OrganizationActive
State University of Iowa
NPI 1417905746 · Hematology & Oncology Physician · Ottumwa, IA
Provider details
- NPI number
- 1417905746
- Entity type
- Organization
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Philip Roudabush, Director,patient Financial Services(319) 384-2334
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1003 Pennsylvania Ave
Ottumwa, IA 52501-2108
Phone: (641) 682-2514
Fax: (641) 226-5024
Street-level locationGet directions
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1007
Other names (DBA / former)
- Doing business as
- Ui Medical Oncology Hematology - Ottumwa
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2012-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.