| Cedar Valley Medical Specialists Pc | |
|
4150 Kimball Ave, Waterloo, IA 50704-2758 | |
| (319) 235-5390 | |
| (319) 233-1630 |
| Full Name | Cedar Valley Medical Specialists Pc |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery |
| Location | 4150 Kimball Ave, Waterloo, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497794242 | NPI | - | NPPES |
| Provider Name | Ashar Afzal |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1689628117 PECOS PAC ID: 7214823459 Enrollment ID: I20040225000445 |
| Provider Name | Scott R Doyle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306890819 PECOS PAC ID: 3779473251 Enrollment ID: I20040318000237 |
| Provider Name | Anjana Aggarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467436899 PECOS PAC ID: 4789666405 Enrollment ID: I20040604000790 |
| Provider Name | Barbara K Burkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588618359 PECOS PAC ID: 0345219416 Enrollment ID: I20040927000680 |
| Provider Name | Ravindra Mallavarapu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982657961 PECOS PAC ID: 8123088994 Enrollment ID: I20041015000413 |
| Provider Name | Michael Le Woltman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841303864 PECOS PAC ID: 7012956568 Enrollment ID: I20050426000094 |
| Provider Name | Jayson Eric Gesme |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821042698 PECOS PAC ID: 6800824830 Enrollment ID: I20050801000843 |
| Provider Name | Jon J Clinton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942272505 PECOS PAC ID: 1658301312 Enrollment ID: I20050812000959 |
| Provider Name | Joud G Dib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033273628 PECOS PAC ID: 9335241413 Enrollment ID: I20070220000324 |
| Provider Name | James J Poock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740260074 PECOS PAC ID: 2466542212 Enrollment ID: I20071217000353 |
| Provider Name | Srinivas Kalala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619140910 PECOS PAC ID: 0345319034 Enrollment ID: I20080521000400 |
| Provider Name | Jonathon C Hennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376777383 PECOS PAC ID: 0941359772 Enrollment ID: I20090527000188 |
| Provider Name | Tarek M Daoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780638171 PECOS PAC ID: 1052462868 Enrollment ID: I20090708000043 |
| Provider Name | Vinay Kumar Kantamneni |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508811258 PECOS PAC ID: 8628988185 Enrollment ID: I20090708000077 |
| Provider Name | Daniel S Miller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427098466 PECOS PAC ID: 2668523424 Enrollment ID: I20090708000136 |
| Provider Name | Michael J Puk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932153640 PECOS PAC ID: 4284785049 Enrollment ID: I20090708000150 |
| Provider Name | Bryan Dean Hested |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942536057 PECOS PAC ID: 7810035581 Enrollment ID: I20091118000054 |
| Provider Name | Kirby P Clark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407893795 PECOS PAC ID: 4082688114 Enrollment ID: I20091203000719 |
| Provider Name | Matthew J Kettman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245218882 PECOS PAC ID: 2365586039 Enrollment ID: I20100218000345 |
| Provider Name | Ivo Bekavac |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619920089 PECOS PAC ID: 8921918582 Enrollment ID: I20100301000911 |
| Provider Name | Suzanne R Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740234376 PECOS PAC ID: 3072658897 Enrollment ID: I20100304000683 |
| Provider Name | Bradley A Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619916137 PECOS PAC ID: 8325183155 Enrollment ID: I20100304000708 |
| Provider Name | Gregory K Harter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134157415 PECOS PAC ID: 2062541659 Enrollment ID: I20100519000711 |
| Provider Name | Maria L Metcalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972822393 PECOS PAC ID: 7416081393 Enrollment ID: I20100813000521 |
| Provider Name | Jennifer M Chastek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730483645 PECOS PAC ID: 4587846308 Enrollment ID: I20110315000462 |
| Provider Name | Monica L White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811270721 PECOS PAC ID: 3375716780 Enrollment ID: I20111031000748 |
| Provider Name | Stefanie J Swinton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538424874 PECOS PAC ID: 6204084460 Enrollment ID: I20120912000597 |
| Provider Name | Lindy J Tommasin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245592393 PECOS PAC ID: 3476702580 Enrollment ID: I20121005000055 |
| Provider Name | Jane Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184988610 PECOS PAC ID: 5991954877 Enrollment ID: I20121009000827 |
| Provider Name | Tracy R Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588919351 PECOS PAC ID: 2264685015 Enrollment ID: I20130104000158 |
| Provider Name | Benjamin L Torrez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841446382 PECOS PAC ID: 5395987606 Enrollment ID: I20130816000301 |
| Provider Name | Katie M Bries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427490226 PECOS PAC ID: 1254565765 Enrollment ID: I20131015001882 |
| Provider Name | Chalis M Treloar |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235484015 PECOS PAC ID: 8426282963 Enrollment ID: I20131016000614 |
| Provider Name | Sarah M Cisco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063840320 PECOS PAC ID: 7517195381 Enrollment ID: I20140124001766 |
| Provider Name | Thomas P Petrie |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497075642 PECOS PAC ID: 0042459836 Enrollment ID: I20140512000799 |
| Provider Name | Lucas A Cook |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639582901 PECOS PAC ID: 8527283589 Enrollment ID: I20140707001192 |
| Provider Name | Crystal A Wilken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720487838 PECOS PAC ID: 2668693599 Enrollment ID: I20141017002134 |
| Provider Name | Elizabeth M Shover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952786998 PECOS PAC ID: 6709191067 Enrollment ID: I20150814013746 |
| Provider Name | Mary C Nading |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326412719 PECOS PAC ID: 9830490507 Enrollment ID: I20151222002028 |
| Provider Name | Kelli E Deserano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457801326 PECOS PAC ID: 3577841816 Enrollment ID: I20161020002001 |
| Provider Name | Cari Lynn Graham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467821975 PECOS PAC ID: 6002196326 Enrollment ID: I20161202001231 |
| Provider Name | Kelsie J Swisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932652757 PECOS PAC ID: 2163702200 Enrollment ID: I20161207002480 |
| Provider Name | Maryjane Cose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235677691 PECOS PAC ID: 5597049726 Enrollment ID: I20170307000453 |
| Provider Name | Staci Anne Boon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013261510 PECOS PAC ID: 6901051663 Enrollment ID: I20170504000326 |
| Provider Name | Oz A Wolfensperger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417486408 PECOS PAC ID: 8426326513 Enrollment ID: I20170614000093 |
| Provider Name | Christine A Mitchell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578085429 PECOS PAC ID: 9234402157 Enrollment ID: I20170829000496 |
| Provider Name | Melissa T Garrett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881910271 PECOS PAC ID: 9739322066 Enrollment ID: I20180509000994 |
| Provider Name | Aaron L Klein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467623082 PECOS PAC ID: 5890922801 Enrollment ID: I20180807003626 |
| Provider Name | Violet K Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811348956 PECOS PAC ID: 8729372669 Enrollment ID: I20180828003240 |
| Provider Name | Michaela M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407312549 PECOS PAC ID: 5597004937 Enrollment ID: I20190304000370 |
| Provider Name | Dawn M Kleve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841857869 PECOS PAC ID: 9335474220 Enrollment ID: I20190715003025 |
| Provider Name | Brandy M Reints |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306406681 PECOS PAC ID: 7113253709 Enrollment ID: I20190718003545 |
| Provider Name | Taylor J Kettman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972165116 PECOS PAC ID: 3274869870 Enrollment ID: I20190719000042 |
| Provider Name | Libby K Uhlenhopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548720998 PECOS PAC ID: 8820324247 Enrollment ID: I20190723002962 |
| Provider Name | Barbara L Salisbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164083861 PECOS PAC ID: 7517293426 Enrollment ID: I20190731000528 |
| Provider Name | Tiffanie L Lapan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215590153 PECOS PAC ID: 6608103320 Enrollment ID: I20190802002563 |
| Provider Name | Sami Sibai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740478494 PECOS PAC ID: 4880848910 Enrollment ID: I20190808000153 |
| Provider Name | Levi K Dahle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891334637 PECOS PAC ID: 7911333042 Enrollment ID: I20200207001143 |
| Provider Name | Jenna M Niccolls |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871120469 PECOS PAC ID: 6406274224 Enrollment ID: I20200910002753 |
| Provider Name | Andrew H Rikkers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558455386 PECOS PAC ID: 9739125766 Enrollment ID: I20210303001065 |
| Provider Name | Jennifer L Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871183715 PECOS PAC ID: 4183023617 Enrollment ID: I20210602003153 |
| Provider Name | Megan Lynn Heise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174107643 PECOS PAC ID: 8820498900 Enrollment ID: I20210610002008 |
| Provider Name | Jonathan Robert Lang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790349157 PECOS PAC ID: 0244630044 Enrollment ID: I20210616001499 |
| Provider Name | Isaac A Butler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003470451 PECOS PAC ID: 9739580150 Enrollment ID: I20210623001204 |
| Provider Name | Kama Sarah Ausborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669056123 PECOS PAC ID: 9133523517 Enrollment ID: I20210810003396 |
| Provider Name | Kavan Girishbhai Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437541406 PECOS PAC ID: 2769737337 Enrollment ID: I20211104001561 |
| Provider Name | Suzanne Craver Davison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972262178 PECOS PAC ID: 0840681615 Enrollment ID: I20220105001638 |
| Provider Name | Heather R Steinbronn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326707738 PECOS PAC ID: 0648661314 Enrollment ID: I20220107000318 |
| Provider Name | Amber Nicole Toenyes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316608094 PECOS PAC ID: 3173918059 Enrollment ID: I20220310001640 |
| Provider Name | Kenny David Rodriguez |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447783139 PECOS PAC ID: 1254600778 Enrollment ID: I20220509000933 |
| Provider Name | David Edward Henry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285861120 PECOS PAC ID: 4880819341 Enrollment ID: I20220812000784 |
| Provider Name | Madison A Albert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043945645 PECOS PAC ID: 5890178412 Enrollment ID: I20220815003025 |
| Provider Name | Matthew Keith Krewer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003269721 PECOS PAC ID: 4284920018 Enrollment ID: I20221208000471 |
| Provider Name | Beau Bradley Sorenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023727757 PECOS PAC ID: 0446622179 Enrollment ID: I20230207000856 |
| Provider Name | Madison I Shatek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679240469 PECOS PAC ID: 0042682569 Enrollment ID: I20230209002824 |
| Provider Name | Emily Jane Clinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508562489 PECOS PAC ID: 0143693754 Enrollment ID: I20230302000195 |
| Provider Name | Shima Ghavimi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811316458 PECOS PAC ID: 3577852193 Enrollment ID: I20230628002054 |
| Provider Name | Richard Manfready |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710419122 PECOS PAC ID: 1254677578 Enrollment ID: I20230905003803 |
| Provider Name | Amanda Terryce Gidley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760905905 PECOS PAC ID: 7113378175 Enrollment ID: I20240104000776 |
| Provider Name | Jamie Marie Foster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902532583 PECOS PAC ID: 6709221674 Enrollment ID: I20240301000597 |
| Provider Name | James Corye Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073378352 PECOS PAC ID: 3274979968 Enrollment ID: I20240318000135 |
| Provider Name | Kayla E Ruehs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770349318 PECOS PAC ID: 8729520762 Enrollment ID: I20240606000661 |
| Provider Name | Taha Ashraf |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881181451 PECOS PAC ID: 1355685512 Enrollment ID: I20240715002185 |
| Provider Name | Robin Rawson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033479282 PECOS PAC ID: 4082870837 Enrollment ID: I20241101001431 |
| Provider Name | Savannah Meredith Wiltfang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093510745 PECOS PAC ID: 5890216832 Enrollment ID: I20250306003364 |
| Provider Name | Amanda Marie Knudsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104614270 PECOS PAC ID: 9335659044 Enrollment ID: I20250611002435 |
| Provider Name | Sydney Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306606611 PECOS PAC ID: 0547601817 Enrollment ID: I20250709000961 |
| Provider Name | Collin Haben |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871056093 PECOS PAC ID: 1850620683 Enrollment ID: I20250730000222 |
| Provider Name | Denisee Tish Loyola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598646531 PECOS PAC ID: 9830689280 Enrollment ID: I20251105002112 |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Valley Medical Specialists Pc Po Box 2758, Waterloo, IA 50704-2758 Ph: (319) 235-5390 | Cedar Valley Medical Specialists Pc 4150 Kimball Ave, Waterloo, IA 50704-2758 Ph: (319) 235-5390 |