Overview
Jack Charles Kademian is a diagnostic radiology enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is STATE UNIVERSITY OF IOWA. The business address is 105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209. Published on February 23, 2005.
Enrollment Information
NPI | 1407832140 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
PAC ID | 4082667746 PECOS Associate Control (PAC) ID Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
Professional Enrollment ID | I20050223000278 |
Full Name | JACK CHARLES KADEMIAN |
Gender | M |
Credential | MD - Medical Doctor |
Graduation Year | 1998 |
Primary Specialty | DIAGNOSTIC RADIOLOGY |
Organization Legal Name | STATE UNIVERSITY OF IOWA |
Group Practice PAC ID | 7618884230 |
Number of Group Practice Members | 1481 |
Address | 105 E 9th St University of Iowa Health Care Medical Center Irl Coralville IA 52241-2209 |
Telephone | 3194672000 |
Professional Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
Group Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
Provider Overview
NPI | 1407832140 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
Provider Name | JACK C KADEMIAN |
Address | 200 Hawkins Dr Iowa City IA 52242-1009 |
Taxonomy Code | 2085N0700X |
Enumeration Date | 2005-12-15 |
Location Information
Organization Legal Name | Address | Telephone |
---|---|---|
STATE UNIVERSITY OF IOWA | 105 E 9th St, Iowa River Landing University of Iowa Healthcare, Coralville, IA 52241-2209 | 3194672000 |
STATE UNIVERSITY OF IOWA | 200 Hawkins Dr, Iowa City, IA 52242-1009 | |
STATE UNIVERSITY OF IOWA | 2701 Prairie Meadow Dr, Iowa City, IA 52242-8001 | 3193847070 |
Extra Contact Information
Address | Telephone | Group Practice PAC ID |
---|---|---|
105 E 9th St, Iowa River Landing University of Iowa Healthcare, Coralville, IA 522412209 | 3194672000 | 7618884230 |
200 Hawkins Dr, Iowa City, IA 52242-1009 | 7618884230 | |
200 Hawkins Dr, Iowa City, IA 522421009 | 3193561616 | 7618884230 |
200 Hawkins Dr, Iowa City, IA 522421009 | 3193562205 | 7618884230 |
200 Hawkins Dr, Iowa City, IA 522421009 | 3193562991 | 7618884230 |
2701 Prairie Meadow Dr, Iowa City, IA 522428001 | 3193847070 | 7618884230 |
Organization Information
Organization Legal Name | STATE UNIVERSITY OF IOWA |
Address | 105 E 9th St University of Iowa Health Care Medical Center Irl Coralville IA 52241-2209 |
Telephone | 3194672000 |
Doctors with the same organization
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Amy M Dupont | Physician Assistant | State University of Iowa | 2591 Holiday Rd, Coralville, IA 52241-3039 |
Ikami Sasa | Nurse Practitioner | State University of Iowa | 2055 Oakdale Rd, Coralville, IA 52241-4704 |
Christopher D Clark | Obstetrics/Gynecology | State University of Iowa | 177 Congress St, Charleston, SC 29403-4423 |
Jinha Park | Diagnostic Radiology | State University of Iowa | 2181 Kalakaua Ave, Honolulu, HI 96815-2318 |
Laura Lb Schmitt | Qualified Speech Language Pathologist | State University of Iowa | 250 Hawkins Dr, Iowa City, IA 52242-1025 |
Stephanie King Steffen | Nurse Practitioner | State University of Iowa | 56 Cedar St, Tipton, IA 52772-1705 |
Amr A Mourad | Diagnostic Radiology | State University of Iowa | 795 Village Club Dr, Wexford, PA 15090-1527 |
Erin S Cullen | Nurse Practitioner | State University of Iowa | 3465 Mulberry Ave, Muscatine, IA 52761-2324 |
Tanya Aggarwal | Family Practice | State University of Iowa | 920 E 2nd Ave 201 Aandb, University of Ia Health Care Medical Center Irl East, Coralville, IA 52241-2219 |
Joseph William Galvin | Orthopedic Surgery | State University of Iowa | 105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209 |
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Location Information
Street Address | 105 E 9TH ST UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER IRL |
City | CORALVILLE |
State | IA |
Zip Code | 52241-2209 |
Doctors in the same location
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Taariq Mohammed | Ophthalmology | State University of Iowa | 105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209 |
Bopha Chrea | Orthopedic Surgery | State University of Iowa | 105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209 |
Leonardo Furtado Freitas | Diagnostic Radiology | State University of Iowa | 105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209 |
Renata Correa Osorio | Diagnostic Radiology | State University of Iowa | 105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209 |
Ryan James Mcloughlin | Physical Medicine and Rehabilitation | State University of Iowa | 105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209 |
Serkan Bektur | Advanced Heart Failure and Transplant Cardiology | State University of Iowa | 105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209 |
Nicole A Negbenebor | Dermatology | State University of Iowa | 105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209 |
Nagalakshmi Nagarajan | Cardiovascular Disease (Cardiology) | State University of Iowa | 105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209 |
Kenan B Ashouri | Urology | State University of Iowa | 105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209 |
Ananya Panda | Diagnostic Radiology | State University of Iowa | 105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209 |
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Doctors in the same zip code
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Jody K Mckee | Physician Assistant | Ts Dermatology PLLC | 1100 6th St, Suite 202, Coralville, IA 52241-1757 |
Aaron C Schroeder | Chiropractic | 850 22nd Ave, Suite 3, Coralville, IA 52241-1565 | |
Heather M Ciliberto | Dermatology | Ts Dermatology PLLC | 1100 6th St, Suite 202, Coralville, IA 52241-1757 |
Jerome L Carew | Chiropractic | 2411 2nd St, Suite 1, Coralville, IA 52241-1500 | |
Marta M Little | Allergy/Immunology | Allergy Partners PLLC | 1100 6th St, Suite 203, Coralville, IA 52241-1757 |
David P Boysen | Dermatology | Epiphany Dermatology of Iowa Plc | 501 12th Ave, Suite 101, Coralville, IA 52241-1774 |
Meegan Anne Murphy | Nurse Practitioner | Allergy Partners PLLC | 1100 6th St, Suite 203, Coralville, IA 52241-1757 |
Jacob A Dyson | Chiropractic | 850 22nd Ave, Suite 3, Coralville, IA 52241-1688 | |
Mark Andrew Mylan | Chiropractic | 850 22nd Ave, Coralville, IA 52241-1688 | |
Jill H Scholz | Podiatry | 501 12th Ave, Suite 203, Coralville, IA 52241-1774 | |
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Jack D Bui | Pathology | Regents of The University of California | 200 W Arbor Dr, San Diego, CA 92103-1920 |
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Dataset Information
This dataset includes over one million physicians and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Source | data.cms.gov |
Dataset Details
The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare. The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:
- The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
- Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
- Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
- performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.
This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.