Hegg Medical Clinic | |
1202 21st Avenue Rock Valley IA 51247-1445 | |
(712) 476-8100 | |
(712) 476-8190 |
Full Name | Hegg Medical Clinic |
---|---|
Speciality | Family Medicine |
Location | 1202 21st Avenue, Rock Valley, Iowa |
Authorized Official Name and Position | Valerie Ladd Loudenback (CLINIC MANAGER) |
Authorized Official Contact | 7124768150 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hegg Medical Clinic 2121 Hegg Dr Rock Valley IA 51247-1445 Ph: (712) 476-8100 | Hegg Medical Clinic 1202 21st Avenue Rock Valley IA 51247-1445 Ph: (712) 476-8100 |
NPI Number | 1629023429 |
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Provider Enumeration Date | 05/23/2006 |
Last Update Date | 08/10/2009 |
Medicare PECOS PAC ID | 5193718757 |
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Medicare Enrollment ID | O20040407001457 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629023429 | NPI | - | NPPES |
0201089 | Medicaid | IA | |
0129528 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Iowa) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Provider Name | Matthew N Witte |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1548228141 PECOS PAC ID: 8022903996 Enrollment ID: I20040318000983 |
Provider Name | Shahid I Naqvi |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1457412314 PECOS PAC ID: 7214924851 Enrollment ID: I20040427000743 |
Provider Name | Julie A Mckay |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1659398295 PECOS PAC ID: 2062467749 Enrollment ID: I20051004000965 |
Provider Name | Allison Summers |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1316926272 PECOS PAC ID: 1052366267 Enrollment ID: I20080116000049 |
Provider Name | William F Wosick |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1700808375 PECOS PAC ID: 1254228679 Enrollment ID: I20080223000070 |
Provider Name | Bradley D Kamstra |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538151287 PECOS PAC ID: 3375612310 Enrollment ID: I20080516000718 |
Provider Name | Paul W Dejong |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801096599 PECOS PAC ID: 1557449790 Enrollment ID: I20080619000025 |
Provider Name | Jonathan H Engbers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114243078 PECOS PAC ID: 6406081058 Enrollment ID: I20131107000014 |
Provider Name | Jonathan Jaksha |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1871555649 PECOS PAC ID: 3274632054 Enrollment ID: I20151110001899 |
Provider Name | Mohammed Quraishi |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1871545269 PECOS PAC ID: 8123030814 Enrollment ID: I20160122001006 |
Provider Name | Kelli J Swayden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932434065 PECOS PAC ID: 5597880344 Enrollment ID: I20180412001279 |
Provider Name | Mary E Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811482318 PECOS PAC ID: 9739438755 Enrollment ID: I20180823001706 |
Provider Name | Steven Todd Mccormack |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1023000338 PECOS PAC ID: 4183651987 Enrollment ID: I20180924003382 |
Provider Name | Kathryn Cambron |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1396749867 PECOS PAC ID: 8224016530 Enrollment ID: I20181001000273 |
Provider Name | David Scott Henley |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1770518128 PECOS PAC ID: 2769374032 Enrollment ID: I20181001001826 |
Provider Name | Scott White |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1144276338 PECOS PAC ID: 4385745215 Enrollment ID: I20181001002377 |
Provider Name | Michael W Grevengoed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356837579 PECOS PAC ID: 1456695329 Enrollment ID: I20181204000268 |
Provider Name | Olivia B Niemeyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437618337 PECOS PAC ID: 3476894528 Enrollment ID: I20190418000274 |
Provider Name | Tyler Neitlich |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1144429317 PECOS PAC ID: 4082702949 Enrollment ID: I20200520001991 |
Provider Name | Shannon L St. Clair |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1881030997 PECOS PAC ID: 3678714268 Enrollment ID: I20200520002324 |
Provider Name | Eugene Park Chung |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1528030525 PECOS PAC ID: 4486624160 Enrollment ID: I20200520002714 |
Provider Name | Shawn T Stone |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1891040689 PECOS PAC ID: 6103103569 Enrollment ID: I20200520002911 |
Provider Name | Jonathan G Reed |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1588653075 PECOS PAC ID: 3577669928 Enrollment ID: I20200520002960 |
Provider Name | Stanley R Smith |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1003802968 PECOS PAC ID: 4082527205 Enrollment ID: I20200521000262 |
Provider Name | Veronica Yumo Ruvo |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1740252725 PECOS PAC ID: 4183523855 Enrollment ID: I20200527000479 |
Provider Name | Timothy Conner |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1750385357 PECOS PAC ID: 6709784119 Enrollment ID: I20200527002154 |
Provider Name | Kamran Janjua |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1508815184 PECOS PAC ID: 1658351903 Enrollment ID: I20200528001414 |
Provider Name | William J Knoer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033731187 PECOS PAC ID: 5991117103 Enrollment ID: I20201211002278 |
Provider Name | Kimberly A Butts |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093196008 PECOS PAC ID: 1759687643 Enrollment ID: I20210414000185 |
Provider Name | Jarret Kuo |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1720228778 PECOS PAC ID: 0446495626 Enrollment ID: I20210526000171 |
Provider Name | Fang Yu |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1811159296 PECOS PAC ID: 9830214154 Enrollment ID: I20210526000266 |
Provider Name | Frank Joseph Welte |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1568676948 PECOS PAC ID: 6800933847 Enrollment ID: I20210526000639 |
Provider Name | Monjari Gillian |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1265533665 PECOS PAC ID: 4587550876 Enrollment ID: I20210526000683 |
Provider Name | Kevin W Marcum |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1619166675 PECOS PAC ID: 0042480303 Enrollment ID: I20210526000826 |
Provider Name | Jake Vrdoljak |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1619976230 PECOS PAC ID: 8527253400 Enrollment ID: I20210526001489 |
Provider Name | Karen G Phillips |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1801992813 PECOS PAC ID: 8729024161 Enrollment ID: I20210526002781 |
Provider Name | Justin Ellis Costello |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1215235916 PECOS PAC ID: 5799054326 Enrollment ID: I20210824000789 |
Provider Name | David C Adams |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740798099 PECOS PAC ID: 2062769466 Enrollment ID: I20220511000172 |
Provider Name | David Lin |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1851326557 PECOS PAC ID: 7719984210 Enrollment ID: I20220627001429 |
Provider Name | Brooke A Konz |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1386174332 PECOS PAC ID: 1254601560 Enrollment ID: I20220713002984 |
Provider Name | Carole Vincent |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1497731038 PECOS PAC ID: 9830131994 Enrollment ID: I20220714002011 |
Provider Name | Feras Jalab |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1104104637 PECOS PAC ID: 5092134361 Enrollment ID: I20220725000484 |
Provider Name | Sharon E Gossett |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1336192293 PECOS PAC ID: 5890740468 Enrollment ID: I20220805000360 |
Provider Name | Colin Thompson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1467615252 PECOS PAC ID: 5597982694 Enrollment ID: I20230210000705 |
Provider Name | Timothy J Miller |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1821399239 PECOS PAC ID: 6901199371 Enrollment ID: I20230221000438 |
Provider Name | Wyatt Myron Cook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881399491 PECOS PAC ID: 4183082100 Enrollment ID: I20230623002282 |
Provider Name | Sarah Connors Beucher |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265834618 PECOS PAC ID: 6800141383 Enrollment ID: I20231012000769 |
Provider Name | Jessica L Crow |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669545299 PECOS PAC ID: 7719076538 Enrollment ID: I20231012000855 |
Provider Name | Erica D Van Surksum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437936507 PECOS PAC ID: 5294180154 Enrollment ID: I20231012001196 |
Provider Name | Jennifer Huckabee |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1689017345 PECOS PAC ID: 3375885551 Enrollment ID: I20231108000797 |
Provider Name | Yuyang Zhang |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1538304035 PECOS PAC ID: 4880833615 Enrollment ID: I20231108001048 |
Provider Name | Kyle Hirschman |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1801175401 PECOS PAC ID: 2466686126 Enrollment ID: I20231109000243 |
Provider Name | Sean Feinberg |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1104273549 PECOS PAC ID: 3476952557 Enrollment ID: I20231113001959 |
Provider Name | Surendra Pawar |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1427098797 PECOS PAC ID: 8325011018 Enrollment ID: I20231121002975 |
Provider Name | Douglas A Green |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1164635173 PECOS PAC ID: 0042489668 Enrollment ID: I20240516003005 |
Provider Name | Judith Wolfstein |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1013914456 PECOS PAC ID: 0345135232 Enrollment ID: I20240516003592 |
Provider Name | Peter Britt |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1023012010 PECOS PAC ID: 1850376096 Enrollment ID: I20240517002010 |
Provider Name | Anthony Rowe |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1518120575 PECOS PAC ID: 8921246273 Enrollment ID: I20240517003133 |
Provider Name | Muneer Janak Desai |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1376516021 PECOS PAC ID: 4688645591 Enrollment ID: I20240528001183 |
Provider Name | Michael Wilson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1568652147 PECOS PAC ID: 3577638204 Enrollment ID: I20240528001774 |
Provider Name | Daniel Burritt |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1265775928 PECOS PAC ID: 1951527498 Enrollment ID: I20240528002274 |
Provider Name | Dillenia C Rosica |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1679893820 PECOS PAC ID: 4880914845 Enrollment ID: I20240528003511 |
Provider Name | Kimia K Kani |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1700028131 PECOS PAC ID: 5991856098 Enrollment ID: I20240531002390 |
Hegg Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2121 Hegg Dr, Rock Valley, IA 51247 Phone: 712-476-8100 | |
Greater Sioux Community Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1712 20th Ave Rm 406, Rock Valley, IA 51247 Phone: 712-476-2701 |