Mrs Ronda Kim Dennis-smithart, MD,FAAP | |
123 E 3rd St Ste 2, Ottumwa, IA 52501-2937 | |
(641) 682-8145 | |
(641) 682-8857 |
Full Name | Mrs Ronda Kim Dennis-smithart |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 123 E 3rd St Ste 2, Ottumwa, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316926785 | NPI | - | NPPES |
35250 | Other | IA | WELLMARK |
24808 | Other | IA | STATE LICENSE # |
3036301 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 24808 (Iowa) | Primary |
Entity Name | State University Of Iowa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060 |
Mailing Address | Practice Location Address |
---|---|
Mrs Ronda Kim Dennis-smithart, MD,FAAP 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (641) 682-8145 | Mrs Ronda Kim Dennis-smithart, MD,FAAP 123 E 3rd St Ste 2, Ottumwa, IA 52501-2937 Ph: (641) 682-8145 |
Dr. Venkedesh Raju, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-682-7511 | |
Dr. William Peyton Miller, MD FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-683-3448 | |
Mrs. Lona Welbourn Brager, ARNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 921 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-682-5451 Fax: 641-682-0511 | |
John David Wilson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 931 Pennsylvania Ave, Ottumwa Pediatrics, Ottumwa, IA 52501 Phone: 641-684-3000 Fax: 641-684-2469 | |
Dr. Hazel Marian Ashraf, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 921 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-682-5451 Fax: 641-682-0511 | |
Donalee Wilkins Foster, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 931 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-684-3000 Fax: 641-684-2469 |