| Mercy Services Iowa City, Inc. | |
|
500 E Market St Iowa City IA 52245-2633 | |
| (319) 339-3541 | |
| (319) 358-2737 |
| Full Name | Mercy Services Iowa City, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 E Market St, Iowa City, Iowa |
| Authorized Official Name and Position | Michele Ann Bogs (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 3193393540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Services Iowa City, Inc. 500 E Market St Iowa City IA 52245-2633 Ph: (319) 339-3540 | Mercy Services Iowa City, Inc. 500 E Market St Iowa City IA 52245-2633 Ph: (319) 339-3541 |
| NPI Number | 1740213206 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 05/11/2023 |
| Medicare PECOS PAC ID | 2860395688 |
|---|---|
| Medicare Enrollment ID | O20040129000617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740213206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Gregory T Bozek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790764751 PECOS PAC ID: 9537109236 Enrollment ID: I20050511000702 |
| Provider Name | Scott M Eberly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013982347 PECOS PAC ID: 2466353636 Enrollment ID: I20050812000528 |
| Provider Name | Charles A Debrah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255362265 PECOS PAC ID: 0547363442 Enrollment ID: I20070314000309 |
| Provider Name | Andrew Randolph Ashby |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518028505 PECOS PAC ID: 0648371567 Enrollment ID: I20070723000421 |
| Provider Name | Keri L Mounce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043304736 PECOS PAC ID: 6406951656 Enrollment ID: I20070814000404 |
| Provider Name | Stacy L Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275736134 PECOS PAC ID: 4082762455 Enrollment ID: I20090423000666 |
| Provider Name | Ezzatollah Torage Shivapour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699767525 PECOS PAC ID: 6204970874 Enrollment ID: I20100219000628 |
| Provider Name | Diane E Adam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134113061 PECOS PAC ID: 6002978988 Enrollment ID: I20100303001054 |
| Provider Name | James E Feeley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720069032 PECOS PAC ID: 5496887861 Enrollment ID: I20100720001064 |
| Provider Name | Jill C Goodman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841400272 PECOS PAC ID: 0143345660 Enrollment ID: I20100921000203 |
| Provider Name | Barbara Coffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912284258 PECOS PAC ID: 5294993234 Enrollment ID: I20120222000959 |
| Provider Name | Kahlil J Andrews |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144427311 PECOS PAC ID: 5799830139 Enrollment ID: I20121018000671 |
| Provider Name | Margaret T Ekroth |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215106851 PECOS PAC ID: 2961536149 Enrollment ID: I20121029000591 |
| Provider Name | William K. Domarad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831108455 PECOS PAC ID: 0941262760 Enrollment ID: I20130809000315 |
| Provider Name | Luke W Brunkhorst |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326200304 PECOS PAC ID: 4688818339 Enrollment ID: I20130918000703 |
| Provider Name | Christine A Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184800021 PECOS PAC ID: 0749351153 Enrollment ID: I20150825004185 |
| Provider Name | Lydia Mossman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083927834 PECOS PAC ID: 4082992490 Enrollment ID: I20161104000943 |
| Provider Name | Ethan Errol Emmons |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265416325 PECOS PAC ID: 7719157049 Enrollment ID: I20161202001161 |
| Provider Name | Margaret M Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508219031 PECOS PAC ID: 8224397898 Enrollment ID: I20180108000460 |
| Provider Name | Peter Nelson Rosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851795033 PECOS PAC ID: 4082836507 Enrollment ID: I20180601000856 |
| Provider Name | Richard T Honderick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447390893 PECOS PAC ID: 7517853971 Enrollment ID: I20180606002408 |
| Provider Name | Barbara Ann Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265910939 PECOS PAC ID: 0042560138 Enrollment ID: I20180911003023 |
| Provider Name | Olivia Marie Croskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801373808 PECOS PAC ID: 9234482514 Enrollment ID: I20181102002137 |
| Provider Name | Kim M Almodovar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831160316 PECOS PAC ID: 7618031782 Enrollment ID: I20181113003028 |
| Provider Name | Kelsey R Lee Wagner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588082408 PECOS PAC ID: 5193028637 Enrollment ID: I20181203002568 |
| Provider Name | Christopher M Stauch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194985150 PECOS PAC ID: 8325385172 Enrollment ID: I20190131003255 |
| Provider Name | Brian Christopher Lenczewski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427206465 PECOS PAC ID: 4688728173 Enrollment ID: I20190320003008 |
| Provider Name | Kyle R Jorgensen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902219363 PECOS PAC ID: 2860617586 Enrollment ID: I20190709002873 |
| Provider Name | Rhys M Kavanagh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356821110 PECOS PAC ID: 9032463914 Enrollment ID: I20190923002258 |
| Provider Name | Jennifer Cecil Sassman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669916102 PECOS PAC ID: 4385926674 Enrollment ID: I20191029003346 |
| Provider Name | Lynnette Lea Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194357830 PECOS PAC ID: 3971931296 Enrollment ID: I20200320001129 |
| Provider Name | Danielle A Nanke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265029334 PECOS PAC ID: 3072926724 Enrollment ID: I20210119002248 |
| Provider Name | Clare Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689215923 PECOS PAC ID: 4284966086 Enrollment ID: I20210202002874 |
| Provider Name | Ricky Allen Meyer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700875747 PECOS PAC ID: 1759273782 Enrollment ID: I20210625000970 |
| Provider Name | Garth K Summers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659891687 PECOS PAC ID: 9032483136 Enrollment ID: I20210910000617 |
| Provider Name | Rasheel A Chowdhary |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467656264 PECOS PAC ID: 8729223243 Enrollment ID: I20211001002086 |
| Provider Name | Joseph Mungai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295020816 PECOS PAC ID: 3577980184 Enrollment ID: I20211221001332 |
| Provider Name | Robert Shafor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528042702 PECOS PAC ID: 2264330117 Enrollment ID: I20211222000648 |
| Provider Name | Tasha S Chapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225707144 PECOS PAC ID: 0648663765 Enrollment ID: I20220211001480 |
| Provider Name | Jason Edling |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912983206 PECOS PAC ID: 3971565052 Enrollment ID: I20220401002307 |
| Provider Name | Maria A Iliakova |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215388251 PECOS PAC ID: 1951668169 Enrollment ID: I20220804003053 |
| Provider Name | Taylar L Swartz Summers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770078297 PECOS PAC ID: 0749534956 Enrollment ID: I20220922002689 |
| Provider Name | Colleen Michelle Overdorf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013174432 PECOS PAC ID: 4082843701 Enrollment ID: I20221219001962 |
| Provider Name | Barbara M Madison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316931538 PECOS PAC ID: 5092816413 Enrollment ID: I20230413001097 |
| Provider Name | Aijaz Yazdani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447222781 PECOS PAC ID: 2769407519 Enrollment ID: I20230504003114 |
| Provider Name | Joseph A Gillespie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912223371 PECOS PAC ID: 2163668815 Enrollment ID: I20230808003194 |
| Provider Name | Babatunde R Olaiya |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659895282 PECOS PAC ID: 8628312691 Enrollment ID: I20230809001619 |
| Provider Name | Kimberly Helmkamp |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447633128 PECOS PAC ID: 8325354905 Enrollment ID: I20230817003723 |
| Provider Name | Lauren E Keaton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235699109 PECOS PAC ID: 3375906035 Enrollment ID: I20230828003740 |
| Provider Name | Richard Dilorenzo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528090164 PECOS PAC ID: 4789633900 Enrollment ID: I20230829000782 |
| Provider Name | Trushar B Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639378599 PECOS PAC ID: 5092871426 Enrollment ID: I20230921001737 |
| Provider Name | Holly A Dockins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487015061 PECOS PAC ID: 8325346117 Enrollment ID: I20231219002808 |
| Provider Name | Hatem Asad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326095662 PECOS PAC ID: 4587654074 Enrollment ID: I20231219003341 |
Ui Quickcare - East Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1632 Sycamore St, Iowa City, IA 52240 Phone: 319-384-8822 Fax: 319-354-1002 | |
Ui Quickcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 S Clinton St, St 168, Iowa City, IA 52240 Phone: 319-384-8877 Fax: 319-384-0603 | |
Mre Family Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 404 E Bloomington St, Iowa City, IA 52245 Phone: 319-351-1483 Fax: 319-351-1027 | |
Larew Internal Medicine Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2557 N Dodge St, Iowa City, IA 52245 Phone: 319-338-1535 Fax: 319-338-5768 | |
Uiecare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2346 Mormon Trek Blvd, Iowa City, IA 52246 Phone: 319-337-7642 Fax: 319-339-1449 | |
Restore Family Chiropractic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 Westbury Dr, Suite 1, Iowa City, IA 52245 Phone: 319-338-7002 | |
Student Health & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4189 Wl University Of Iowa, Iowa City, IA 52242 Phone: 319-335-8376 Fax: 319-335-7247 |