Provider Demographics
NPI:1124020615
Name:LAMORGESE, JAMES R (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:LAMORGESE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 A AVE NE
Mailing Address - Street 2:PO BOX 3026
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-5036
Mailing Address - Country:US
Mailing Address - Phone:319-369-7391
Mailing Address - Fax:319-369-7904
Practice Address - Street 1:1026 A AVE NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-5036
Practice Address - Country:US
Practice Address - Phone:319-369-7391
Practice Address - Fax:319-369-7904
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA21054207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAP00012193OtherRAILROAD MEDICARE (INDIVI
IAC62126OtherRAILRAOD MEDICARE GROUP
IA3149880Medicaid
IA24132OtherWELLMARK
IAC62126OtherRAILRAOD MEDICARE GROUP
IAP00012193OtherRAILROAD MEDICARE (INDIVI