Healthcare Provider Details

I. General information

NPI: 1194904169
Provider Name (Legal Business Name): MATTHEW JAMES THURTELL M.B.B.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2007
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR
IOWA CITY IA
52242-1007
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1007
US

V. Phone/Fax

Practice location:
  • Phone: 319-356-1951
  • Fax: 319-356-0363
Mailing address:
  • Phone: 319-356-1951
  • Fax: 319-356-0363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberSP201
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code207WX0109X
TaxonomyNeuro-ophthalmology Physician
License NumberSP-0201
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: