Provider Demographics
NPI:1124094974
Name:NEIMAN, RICHARD FLINT (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:FLINT
Last Name:NEIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 E JEFFERSON ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-2477
Mailing Address - Country:US
Mailing Address - Phone:319-338-5451
Mailing Address - Fax:319-338-9366
Practice Address - Street 1:540 E JEFFERSON ST
Practice Address - Street 2:SUITE 201
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2477
Practice Address - Country:US
Practice Address - Phone:319-338-5451
Practice Address - Fax:319-338-9366
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA17985174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0123505Medicaid
IA0123505Medicaid
IA12350Medicare PIN