Provider Demographics
NPI:1215106851
Name:EKROTH, MARGARET TODD (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:TODD
Last Name:EKROTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:TODD
Other - Last Name:ROTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2943 NORTHGATE DR
Mailing Address - Street 2:UROLOGIC ASSOCIATES OF IOWA CITY
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-9571
Mailing Address - Country:US
Mailing Address - Phone:319-338-1197
Mailing Address - Fax:319-337-2199
Practice Address - Street 1:2943 NORTHGATE DR
Practice Address - Street 2:UROLOGIC ASSOCIATES OF IOWA CITY
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-9571
Practice Address - Country:US
Practice Address - Phone:319-338-1197
Practice Address - Fax:319-337-2199
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY257061208800000X
IA40435208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03230522Medicaid
NYJ4000020092Medicare PIN