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EROMOSELE ANTHONY OTOADESE MD
NPI 1013960129
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Waterloo, IA

Active since May 18, 2006
1753 W RIDGEWAY AVE STE 111, WATERLOO, IA 50701(219) 233-6211(319) 233-2164 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eromosele Anthony Otoadese Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EROMOSELE ANTHONY OTOADESE MD (NPI 1013960129) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Waterloo, Iowa, licensed in Iowa (28663) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1013960129
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameEROMOSELE ANTHONY OTOADESECredential: MD
Location Address1753 W RIDGEWAY AVE STE 111Waterloo, IA 50701-4588
Mailing AddressPo Box 2660Waterloo, IA 50704-2660 · (319) 233-6621 · Fax (319) 233-2164
Phone(219) 233-6211
Fax(319) 233-2164
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateApril 29, 2020
NPPES CertifiedApril 29, 2020
✔ NPI 1013960129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in IA · 28663
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1753 W RIDGEWAY AVE STE 111, Waterloo, IA 50701
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Other Identifiers 3

Other421417307C4IA · John Deere Health Ins Pla
Other46994IA · Wellmark Ins Plan
Medicaid2091736IA

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN M THOMPSON M.A.
Audiologist
1753 W RIDGEWAY AVE STE 111
WATERLOO, IA 50701
Black Hawk County (319) 833-5970
SPENCER KAY KLEITSCH ARNP
Nurse Practitioner
1753 W RIDGEWAY AVE STE 111
WATERLOO, IA 50701
Black Hawk County (319) 833-5970
ALLYSON RAE LANDPHAIR ARNP
Nurse Practitioner
1753 W RIDGEWAY AVE STE 111
WATERLOO, IA 50701
Black Hawk County (319) 233-6211
NORTHERN IOWA CARDIOVASCULAR AND THORACIC SURGERY CLINIC, PC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1753 W RIDGEWAY AVE STE 111
WATERLOO, IA 50701
Black Hawk County (319) 233-6211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eromosele Otoadese's NPI number?

The NPI number for Eromosele Otoadese is 1013960129. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Eromosele Otoadese located?

Eromosele Otoadese practices at 1753 W Ridgeway Ave Ste 111, Waterloo, IA 50701. The listed phone number is (219) 233-6211.

What is Eromosele Otoadese's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Eromosele Otoadese was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.