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

State University of Iowa

Organization Surgery Physician · NPI 1114390358

State University of Iowa is a Surgery Physician in Cedar Rapids, Iowa. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

3705 River Ridge Dr NE
Cedar Rapids, IA 52402-7596
Phone: (319) 393-1902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1114390358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Roudabush — Director, Patient Financial Service · (319) 384-2334
Other names Plastic & Reconstructive Surgery Consultants Of University Of Iowa
NPI enumeratedNovember 10, 2015
Last updated in NPPESJanuary 4, 2016
Mailing address3705 River Ridge Dr Ne, Cedar Rapids, IA 52402-7596

Other providers in Cedar Rapids