Mercyone Specialty Care | |
1410 North 4th Street Clinton IA 52732-2940 | |
(563) 244-5900 | |
(563) 244-5901 |
Full Name | Mercyone Specialty Care |
---|---|
Speciality | Clinic/Center |
Location | 1410 North 4th Street, Clinton, Iowa |
Authorized Official Name and Position | Mellissa Wood (COO/CNO) |
Authorized Official Contact | 5632445608 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mercyone Specialty Care 1410 North 4th Street Clinton IA 52732-2940 Ph: (563) 244-5900 | Mercyone Specialty Care 1410 North 4th Street Clinton IA 52732-2940 Ph: (563) 244-5900 |
NPI Number | 1386832764 |
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Provider Enumeration Date | 10/10/2007 |
Last Update Date | 10/17/2024 |
Medicare PECOS PAC ID | 3375639586 |
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Medicare Enrollment ID | O20071019000139 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386832764 | NPI | - | NPPES |
71222 | Other | IA | WELLMARK |
DG7041 | Other | IA | RR MEDICARE |
1386832764 | Medicaid | IA | |
DG7041 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Robert E Magnus |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1407835341 PECOS PAC ID: 6709790462 Enrollment ID: I20031118000107 |
Provider Name | Ricky P Maddox |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1982675542 PECOS PAC ID: 3577469360 Enrollment ID: I20040116000505 |
Provider Name | Calvin E Atwell |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1972574028 PECOS PAC ID: 7214824143 Enrollment ID: I20040303001224 |
Provider Name | James Dennert |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144325663 PECOS PAC ID: 4789670308 Enrollment ID: I20040421000330 |
Provider Name | Lauri Ann Harsh |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1760448237 PECOS PAC ID: 4587552559 Enrollment ID: I20040426001535 |
Provider Name | Joseph L Monahan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609870260 PECOS PAC ID: 6608864434 Enrollment ID: I20040513000291 |
Provider Name | Steven M Johnson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1598724767 PECOS PAC ID: 1951382613 Enrollment ID: I20040527001025 |
Provider Name | Matthew C Christophersen |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1629048939 PECOS PAC ID: 7719960244 Enrollment ID: I20040608000102 |
Provider Name | Timothy A King |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1992758114 PECOS PAC ID: 3779559588 Enrollment ID: I20040902001329 |
Provider Name | Mohammed Irshad |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1508854589 PECOS PAC ID: 1759374788 Enrollment ID: I20040909001004 |
Provider Name | Hyder A Khan |
---|---|
Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1134170962 PECOS PAC ID: 6406824283 Enrollment ID: I20040920000751 |
Provider Name | Xerxes R Colah |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1871541581 PECOS PAC ID: 9739175043 Enrollment ID: I20041026000415 |
Provider Name | Anis U Ansari |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1487602553 PECOS PAC ID: 6305735192 Enrollment ID: I20050526001038 |
Provider Name | Ali S. Albaghdadi |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1063479319 PECOS PAC ID: 1254360456 Enrollment ID: I20050808001199 |
Provider Name | Adib Kassas |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386694156 PECOS PAC ID: 9133158330 Enrollment ID: I20050808001227 |
Provider Name | Sarah A Justmann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407806128 PECOS PAC ID: 5092732834 Enrollment ID: I20051031000691 |
Provider Name | Anwer Rasheed |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1245287218 PECOS PAC ID: 5496712770 Enrollment ID: I20060210000549 |
Provider Name | David M Spector |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1891754404 PECOS PAC ID: 0446215958 Enrollment ID: I20060307000382 |
Provider Name | Edwin T Castaneda |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1538118948 PECOS PAC ID: 2365459088 Enrollment ID: I20060321000235 |
Provider Name | William Nickles |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1811948672 PECOS PAC ID: 6406869858 Enrollment ID: I20060801000302 |
Provider Name | Robert E Harson |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1356390207 PECOS PAC ID: 6901809110 Enrollment ID: I20061102000154 |
Provider Name | Charles A Debrah |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1255362265 PECOS PAC ID: 0547363442 Enrollment ID: I20070314000309 |
Provider Name | Qaiser Rasheed |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1396702056 PECOS PAC ID: 8426023268 Enrollment ID: I20070618000315 |
Provider Name | Niral H Tilala |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780884551 PECOS PAC ID: 6709966682 Enrollment ID: I20080104000180 |
Provider Name | Jill C Johnson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972702595 PECOS PAC ID: 9830257906 Enrollment ID: I20081017000342 |
Provider Name | Sharon L Marguglio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033360284 PECOS PAC ID: 9436218153 Enrollment ID: I20081110000212 |
Provider Name | Chirantan Ghosh |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1013991082 PECOS PAC ID: 3870484033 Enrollment ID: I20081216000124 |
Provider Name | Dorothy J Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013160761 PECOS PAC ID: 3870657869 Enrollment ID: I20090206000154 |
Provider Name | Karen J Fulwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164414520 PECOS PAC ID: 6608923578 Enrollment ID: I20090409000621 |
Provider Name | Peter J Laureijs |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831141043 PECOS PAC ID: 3476442278 Enrollment ID: I20090609000025 |
Provider Name | Joginder Singh |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1538113907 PECOS PAC ID: 1951452713 Enrollment ID: I20090708000116 |
Provider Name | Robert J Donnelly |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1467402875 PECOS PAC ID: 8921997727 Enrollment ID: I20091207000087 |
Provider Name | Anoop Aggarwal |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1902864739 PECOS PAC ID: 7113816992 Enrollment ID: I20091208000378 |
Provider Name | Paul G Manning |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1548212848 PECOS PAC ID: 0941199723 Enrollment ID: I20091208000425 |
Provider Name | Suheil I Barakat |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013975259 PECOS PAC ID: 0648169433 Enrollment ID: I20091208000444 |
Provider Name | Steven C Fowler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619927126 PECOS PAC ID: 9830088640 Enrollment ID: I20091228000055 |
Provider Name | Saadi J Albaghdadi |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1184681637 PECOS PAC ID: 7810886603 Enrollment ID: I20100125000045 |
Provider Name | Virgilio D Corpuz |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1831148774 PECOS PAC ID: 3072402882 Enrollment ID: I20100125000088 |
Provider Name | Billie L Tack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003866674 PECOS PAC ID: 3971645219 Enrollment ID: I20100125000236 |
Provider Name | Mark S Woods |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477507564 PECOS PAC ID: 9739078544 Enrollment ID: I20100211000718 |
Provider Name | Stephen D Harrison |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649221508 PECOS PAC ID: 7113967761 Enrollment ID: I20100429001131 |
Provider Name | Michael N Mankarious |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659375921 PECOS PAC ID: 8729118377 Enrollment ID: I20100609000280 |
Provider Name | Margaret C Wolf |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1164476453 PECOS PAC ID: 3678663820 Enrollment ID: I20100706000646 |
Provider Name | Stephanie M Hoff |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386838399 PECOS PAC ID: 0446375638 Enrollment ID: I20100910000877 |
Provider Name | Michael Prescher |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1942273065 PECOS PAC ID: 0446153696 Enrollment ID: I20100914000751 |
Provider Name | Kimberly K Mulholland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730131160 PECOS PAC ID: 4183711716 Enrollment ID: I20101012000194 |
Provider Name | Kami L Tubbs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881903086 PECOS PAC ID: 8628262060 Enrollment ID: I20101029001338 |
Provider Name | Claudia S Zavala |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1588644249 PECOS PAC ID: 3678750445 Enrollment ID: I20110602000688 |
Provider Name | Brian K Privett |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1639369432 PECOS PAC ID: 7214114651 Enrollment ID: I20110610000601 |
Provider Name | Nathan Michael Fierce |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1639355134 PECOS PAC ID: 2961534912 Enrollment ID: I20110728000355 |
Provider Name | Jodi N Kilburg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326357708 PECOS PAC ID: 6103092523 Enrollment ID: I20120105000536 |
Provider Name | Amy M Kibler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821318163 PECOS PAC ID: 2961647235 Enrollment ID: I20130315000092 |
Provider Name | Michael A Burchett |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1669672325 PECOS PAC ID: 2567611569 Enrollment ID: I20130807000305 |
Provider Name | Azeza B Uddin |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255516522 PECOS PAC ID: 6204980469 Enrollment ID: I20140403000627 |
Provider Name | Amanda L Foit |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023426475 PECOS PAC ID: 9931327251 Enrollment ID: I20140828001833 |
Provider Name | Brooke Lyons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225430077 PECOS PAC ID: 7517188071 Enrollment ID: I20141027000345 |
Provider Name | Charles Parker |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1063738342 PECOS PAC ID: 3678713492 Enrollment ID: I20150806009742 |
Provider Name | Darcie M Scott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184006272 PECOS PAC ID: 9638483332 Enrollment ID: I20150812007428 |
Provider Name | Anthonie W Lopez Cortes |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1982881199 PECOS PAC ID: 8123318557 Enrollment ID: I20160526000698 |
Provider Name | Ryan Travis Pokorney |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1093022873 PECOS PAC ID: 4284949058 Enrollment ID: I20160627001376 |
Provider Name | Brittney N Hughes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215383070 PECOS PAC ID: 8527352582 Enrollment ID: I20160815000522 |
Provider Name | Marc Luckett |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1881667608 PECOS PAC ID: 4587602966 Enrollment ID: I20160909001578 |
Provider Name | Mary T Maddasion |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376099366 PECOS PAC ID: 2961790753 Enrollment ID: I20161011001714 |
Provider Name | Kristine M Morland-schultz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922383280 PECOS PAC ID: 8325272768 Enrollment ID: I20161130002705 |
Provider Name | Jon G Caldwell |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1902966179 PECOS PAC ID: 0244515385 Enrollment ID: I20170331002187 |
Provider Name | Paige K Crozier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467732990 PECOS PAC ID: 6204076177 Enrollment ID: I20170331002199 |
Provider Name | Rachel Riedesel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396269221 PECOS PAC ID: 8820362023 Enrollment ID: I20170927002356 |
Provider Name | Amareshwar Chiruvella |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1154641157 PECOS PAC ID: 3678889581 Enrollment ID: I20180202000156 |
Provider Name | Teresa Renae Gilmore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568987691 PECOS PAC ID: 2769742154 Enrollment ID: I20180202001448 |
Provider Name | Dale Robert Yingling |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1265495337 PECOS PAC ID: 3779595574 Enrollment ID: I20180319002715 |
Provider Name | Jordan R Gross |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1245658673 PECOS PAC ID: 6608171962 Enrollment ID: I20180709003466 |
Provider Name | Angela K Stork |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1386932192 PECOS PAC ID: 7618111030 Enrollment ID: I20180710002223 |
Provider Name | Lee Berman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1508271867 PECOS PAC ID: 7416205091 Enrollment ID: I20180731000329 |
Provider Name | Michael S Peroski |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689092454 PECOS PAC ID: 2062710288 Enrollment ID: I20180731000504 |
Provider Name | Kristie Melvin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356827802 PECOS PAC ID: 6800144569 Enrollment ID: I20180813001851 |
Provider Name | Kelly L Sterk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740770791 PECOS PAC ID: 9133473390 Enrollment ID: I20181107001417 |
Provider Name | Christopher K. Cheng |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1700175312 PECOS PAC ID: 8426320755 Enrollment ID: I20181114003084 |
Provider Name | Michael Porubcin |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1770553349 PECOS PAC ID: 3779488788 Enrollment ID: I20190104000819 |
Provider Name | Kimberly Therese Brown |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1093928285 PECOS PAC ID: 4789709379 Enrollment ID: I20190220002200 |
Provider Name | Shanna Krogman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285288795 PECOS PAC ID: 5496085698 Enrollment ID: I20191002000836 |
Provider Name | Gregory A Jasper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851721393 PECOS PAC ID: 2860778479 Enrollment ID: I20191002001045 |
Provider Name | Aubrey M Matthiesen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861043010 PECOS PAC ID: 7618302928 Enrollment ID: I20200115000150 |
Provider Name | Sara Dhillon |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1154733079 PECOS PAC ID: 1951672740 Enrollment ID: I20200207000711 |
Provider Name | Adrianna N Vanduyne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396388302 PECOS PAC ID: 4789010190 Enrollment ID: I20200214001950 |
Provider Name | Kara C Lutes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467088823 PECOS PAC ID: 4082043211 Enrollment ID: I20200408004394 |
Provider Name | Sharmita Misra |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1730171067 PECOS PAC ID: 0941630412 Enrollment ID: I20200423003065 |
Provider Name | Moustafa M El Khatib |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1891174231 PECOS PAC ID: 4688994809 Enrollment ID: I20200605000573 |
Provider Name | Tyler J Willman Sr |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1912393687 PECOS PAC ID: 4688987126 Enrollment ID: I20200617002703 |
Provider Name | Jad El Masri |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1306251178 PECOS PAC ID: 7719104942 Enrollment ID: I20200706000853 |
Provider Name | Timothy J Micek |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1124106133 PECOS PAC ID: 7315840782 Enrollment ID: I20200901003110 |
Provider Name | Katie E Flood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437764172 PECOS PAC ID: 3375962129 Enrollment ID: I20200929001913 |
Provider Name | Ashley R Caes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740895853 PECOS PAC ID: 9234558602 Enrollment ID: I20201005000785 |
Provider Name | Etta Kathryn Nevel |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1588616627 PECOS PAC ID: 7113970716 Enrollment ID: I20201203001993 |
Provider Name | Katie G Kasper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790155836 PECOS PAC ID: 8224339890 Enrollment ID: I20201217002030 |
Provider Name | Anna-marieta Moise |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1083972046 PECOS PAC ID: 4385933589 Enrollment ID: I20210201001091 |
Provider Name | Rotem Laszlo Abraham Elgavish |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1437366473 PECOS PAC ID: 9830260074 Enrollment ID: I20210715003507 |
Provider Name | Majekodunmi V Olaleye |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1528556644 PECOS PAC ID: 0042563330 Enrollment ID: I20210719001779 |
Provider Name | Jenna Marie Hefel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770153058 PECOS PAC ID: 0345643284 Enrollment ID: I20210729001200 |
Provider Name | Joseph D Martz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073007464 PECOS PAC ID: 1254687577 Enrollment ID: I20210813000303 |
Provider Name | Ann M Mojeiko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801463245 PECOS PAC ID: 5395142160 Enrollment ID: I20210921002055 |
Provider Name | Amanda J Peterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528503695 PECOS PAC ID: 9537441779 Enrollment ID: I20210930000164 |
Provider Name | Sophie Dojacques |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1669406542 PECOS PAC ID: 2961477229 Enrollment ID: I20220110000657 |
Provider Name | John Millichap |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1225211600 PECOS PAC ID: 4688827009 Enrollment ID: I20220120000894 |
Provider Name | Jennifer Zurosky |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1245556745 PECOS PAC ID: 8921397936 Enrollment ID: I20220201000437 |
Provider Name | Margot R Nagan |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1528367281 PECOS PAC ID: 1254563265 Enrollment ID: I20220201000830 |
Provider Name | Melissa L Cirillo |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1952564015 PECOS PAC ID: 0648311308 Enrollment ID: I20220211001300 |
Provider Name | Stephen Parker Fulton |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1548209257 PECOS PAC ID: 5698773943 Enrollment ID: I20220304000605 |
Provider Name | Matthew Harry Wong |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1104033281 PECOS PAC ID: 2365628831 Enrollment ID: I20220606000150 |
Provider Name | Alejandra Maria Stewart |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1588897664 PECOS PAC ID: 6305223991 Enrollment ID: I20220610000893 |
Provider Name | Nancy E Hammond |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1558391862 PECOS PAC ID: 6709889264 Enrollment ID: I20220622002477 |
Provider Name | Jorge H Perez-cardona |
---|---|
Provider Type | Practitioner - Hematology |
Provider Identifiers | NPI Number: 1801829635 PECOS PAC ID: 1153214150 Enrollment ID: I20220628001647 |
Provider Name | Bruce R Pehl |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154815330 PECOS PAC ID: 4789933748 Enrollment ID: I20220815001859 |
Provider Name | Jodie Atkinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528799483 PECOS PAC ID: 7911380514 Enrollment ID: I20220815001900 |
Provider Name | Elizabeth R Pehl |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366934291 PECOS PAC ID: 1456601673 Enrollment ID: I20220912003059 |
Provider Name | Lindsey M Mcdonnell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902525330 PECOS PAC ID: 4688050156 Enrollment ID: I20221006001912 |
Provider Name | David Kashmer |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1275748386 PECOS PAC ID: 9638243173 Enrollment ID: I20221006002339 |
Provider Name | Bhanu Vakkalanka |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1578766796 PECOS PAC ID: 3072705789 Enrollment ID: I20221201000141 |
Provider Name | Ashlee Michelle Sheridan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083323638 PECOS PAC ID: 2163892902 Enrollment ID: I20230112000382 |
Provider Name | Jodi Subcliff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316652621 PECOS PAC ID: 1456725464 Enrollment ID: I20230314002272 |
Provider Name | Maggie J Limoges |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1104119965 PECOS PAC ID: 1850683517 Enrollment ID: I20230614000282 |
Provider Name | Nasiha Ahmad |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1821050071 PECOS PAC ID: 2860713179 Enrollment ID: I20230801003048 |
Provider Name | Benjamin D Acton |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1013409903 PECOS PAC ID: 6002166717 Enrollment ID: I20230809003450 |
Provider Name | Divis Khaira |
---|---|
Provider Type | Practitioner - Hematology |
Provider Identifiers | NPI Number: 1285637298 PECOS PAC ID: 7810981727 Enrollment ID: I20230922001112 |
Provider Name | Christie A Lynch |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1114587490 PECOS PAC ID: 6507262078 Enrollment ID: I20231115002016 |
Provider Name | Youssef A Rezk |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1154599330 PECOS PAC ID: 0244393031 Enrollment ID: I20231207000838 |
Provider Name | Megan L Sokolovich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831977941 PECOS PAC ID: 8224487830 Enrollment ID: I20231207003562 |
Provider Name | Taylor Ruchotzke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932975885 PECOS PAC ID: 9335591189 Enrollment ID: I20240117004259 |
Provider Name | Nicholas G Viyuoh |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1952410219 PECOS PAC ID: 2466348263 Enrollment ID: I20240122004242 |
Provider Name | Ashley A Snyder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689450314 PECOS PAC ID: 8022457860 Enrollment ID: I20240412003143 |
Provider Name | Amanda M Anson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578320453 PECOS PAC ID: 6103265467 Enrollment ID: I20240418003655 |
Provider Name | Deanna M Hahn |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1629026398 PECOS PAC ID: 3274973052 Enrollment ID: I20240426000637 |
Provider Name | Ghita Moussaide |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1649535667 PECOS PAC ID: 3274813266 Enrollment ID: I20240426002323 |
Randy R Robinson Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2027 S 21st St, Clinton, IA 52732 Phone: 563-243-7200 Fax: 563-243-7201 | |
Chiropractic Solutions Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 326 3rd Ave S, Clinton, IA 52732 Phone: 536-241-4295 | |
Betty A Hibler Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1320 Main Ave, Clinton, IA 52732 Phone: 563-243-3752 | |
Medical Associates Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Lillian Way, Clinton, IA 52732 Phone: 563-243-1200 Fax: 563-242-0671 | |
Michael Mankarious Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 638 S Bluff Blvd, Clinton, IA 52732 Phone: 563-243-5601 Fax: 563-243-5637 | |
Mercyone Clinton North Health Plaza Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 13th Ave N, Clinton, IA 52732 Phone: 563-243-2511 Fax: 563-243-0817 |