Provider Demographics
NPI:1932188380
Name:LOUIS SAUNDERS, KATHARINE JENNIFER (MD)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:JENNIFER
Last Name:LOUIS SAUNDERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATHARINE
Other - Middle Name:JENNIFER LOUIS
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1765 LININGER LN
Practice Address - Street 2:
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-2335
Practice Address - Country:US
Practice Address - Phone:319-467-7888
Practice Address - Fax:319-467-7889
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA35746207Q00000X
GA90541207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0738146Medicaid
IA2417691Medicaid
IA25098OtherWELLMARK BCBS
IAP00360469OtherRR MEDICARE
IA17168OtherWELLMARK BCBS
IA25099OtherWELLMARK BCBS
IA1417691Medicaid
IA4417691Medicaid
IA0417691Medicaid
IA20786OtherWELLMARK BCBS
IA25107OtherWELLMARK BCBS
IA3417691Medicaid
IA3417691Medicaid
IAI0923262Medicare PIN
IAP00360469OtherRR MEDICARE
IA25099OtherWELLMARK BCBS
IA0417691Medicaid
IA0417691Medicaid