| Gundersen Palmer Lutheran Hospital And Clinics | |
|
112 Jefferson Street West Union IA 52175 | |
| (563) 422-3811 | |
| (563) 422-9875 |
| Full Name | Gundersen Palmer Lutheran Hospital And Clinics |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 112 Jefferson Street, West Union, Iowa |
| Authorized Official Name and Position | Patrice Kuennen (CEO) |
| Authorized Official Contact | 5634223811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gundersen Palmer Lutheran Hospital And Clinics 112 Jefferson Street West Union IA 52175 Ph: (563) 422-3811 | Gundersen Palmer Lutheran Hospital And Clinics 112 Jefferson Street West Union IA 52175 Ph: (563) 422-3811 |
| NPI Number | 1891744108 |
|---|---|
| Provider Enumeration Date | 05/06/2006 |
| Last Update Date | 11/29/2018 |
| Medicare PECOS PAC ID | 4284544255 |
|---|---|
| Medicare Enrollment ID | O20040317001077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891744108 | NPI | - | NPPES |
| 0090423 | Medicaid | IA | |
| 13603 | Other | IA | BLUE CROSS ER GROUP |
| 90423 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 330070H (Iowa) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 330070H (Iowa) | Primary |
| Provider Name | Robert A Roof |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164526349 PECOS PAC ID: 8426962671 Enrollment ID: I20031113000176 |
| Provider Name | Jessica A White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689665622 PECOS PAC ID: 3476449950 Enrollment ID: I20040223000734 |
| Provider Name | Kurt J Ziegelbein |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1205830809 PECOS PAC ID: 6901709260 Enrollment ID: I20040422000127 |
| Provider Name | Lonnie D Simmons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851395735 PECOS PAC ID: 2668386707 Enrollment ID: I20040430000525 |
| Provider Name | Stephen J Goldman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750368528 PECOS PAC ID: 0143201483 Enrollment ID: I20040525000261 |
| Provider Name | Iftekhar A Awan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114912268 PECOS PAC ID: 2860473980 Enrollment ID: I20040525001734 |
| Provider Name | Sherri K Schilling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659375236 PECOS PAC ID: 1052395779 Enrollment ID: I20040617001480 |
| Provider Name | Phillip S Yee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306840061 PECOS PAC ID: 3870577505 Enrollment ID: I20040617001544 |
| Provider Name | Kenneth W Merkitch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215930888 PECOS PAC ID: 9234117375 Enrollment ID: I20040713001406 |
| Provider Name | Mordechai D Lederman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396741385 PECOS PAC ID: 0840263091 Enrollment ID: I20040816001069 |
| Provider Name | Mary E Kuffel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215933478 PECOS PAC ID: 0042283210 Enrollment ID: I20040816001196 |
| Provider Name | Michael D Redman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386648665 PECOS PAC ID: 5092780601 Enrollment ID: I20040827000592 |
| Provider Name | Craig P Sullivan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700881182 PECOS PAC ID: 8426944331 Enrollment ID: I20040831000611 |
| Provider Name | Gordon L Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932105061 PECOS PAC ID: 2668361098 Enrollment ID: I20040921000226 |
| Provider Name | Brooke A Tappe |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508861980 PECOS PAC ID: 7618930173 Enrollment ID: I20041105000932 |
| Provider Name | Mark Aram Nigogosyan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255333555 PECOS PAC ID: 4880597129 Enrollment ID: I20041122000760 |
| Provider Name | Brian R Manske |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043213895 PECOS PAC ID: 1557264850 Enrollment ID: I20041122000977 |
| Provider Name | Kenneth A Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225031883 PECOS PAC ID: 5799742540 Enrollment ID: I20041214000501 |
| Provider Name | Alcee J Jumonville |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144226531 PECOS PAC ID: 4486611142 Enrollment ID: I20041214000673 |
| Provider Name | Nicholas J Goetsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740287614 PECOS PAC ID: 6305870767 Enrollment ID: I20050924000229 |
| Provider Name | Janet Sue Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972507895 PECOS PAC ID: 0547284275 Enrollment ID: I20060120000830 |
| Provider Name | Ewa Plagman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548262744 PECOS PAC ID: 4981668985 Enrollment ID: I20060308000804 |
| Provider Name | Lana J Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851331573 PECOS PAC ID: 2062429772 Enrollment ID: I20060321000166 |
| Provider Name | David C White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649350893 PECOS PAC ID: 1153387030 Enrollment ID: I20060424000393 |
| Provider Name | Raju G Ailiani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831192194 PECOS PAC ID: 8426024647 Enrollment ID: I20060602000187 |
| Provider Name | Gregory J Valkosky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356307185 PECOS PAC ID: 7315959616 Enrollment ID: I20060706000034 |
| Provider Name | Brigitte L Weymiller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669477048 PECOS PAC ID: 0345215380 Enrollment ID: I20060823000540 |
| Provider Name | Scott Bohner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447273495 PECOS PAC ID: 2961406756 Enrollment ID: I20060911000166 |
| Provider Name | Mandy Mae Rutta |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841228509 PECOS PAC ID: 7012920077 Enrollment ID: I20060919000053 |
| Provider Name | Phillip Lee |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1083609317 PECOS PAC ID: 4385621697 Enrollment ID: I20061013000164 |
| Provider Name | William John Specht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396829834 PECOS PAC ID: 2769483866 Enrollment ID: I20070117000231 |
| Provider Name | Holly B Burrichter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114115250 PECOS PAC ID: 6901994516 Enrollment ID: I20071115000343 |
| Provider Name | Kurt R Oettel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770585051 PECOS PAC ID: 2860393121 Enrollment ID: I20080527000086 |
| Provider Name | Matthew R Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437358041 PECOS PAC ID: 4587736830 Enrollment ID: I20080702000400 |
| Provider Name | Milton J Schmida |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669477006 PECOS PAC ID: 4789740697 Enrollment ID: I20090302000246 |
| Provider Name | Gabriela M Dumitran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831393164 PECOS PAC ID: 8123194800 Enrollment ID: I20090325000434 |
| Provider Name | Le Thu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699795609 PECOS PAC ID: 6305800715 Enrollment ID: I20090513000070 |
| Provider Name | Kevin M Jaeger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144226697 PECOS PAC ID: 9335186816 Enrollment ID: I20090514000027 |
| Provider Name | Roxana Florina Leinbach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891904165 PECOS PAC ID: 8123178480 Enrollment ID: I20090608000185 |
| Provider Name | Rhonda A Cue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174758239 PECOS PAC ID: 6800946005 Enrollment ID: I20090610000085 |
| Provider Name | Jody M Riherd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922041623 PECOS PAC ID: 1052484888 Enrollment ID: I20090824000703 |
| Provider Name | Leah I Metz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467404855 PECOS PAC ID: 4385665298 Enrollment ID: I20091027000789 |
| Provider Name | Darin Dean Damstra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558503102 PECOS PAC ID: 6901943679 Enrollment ID: I20091029000022 |
| Provider Name | Carl William Decker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154421279 PECOS PAC ID: 3375592975 Enrollment ID: I20100224000702 |
| Provider Name | Sampoornima Setty |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851398283 PECOS PAC ID: 8527090703 Enrollment ID: I20100604000268 |
| Provider Name | Hjalti Gudmundsson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164632980 PECOS PAC ID: 1759415672 Enrollment ID: I20100813000971 |
| Provider Name | Jedadiah J Schaller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790964773 PECOS PAC ID: 9234263070 Enrollment ID: I20100817000040 |
| Provider Name | Daniel P Wolbrink |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700041274 PECOS PAC ID: 6507910460 Enrollment ID: I20101104000394 |
| Provider Name | Geralyn R Zuercher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043257496 PECOS PAC ID: 5799972055 Enrollment ID: I20101213000488 |
| Provider Name | Juliana E Wypyszynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871598102 PECOS PAC ID: 1557250461 Enrollment ID: I20110131000931 |
| Provider Name | Chad Donald Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174587182 PECOS PAC ID: 6204862865 Enrollment ID: I20110324000478 |
| Provider Name | Paul T Stanton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528092160 PECOS PAC ID: 1951436146 Enrollment ID: I20110620000318 |
| Provider Name | Michael F Labelle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275784464 PECOS PAC ID: 3476722695 Enrollment ID: I20110804000359 |
| Provider Name | Ward M Brown |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720082381 PECOS PAC ID: 5991774879 Enrollment ID: I20110816000186 |
| Provider Name | Kathy A Bell-mahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700173028 PECOS PAC ID: 4981873577 Enrollment ID: I20110817000175 |
| Provider Name | Lalit Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952341968 PECOS PAC ID: 0042200230 Enrollment ID: I20111017000769 |
| Provider Name | Todd L Ebbert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366641383 PECOS PAC ID: 5395911754 Enrollment ID: I20120720000088 |
| Provider Name | Heather J Wichman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043471972 PECOS PAC ID: 7618124090 Enrollment ID: I20120914000747 |
| Provider Name | Benjamin L Torrez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841446382 PECOS PAC ID: 5395987606 Enrollment ID: I20130816000301 |
| Provider Name | Ezana Muluneh Azene |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1073715975 PECOS PAC ID: 3476708322 Enrollment ID: I20131007001550 |
| Provider Name | Monika Prost |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265409122 PECOS PAC ID: 5294786349 Enrollment ID: I20140108000726 |
| Provider Name | David Peter Megremis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982606620 PECOS PAC ID: 2163493396 Enrollment ID: I20140923000315 |
| Provider Name | Michael A Witcik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568625713 PECOS PAC ID: 3072679372 Enrollment ID: I20140926000485 |
| Provider Name | Piraon Sutthiwan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740252345 PECOS PAC ID: 1951338615 Enrollment ID: I20141009000366 |
| Provider Name | Paul Vincent Letendre |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801158852 PECOS PAC ID: 0446493423 Enrollment ID: I20150507001762 |
| Provider Name | Russell J Norris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669488144 PECOS PAC ID: 6800964818 Enrollment ID: I20150513000287 |
| Provider Name | Shanelle N Pedersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205203528 PECOS PAC ID: 6305153438 Enrollment ID: I20150922001095 |
| Provider Name | Kristen L Larter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962873190 PECOS PAC ID: 2264741867 Enrollment ID: I20151022000406 |
| Provider Name | Krissy J Wieland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801263462 PECOS PAC ID: 1557670825 Enrollment ID: I20151028000248 |
| Provider Name | Murray S Donovan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598747263 PECOS PAC ID: 9638066236 Enrollment ID: I20151208001173 |
| Provider Name | Chelsey E Zitelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366815391 PECOS PAC ID: 0143521195 Enrollment ID: I20151216000031 |
| Provider Name | Debra L Wade |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689673212 PECOS PAC ID: 9830169135 Enrollment ID: I20160107000315 |
| Provider Name | Irina Shakhnovich |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881806529 PECOS PAC ID: 2860641909 Enrollment ID: I20160210000403 |
| Provider Name | Halley A Molstad |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235522699 PECOS PAC ID: 5890090963 Enrollment ID: I20160229000657 |
| Provider Name | Sarah R Hughes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922063239 PECOS PAC ID: 8820149438 Enrollment ID: I20160620001494 |
| Provider Name | Susan G Maclellan-tobert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952304834 PECOS PAC ID: 0941498984 Enrollment ID: I20160621001577 |
| Provider Name | John Udell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922002799 PECOS PAC ID: 8325171788 Enrollment ID: I20160623001006 |
| Provider Name | Daniel F Schraith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316941388 PECOS PAC ID: 1759374952 Enrollment ID: I20160624000174 |
| Provider Name | Wayne A Bottner |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1255335931 PECOS PAC ID: 0042230112 Enrollment ID: I20160627000107 |
| Provider Name | Richard J Wittchow |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477557122 PECOS PAC ID: 8022114669 Enrollment ID: I20160711002132 |
| Provider Name | Rachel A Biemiller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790927390 PECOS PAC ID: 0042453680 Enrollment ID: I20160714000687 |
| Provider Name | Rachel Lynn Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326495193 PECOS PAC ID: 3870887839 Enrollment ID: I20160815000587 |
| Provider Name | Ngozi Nduka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902137201 PECOS PAC ID: 3476682246 Enrollment ID: I20160829000052 |
| Provider Name | Lois J Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033170501 PECOS PAC ID: 9436445996 Enrollment ID: I20160908002472 |
| Provider Name | Andrew D Prather |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790947943 PECOS PAC ID: 9133415615 Enrollment ID: I20160909000330 |
| Provider Name | Nicole Barbee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881037927 PECOS PAC ID: 7618293838 Enrollment ID: I20161111001023 |
| Provider Name | Christen Chamberland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194984716 PECOS PAC ID: 7416171624 Enrollment ID: I20161205001255 |
| Provider Name | Jessica C Loban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992243497 PECOS PAC ID: 8123302320 Enrollment ID: I20170308000429 |
| Provider Name | Brendon Groen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750831293 PECOS PAC ID: 3971885955 Enrollment ID: I20170309001103 |
| Provider Name | Krista R Begalske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881128783 PECOS PAC ID: 7214204338 Enrollment ID: I20170522000247 |
| Provider Name | Christopher Cogbill |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326141599 PECOS PAC ID: 8921248121 Enrollment ID: I20170710000459 |
| Provider Name | John Farnen |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1467457432 PECOS PAC ID: 3274631080 Enrollment ID: I20170728000808 |
| Provider Name | Jennifer Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538699806 PECOS PAC ID: 6305110651 Enrollment ID: I20170925003478 |
| Provider Name | Sarah Holthe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518360619 PECOS PAC ID: 9436471596 Enrollment ID: I20170929000575 |
| Provider Name | Richard E Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215933122 PECOS PAC ID: 4587745880 Enrollment ID: I20171113000039 |
| Provider Name | Robert C Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598276669 PECOS PAC ID: 9032476189 Enrollment ID: I20171128003722 |
| Provider Name | Mark James Ringstrom |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134486756 PECOS PAC ID: 3375851975 Enrollment ID: I20171214001950 |
| Provider Name | Emmanuel A Omoba |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346342342 PECOS PAC ID: 7517868938 Enrollment ID: I20171215000041 |
| Provider Name | Scott W Rathgaber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336141498 PECOS PAC ID: 0749247781 Enrollment ID: I20180102002505 |
| Provider Name | Timothy A Harbst |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225033830 PECOS PAC ID: 8022092592 Enrollment ID: I20180110001088 |
| Provider Name | David J Lofgren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346247236 PECOS PAC ID: 0446220602 Enrollment ID: I20180130002968 |
| Provider Name | Jason Robert Darrah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447577176 PECOS PAC ID: 7719129196 Enrollment ID: I20180314000602 |
| Provider Name | Kevin T Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326380163 PECOS PAC ID: 8729375100 Enrollment ID: I20180314001324 |
| Provider Name | Grzegorz T Gurda |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255652061 PECOS PAC ID: 8820249618 Enrollment ID: I20180419001965 |
| Provider Name | Gordon G Zeng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801891460 PECOS PAC ID: 1658304951 Enrollment ID: I20180530001060 |
| Provider Name | Kylie Lynn Jirak |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912499237 PECOS PAC ID: 2567710916 Enrollment ID: I20180801003508 |
| Provider Name | Anthony P Zbacnik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346508033 PECOS PAC ID: 2163705922 Enrollment ID: I20180803000875 |
| Provider Name | Vijay Bandhakavi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184887473 PECOS PAC ID: 1951557859 Enrollment ID: I20180912003299 |
| Provider Name | Elizabeth L Abbas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932588100 PECOS PAC ID: 2466760244 Enrollment ID: I20181019000938 |
| Provider Name | Amy L Wentland |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1285999797 PECOS PAC ID: 4183943053 Enrollment ID: I20181029001482 |
| Provider Name | Sheena Lee Kremer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689158669 PECOS PAC ID: 8123362621 Enrollment ID: I20181211001768 |
| Provider Name | Rande K Short |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831177039 PECOS PAC ID: 5092795385 Enrollment ID: I20181217001000 |
| Provider Name | John Jacob Zion Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467017921 PECOS PAC ID: 9133457294 Enrollment ID: I20190827003588 |
| Provider Name | Elleson A Schurtz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447664883 PECOS PAC ID: 9830406743 Enrollment ID: I20190828001992 |
| Provider Name | Jon D Radcliffe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619979895 PECOS PAC ID: 1850346107 Enrollment ID: I20200103001869 |
| Provider Name | Carina J Crookston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699131474 PECOS PAC ID: 6305140765 Enrollment ID: I20200115002537 |
| Provider Name | Heather B Riese |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417375783 PECOS PAC ID: 1850510439 Enrollment ID: I20200401000635 |
| Provider Name | Melissa M Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477073252 PECOS PAC ID: 0941575104 Enrollment ID: I20200421001806 |
| Provider Name | Raymond D Pollock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023177722 PECOS PAC ID: 3870571276 Enrollment ID: I20200902002586 |
| Provider Name | Daniel E Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609212919 PECOS PAC ID: 8224265038 Enrollment ID: I20201209002400 |
| Provider Name | Maria Swisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568063667 PECOS PAC ID: 1153736780 Enrollment ID: I20210212001122 |
| Provider Name | Sarah M Ashbrook |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972073302 PECOS PAC ID: 8729329891 Enrollment ID: I20210726001343 |
| Provider Name | Justin Boge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427037423 PECOS PAC ID: 1254385297 Enrollment ID: I20211102002026 |
| Provider Name | Laura Peterson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881853307 PECOS PAC ID: 6204077837 Enrollment ID: I20211108000573 |
| Provider Name | Krista Jane Kirchner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710469051 PECOS PAC ID: 8820341712 Enrollment ID: I20220516000972 |
| Provider Name | Stephen P Daniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922537190 PECOS PAC ID: 8729353453 Enrollment ID: I20220921000656 |
| Provider Name | Stephanie A Neuman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063617157 PECOS PAC ID: 4183791361 Enrollment ID: I20221209001299 |
| Provider Name | Patricia Fronk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396380572 PECOS PAC ID: 8921498809 Enrollment ID: I20230130001663 |
| Provider Name | Paula Humphrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760143002 PECOS PAC ID: 1557747953 Enrollment ID: I20230425001700 |
| Provider Name | Suzette L Reilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275281693 PECOS PAC ID: 0446637284 Enrollment ID: I20231212000916 |
| Provider Name | Scott D Brunk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497759062 PECOS PAC ID: 8426182106 Enrollment ID: I20240312003718 |
| Provider Name | Shawn D Sedgwick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679559298 PECOS PAC ID: 3072595677 Enrollment ID: I20240402002109 |
| Provider Name | Stephen C Copps |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548265804 PECOS PAC ID: 8325942360 Enrollment ID: I20240524000927 |
| Provider Name | Eric W Voter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558365288 PECOS PAC ID: 2567494701 Enrollment ID: I20240530002541 |
| Provider Name | Ivan Kaspruk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649890195 PECOS PAC ID: 1355703588 Enrollment ID: I20240601000308 |
Gl West Union Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Jefferson St, West Union, IA 52175 Phone: 608-782-7300 | |
Gundersen Palmer Lutheran Hospital And Clinics - West Union Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Jefferson St, West Union, IA 52175 Phone: 563-422-3810 |