Provider Demographics
NPI:1891803011
Name:IOWA CANCER SPECIALISTS, P.C.
Entity Type:Organization
Organization Name:IOWA CANCER SPECIALISTS, P.C.
Other - Org Name:SUSANNAH FRIEMEL, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEMEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:563-345-4325
Mailing Address - Street 1:1750 E 53RD STREET
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807
Mailing Address - Country:US
Mailing Address - Phone:563-345-4325
Mailing Address - Fax:563-345-4326
Practice Address - Street 1:1750 E 53RD STREET
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807
Practice Address - Country:US
Practice Address - Phone:563-345-4325
Practice Address - Fax:563-345-4326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA5927970001OtherMEDICARE NSC
IAI9392OtherMEDICARE ID-TYPE UNSEPCIFIED
IADB1079OtherRAILROAD MEDICARE