Healthcare Provider Details

I. General information

NPI: 1215997739
Provider Name (Legal Business Name): SURGICAL SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 03/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 E BLOOMINGTON ST
IOWA CITY IA
52245-2803
US

IV. Provider business mailing address

510 E BLOOMINGTON ST
IOWA CITY IA
52245-2803
US

V. Phone/Fax

Practice location:
  • Phone: 319-338-9247
  • Fax: 319-338-2785
Mailing address:
  • Phone: 319-338-9247
  • Fax: 319-338-2785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RICK A SHELMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 319-338-9247