JACK C KADEMIAN

Address: 200 Hawkins Dr, Iowa City, IA 52242-1009
Phone: 3193563375

JACK C KADEMIAN (NPI# 1407832140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407832140
Entity Type 1 - Individual
Full Name JACK C KADEMIAN
Credential MD
Practice Address 200 Hawkins Dr
Iowa City
IA 52242-1009
Practice Telephone 3193563375
Practice Fax Number 3193562220
Enumeration Date 12/15/2005
Last Update Date 11/27/2007
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085N0700X Radiology
Specialization: Neuroradiology
35875 IA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA WELLMARK BCBS 38058 01
IA 0454769 05

Office Location

Street Address 200 HAWKINS DR
City IOWA CITY
State IA
Zip Code 52242-1009

Providers with the same location

NPI Name Address
1164425963 DR. MATTHEW T SPRAGG 200 Hawkins Dr, Iowa City, IA 52242-1009
1841293354 KEITH BRYAN GUESS 200 Hawkins Dr, Dept of Psychiatry, Iowa City, IA 52242-1009
1942204631 JAMIE RAY HANES 200 Hawkins Dr, Iowa City, IA 52242-1009
1609871649 LAURA M DELLOS 200 Hawkins Dr, Iowa City, IA 52242-1009
1215932074 DR. DEBRA BETH WALDRON 200 Hawkins Dr, Iowa City, IA 52242-1009
1952308348 SUZANNE M HENNINGS 200 Hawkins Dr, Iowa City, IA 52242-1009
1477550424 ESPERANZA GUADALUPE INGERSOLL-WENG 200 Hawkins Dr, Iowa City, IA 52242-1009
1730180761 STATE UNIVERSITY OF IOWA 200 Hawkins Dr, Iowa City, IA 52242-1009
1376544320 STATE UNIVERSITY OF IOWA 200 Hawkins Dr, Iowa City, IA 52242-1009
1285635235 STATE UNIVERSITY OF IOWA 200 Hawkins Dr, Iowa City, IA 52242-1009

Competitor

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City IOWA CITY
Zip Code 52242

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.