Mr Jon James Clinton, CRNA | |
1825 Logan Ave, Waterloo, IA 50703-1916 | |
(319) 235-5386 | |
(319) 235-3074 |
Full Name | Mr Jon James Clinton |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1825 Logan Ave, Waterloo, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942272505 | NPI | - | NPPES |
1942272505 | Other | IA | WELLMARK |
1942272505 | Medicaid | IA | |
421417307RV | Other | IA | UHC/RIVER VALLEY/ JD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | D111180 (Iowa) | Primary |
Entity Name | Cedar Valley Medical Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497794242 PECOS PAC ID: 1759291487 Enrollment ID: O20031208000462 |
Entity Name | Grundy County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114012085 PECOS PAC ID: 6406766435 Enrollment ID: O20040217000174 |
Entity Name | Waverly Health Center |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1033125463 PECOS PAC ID: 8820996762 Enrollment ID: O20060925000486 |
Entity Name | Grundy County Memorial Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1821055989 PECOS PAC ID: 6406766435 Enrollment ID: O20061104000161 |
Mailing Address | Practice Location Address |
---|---|
Mr Jon James Clinton, CRNA 4150 Kimball Ave, Po Box 2758, Waterloo, IA 50704-2758 Ph: (319) 235-5390 | Mr Jon James Clinton, CRNA 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-5386 |
Kathryn E Soeder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5390 | |
Mrs. Sara Elizabeth Yoder, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5386 Fax: 319-235-3074 | |
Scott Robert Doyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5386 Fax: 319-235-3074 | |
Lance A Lalonde, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5390 | |
Kathryn Ann Ogburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5386 Fax: 319-235-3074 | |
Kate Nichelle Nicholson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5386 Fax: 319-235-3074 | |
Wayde Russell Blumhardt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3886 Fax: 319-233-1630 |