Provider Demographics
NPI:1124065883
Name:MAASSEN, JEFFREY LYNN (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:LYNN
Last Name:MAASSEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1650 1ST AVE NE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-5431
Mailing Address - Country:US
Mailing Address - Phone:319-362-3937
Mailing Address - Fax:319-362-2900
Practice Address - Street 1:1650 1ST AVE NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-5431
Practice Address - Country:US
Practice Address - Phone:319-362-3937
Practice Address - Fax:319-362-2900
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA36554207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA23521OtherBCBS OF IOWA
IA0491068Medicaid
P00318627OtherRR MEDICARE
IA0114OtherUHC OF THE RIVER VALLEY
I53460Medicare UPIN
IA0491068Medicaid