Grand River Medical Group, Pc | |
1515 Delhi St Ste 100 Dubuque IA 52001-6389 | |
(563) 557-9111 | |
(563) 589-4063 |
Full Name | Grand River Medical Group, Pc |
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Speciality | Internal Medicine |
Location | 1515 Delhi St, Dubuque, Iowa |
Authorized Official Name and Position | Justin Hafner (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5635579111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grand River Medical Group, Pc 1515 Delhi St Ste 100 Dubuque IA 52001-6389 Ph: (563) 557-9111 | Grand River Medical Group, Pc 1515 Delhi St Ste 100 Dubuque IA 52001-6389 Ph: (563) 557-9111 |
NPI Number | 1568427524 |
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Provider Enumeration Date | 04/20/2006 |
Last Update Date | 11/06/2019 |
Medicare PECOS PAC ID | 7810805058 |
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Medicare Enrollment ID | O20040316000501 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568427524 | NPI | - | NPPES |
Provider Name | Brian Nelson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912966532 PECOS PAC ID: 8527964675 Enrollment ID: I20031209001000 |
Provider Name | Anjana Aggarwal |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1467436899 PECOS PAC ID: 4789666405 Enrollment ID: I20040604000790 |
Provider Name | David M Ringold |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1912967118 PECOS PAC ID: 8729061510 Enrollment ID: I20040611000761 |
Provider Name | Amy J Ewen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063471076 PECOS PAC ID: 4880674837 Enrollment ID: I20041020000390 |
Provider Name | Krishnarao Gorrepati |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1588624811 PECOS PAC ID: 2062405095 Enrollment ID: I20041027000116 |
Provider Name | Brian D. Moran |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194794578 PECOS PAC ID: 0345158242 Enrollment ID: I20050118000894 |
Provider Name | Mark E Hermann |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1639148810 PECOS PAC ID: 5799693602 Enrollment ID: I20050324000773 |
Provider Name | John E. Whalen |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1285694802 PECOS PAC ID: 3678481587 Enrollment ID: I20050415000286 |
Provider Name | Lisa A Tyler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518910678 PECOS PAC ID: 0446204994 Enrollment ID: I20050524001340 |
Provider Name | Angela Diane Kelley |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881654473 PECOS PAC ID: 7012943590 Enrollment ID: I20050715000555 |
Provider Name | Alexander P Johnson |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1023077559 PECOS PAC ID: 2567495492 Enrollment ID: I20050912001314 |
Provider Name | Jennifer M Schope |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1952357196 PECOS PAC ID: 4688628878 Enrollment ID: I20060913000624 |
Provider Name | Heidi J Haas |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1609962927 PECOS PAC ID: 2264430172 Enrollment ID: I20061130000421 |
Provider Name | Zhengjin Cao |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861616039 PECOS PAC ID: 9537269154 Enrollment ID: I20070713000276 |
Provider Name | Connie L Kramer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982804910 PECOS PAC ID: 3577657196 Enrollment ID: I20070913000328 |
Provider Name | Khawar N Warraich |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1356549539 PECOS PAC ID: 0345334678 Enrollment ID: I20070918000418 |
Provider Name | Tony N Heiar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538316534 PECOS PAC ID: 8628137890 Enrollment ID: I20081103000104 |
Provider Name | Angie M Kutsch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912158114 PECOS PAC ID: 6103982129 Enrollment ID: I20090226000632 |
Provider Name | Jill M Powers |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912010471 PECOS PAC ID: 2668526302 Enrollment ID: I20090814000613 |
Provider Name | Hillard A Salas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215996418 PECOS PAC ID: 3870583735 Enrollment ID: I20091203000597 |
Provider Name | Kristin E Nelson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023078698 PECOS PAC ID: 3274542832 Enrollment ID: I20091203000630 |
Provider Name | Matthew J. Kirkendall |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821067794 PECOS PAC ID: 3173431079 Enrollment ID: I20100121000262 |
Provider Name | Gina M. Moran |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619946084 PECOS PAC ID: 2163330069 Enrollment ID: I20100121000306 |
Provider Name | Ronald A. Iverson |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1265407589 PECOS PAC ID: 9436067337 Enrollment ID: I20100126000468 |
Provider Name | Cynthia J. Konz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013986918 PECOS PAC ID: 5597673400 Enrollment ID: I20100202000942 |
Provider Name | Thomas James Schreiber |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659325694 PECOS PAC ID: 6709911316 Enrollment ID: I20100322000631 |
Provider Name | Debra A Rohr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275812554 PECOS PAC ID: 7113197385 Enrollment ID: I20110825000233 |
Provider Name | Lauren E Trumm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326399866 PECOS PAC ID: 8224289657 Enrollment ID: I20121113000346 |
Provider Name | Emily M Radtke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093064818 PECOS PAC ID: 2668624131 Enrollment ID: I20121207000192 |
Provider Name | Kari L Pfab |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063678936 PECOS PAC ID: 2567604200 Enrollment ID: I20130809000212 |
Provider Name | Jenny L Zalaznik |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073945499 PECOS PAC ID: 3375774243 Enrollment ID: I20140729002218 |
Provider Name | Sarah M Jacobitz Kizzier |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932467214 PECOS PAC ID: 3779725593 Enrollment ID: I20140826001860 |
Provider Name | Shawna L Tobin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710387246 PECOS PAC ID: 9335369925 Enrollment ID: I20141002000932 |
Provider Name | Benjamin Bruce Kumor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043445141 PECOS PAC ID: 9537388004 Enrollment ID: I20150629000687 |
Provider Name | Jason M Ellis |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1679828578 PECOS PAC ID: 8921246695 Enrollment ID: I20150706000960 |
Provider Name | Michelle M Shafer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770923666 PECOS PAC ID: 6406160647 Enrollment ID: I20150803000243 |
Provider Name | Alexander K Chung |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1407072853 PECOS PAC ID: 2163556879 Enrollment ID: I20150814014200 |
Provider Name | Adrian Letz |
---|---|
Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1033221916 PECOS PAC ID: 1153331715 Enrollment ID: I20160202001317 |
Provider Name | Kenneth W Martin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699118356 PECOS PAC ID: 7719120658 Enrollment ID: I20160622001323 |
Provider Name | Jingtao Huang |
---|---|
Provider Type | Practitioner - Sleep Medicine |
Provider Identifiers | NPI Number: 1174887020 PECOS PAC ID: 1355640251 Enrollment ID: I20160714001494 |
Provider Name | Jaime Lynn Kemp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962706192 PECOS PAC ID: 4082981030 Enrollment ID: I20170524000436 |
Provider Name | Connor Bryce Rucks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972038750 PECOS PAC ID: 1557639259 Enrollment ID: I20170621003110 |
Provider Name | Robert W Demuth |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447307897 PECOS PAC ID: 1658463146 Enrollment ID: I20170815001683 |
Provider Name | Ryan J Elsey |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1003269325 PECOS PAC ID: 6800183880 Enrollment ID: I20180419002669 |
Provider Name | Braden Christopher Powers |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1073827721 PECOS PAC ID: 1456653914 Enrollment ID: I20180713000465 |
Provider Name | Timothy Thomas Saunders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770147902 PECOS PAC ID: 7911240593 Enrollment ID: I20190522002440 |
Provider Name | Dori K Sevde |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225595838 PECOS PAC ID: 4981939139 Enrollment ID: I20190711000117 |
Provider Name | Katherine E Ruff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225699820 PECOS PAC ID: 4688902471 Enrollment ID: I20190816002541 |
Provider Name | Brad M Willenbring |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124464185 PECOS PAC ID: 2961758826 Enrollment ID: I20200807002411 |
Provider Name | Amanda Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184139479 PECOS PAC ID: 3971910738 Enrollment ID: I20210324000851 |
Provider Name | Elise M Mcpherson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326532425 PECOS PAC ID: 8325394646 Enrollment ID: I20210804001833 |
Provider Name | Ankura P Kadakia |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1235583956 PECOS PAC ID: 3870996614 Enrollment ID: I20220714001081 |
Provider Name | Emily A Weig |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1992365894 PECOS PAC ID: 6305264680 Enrollment ID: I20230717001566 |
Provider Name | Jaclyn Marie Houseal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386338085 PECOS PAC ID: 7810357142 Enrollment ID: I20230719000722 |
Unitypoint Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 350 N Grandview Ave, Dubuque, IA 52001 Phone: 563-589-2612 Fax: 563-589-2648 | |
Balance Integrative Health & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4855 Asbury Rd, Ste #7, Dubuque, IA 52002 Phone: 563-284-2422 | |
Burger Chiropractic L.l.c Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 989 Langworthy St Ste 202, Dubuque, IA 52001 Phone: 563-582-1188 Fax: 563-582-1181 | |
Wellspring Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1550 University Ave, Dubuque, IA 52001 Phone: 563-900-8300 | |
Epic Health And Wellness Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1075 Cedar Cross Rd Ste 1, Dubuque, IA 52003 Phone: 563-582-1000 Fax: 563-582-1113 | |
Dr. Gene Noonan Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1641 Asbury Rd, Dubuque, IA 52001 Phone: 563-556-8464 Fax: 563-556-0879 | |
Hillcrest Family Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 W 7th St, Dubuque, IA 52001 Phone: 563-583-6431 Fax: 563-557-4447 |