NORTHERN IOWA CARDIOVASCULAR AND THORACIC SURGERY CLINIC, PC
NPI 1942545975
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Waterloo, IA

Q: What is Northern Iowa Cardiovascular And Thoracic Surgery Clinic, PC's specialty?

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

Active since December 03, 2012

1753 W RIDGEWAY AVE STE 111, WATERLOO, IA 50701(319) 233-6211 Get Directions Write a Review

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

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About Northern Iowa Cardiovascular And Thoracic Surgery Clinic, Pc NPPES

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

NORTHERN IOWA CARDIOVASCULAR AND THORACIC SURGERY CLINIC, PC (NPI 1942545975) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Waterloo, Iowa and active in the NPI registry since December 2012. The organization lists Eromosele Anthony Otoadese, Owner, as its authorized official.

NPPES Registry Identity

NPI1942545975

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameNORTHERN IOWA CARDIOVASCULAR AND THORACIC SURGERY CLINIC, PC

Location Address1753 W RIDGEWAY AVE STE 111Waterloo, IA 50701-4588

Mailing AddressPo Box 2660Waterloo, IA 50704-2660 · (319) 233-3044 · Fax (319) 233-0722

Phone(319) 233-6211

Organization SubpartNo

Authorized OfficialEromosele Anthony OtoadeseOwner · (319) 233-3044

Enumeration DateDecember 3, 2012

Last NPPES UpdateApril 29, 2020

NPPES CertifiedApril 29, 2020

✔ NPI 1942545975 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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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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.

EROMOSELE ANTHONY OTOADESE MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1753 W RIDGEWAY AVE STE 111
WATERLOO, IA 50701

Black Hawk County (219) 233-6211

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

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 Northern Iowa Cardiovascular And Thoracic Surgery Clinic, PC's NPI number?

The NPI number for Northern Iowa Cardiovascular And Thoracic Surgery Clinic, PC is 1942545975. It was assigned to this organization in the NPPES registry on December 3, 2012.

Where is Northern Iowa Cardiovascular And Thoracic Surgery Clinic, PC located?

Northern Iowa Cardiovascular And Thoracic Surgery Clinic, PC is located at 1753 W Ridgeway Ave Ste 111, Waterloo, IA 50701. The listed phone number is (319) 233-6211.

What is Northern Iowa Cardiovascular And Thoracic Surgery Clinic, PC's specialty?

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

What insurance does Northern Iowa Cardiovascular And Thoracic Surgery Clinic, PC accept?

Health plans from Medica list Northern Iowa Cardiovascular And Thoracic Surgery Clinic, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northern Iowa Cardiovascular And Thoracic Surgery Clinic, PC 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.