MEDICARE: FREDERICK H OVROM MD

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	207R00000X	Internal Medicine Physician	MD-27532	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	49888	OTHER	IA	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1619941226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FREDERICK H OVROM MD

Provider Business Mailing Address
First Line	:	200 HAWKINS DR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52242-1009
Country	:	US
Telephone Number	:	319-887-2900
Fax Number	:	319-887-2904

Provider Business Practice Location Address
First Line	:	2769 HEARTLAND DR STE 205
Second Line	:
City	:	CORALVILLE
State	:	IA
Zip	:	52241-2732
Country	:	US
Telephone Number	:	319-887-2900
Fax Number	:	319-887-2904

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	11/19/2025

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