
        "authorized_official_first_name": "SUSANNAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-345-4325",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "5927970001",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB1079",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSEPCIFIED",
            "identifier": "I9392",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ICSMain@ICS.OncoEMRDirect.com",
            "affiliation": "N",
            "address_1": "1750 E 53rd St",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528072707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Susannah Friemel, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-Pharmacy Dispensing Site in Davenport, IA
• Providers in Davenport, IA by specialty
• Non-Pharmacy Dispensing Site in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.