Individual
DR. KATHERINE MAE IGNACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 E MARKET ST, IOWA CITY, IA 52245-2633
(319) 339-3551
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 339-3551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
059242
GA
207R00000X
Internal Medicine Physician
10511726-1205
UT
207R00000X
Internal Medicine Physician
MD-46962
IA
207R00000X
Internal Medicine Physician
P4318
TX
208M00000X
Hospitalist Physician
059242
GA
208M00000X
Hospitalist Physician
35088512
OH
208M00000X
Hospitalist Physician
Primary
MD-46962
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01059317
AMERIGROUP
GA
05
—
2693330
—
OH
05
—
278857547A
—
GA
05
—
278857547B
—
GA
01
—
404271
WELLCARE
GA
05
—
G59242
—
SC
01
—
P00394178
RR MEDICARE
GA
01
—
P00803300
RR MEDICARE
GA
Enumeration date
10/05/2006
Last updated
04/17/2024
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