| Northeast Iowa Podiatry Pc | |
|
44 Brookeridge Dr, Waterloo, IA 50701-5214 | |
| (319) 234-2644 | |
| (319) 234-4938 |
| Full Name | Northeast Iowa Podiatry Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 44 Brookeridge Dr, 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 |
|---|---|---|---|
| 1356387799 | NPI | - | NPPES |
| 0208611 | Medicaid | IA | |
| 1356387799 | Other | IA | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 00677 (Iowa) | Primary |
| Provider Name | Stephen M Solomon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982699831 PECOS PAC ID: 3779474606 Enrollment ID: I20100623000513 |
| Provider Name | Kelsey M Sukovaty |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700308095 PECOS PAC ID: 4385915271 Enrollment ID: I20170811000142 |
| Provider Name | Brady Lynn Stewart |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508387028 PECOS PAC ID: 9830460732 Enrollment ID: I20170811000634 |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Iowa Podiatry Pc 44 Brookeridge Dr, Waterloo, IA 50701-5214 Ph: (319) 234-2644 | Northeast Iowa Podiatry Pc 44 Brookeridge Dr, Waterloo, IA 50701-5214 Ph: (319) 234-2644 |
Dr. Ronald M Kane, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2710 Saint Francis Dr, Suite 210, Waterloo, IA 50702 Phone: 319-272-5000 | |
Travis Tidwell, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2710 Saint Francis Dr Ste 510, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5236 | |
Levi Edward Andrews, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-2112 | |
Gregory Charles Lantz, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 927 W 4th St, Waterloo, IA 50702 Phone: 319-233-6107 Fax: 319-233-9138 | |
Dr. Colleen Kathleen Lowe, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-8000 | |
Dr. Gregory Alan Foote, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2710 Saint Francis Dr Ste 510, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5227 | |
Stephen James Meyer, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-0284 |