State University of Iowa
NPI 1114390358ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Cedar Rapids, IA
Surgery, Plastic and Reconstructive Surgery in Cedar Rapids, Iowa, registered in NPPES in November 2015. The authorized official on file is Philip E. Roudabush, Director, Patient Financial Service.
Overview
| NPI | 1114390358 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 10, 2015 |
| Last updated in NPPES | Jan 4, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | — | — |
| Surgery | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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