MEDICARE: ENT MEDICAL SERVICES SLEEP CENTER PLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center	NA	IA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DE0738	OTHER	IA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043265424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENT MEDICAL SERVICES SLEEP CENTER PLC

Provider Business Mailing Address
First Line	:	2901 NORTHGATE DR
Second Line	:	SUITE A
City	:	IOWA CITY
State	:	IA
Zip	:	52245-9571
Country	:	US
Telephone Number	:	319-338-2101
Fax Number	:	319-338-1973

Provider Business Practice Location Address
First Line	:	2901 NORTHGATE DR
Second Line	:	SUITE A
City	:	IOWA CITY
State	:	IA
Zip	:	52245-9571
Country	:	US
Telephone Number	:	319-338-2101
Fax Number	:	319-338-1973

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. THOMAS A SIMPSON
Credential	:	MD
Telephone Number	:	319-338-2101

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	05/21/2024

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Directions to “ENT MEDICAL SERVICES SLEEP CENTER PLC ” Practice Location

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