Provider Demographics
NPI:1447202692
Name:BELLINGER, ANKE (MD)
Entity Type:Individual
Prefix:
First Name:ANKE
Middle Name:
Last Name:BELLINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2710 SAINT FRANCIS DR STE 419
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50702-5634
Mailing Address - Country:US
Mailing Address - Phone:319-272-5000
Mailing Address - Fax:319-272-6724
Practice Address - Street 1:2710 SAINT FRANCIS DR STE 419
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50702-5634
Practice Address - Country:US
Practice Address - Phone:319-272-5000
Practice Address - Fax:319-272-6724
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA36217207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0492512Medicaid
IA09640OtherWELLMARK BCBS
IA09640OtherWELLMARK BCBS
IAI17632Medicare PIN
IA0492512Medicaid