Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northern Iowa Cardiovascular and Thoracic Surgery Clinic, PC

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1942545975

Northern Iowa Cardiovascular and Thoracic Surgery Clinic, PC is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Waterloo, Iowa. Licensed in Iowa. Registered with an NPI since 2012.

Licensed in
IA
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1753 W Ridgeway Ave Ste 111
Waterloo, IA 50701-4588
Phone: (319) 233-6211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 28663 (IA)

Record details

NPI number1942545975
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eromosele Otoadese — Owner · (319) 233-3044
NPI enumeratedDecember 3, 2012
Last updated in NPPESApril 29, 2020
Certification dateApril 29, 2020
Mailing addressPo Box 2660, Waterloo, IA 50704-2660

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