Newton Clinic Pc | |
300 N 4th Ave E Suite 200 Newton IA 50208-3155 | |
(641) 792-2112 | |
(641) 792-8484 |
Full Name | Newton Clinic Pc |
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Speciality | Family Medicine |
Location | 300 N 4th Ave E, Newton, Iowa |
Authorized Official Name and Position | Mark Thayer (CLINIC ADMINSTRATOR) |
Authorized Official Contact | 6417922112 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Newton Clinic Pc 300 N 4th Ave E Suite 200 Newton IA 50208-3155 Ph: (641) 792-2112 | Newton Clinic Pc 300 N 4th Ave E Suite 200 Newton IA 50208-3155 Ph: (641) 792-2112 |
NPI Number | 1730115213 |
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Provider Enumeration Date | 06/24/2006 |
Last Update Date | 06/13/2013 |
Medicare PECOS PAC ID | 6608768676 |
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Medicare Enrollment ID | O20040325000962 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730115213 | NPI | - | NPPES |
0282186 | Medicaid | IA |
Provider Name | Luke R Perrin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407834740 PECOS PAC ID: 6406751676 Enrollment ID: I20031201000627 |
Provider Name | Zachary C Alexander |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679525521 PECOS PAC ID: 0143218644 Enrollment ID: I20040504000516 |
Provider Name | Dennis P Dornbier |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1306944525 PECOS PAC ID: 2264425586 Enrollment ID: I20040701000147 |
Provider Name | Laurie Ann Siddall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003842592 PECOS PAC ID: 8820032295 Enrollment ID: I20050616000219 |
Provider Name | Duane M Jolivette |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134189764 PECOS PAC ID: 9931131562 Enrollment ID: I20050906000067 |
Provider Name | Darryl C Johnson |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1720084916 PECOS PAC ID: 8325043987 Enrollment ID: I20061003000720 |
Provider Name | Patrick J Cogley |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1417941717 PECOS PAC ID: 4284626672 Enrollment ID: I20080523000314 |
Provider Name | Jodi F Holloway |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013163427 PECOS PAC ID: 8729148499 Enrollment ID: I20081125000723 |
Provider Name | Tze Yan Chan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376579706 PECOS PAC ID: 5294815189 Enrollment ID: I20100309000691 |
Provider Name | Steven C Hill |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316976764 PECOS PAC ID: 8022198910 Enrollment ID: I20100309000730 |
Provider Name | Patrick J Edwards |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740214873 PECOS PAC ID: 0840370730 Enrollment ID: I20100309000771 |
Provider Name | Min S Pak |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962438317 PECOS PAC ID: 8921188814 Enrollment ID: I20100309000834 |
Provider Name | Orville W Bunker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902838527 PECOS PAC ID: 4385724277 Enrollment ID: I20100331000377 |
Provider Name | Paul E Ruggle |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437187077 PECOS PAC ID: 4587556550 Enrollment ID: I20100331000439 |
Provider Name | Elizabeth M Preston |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790721686 PECOS PAC ID: 3779610787 Enrollment ID: I20100423000044 |
Provider Name | Andrew L Cope |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912134693 PECOS PAC ID: 2466649348 Enrollment ID: I20101203000828 |
Provider Name | Lisa A Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447402052 PECOS PAC ID: 2062553019 Enrollment ID: I20130424000193 |
Provider Name | Mureema M Solberg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609812064 PECOS PAC ID: 7012097900 Enrollment ID: I20131011000703 |
Provider Name | Hannah M Heckart |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881905768 PECOS PAC ID: 9537303672 Enrollment ID: I20140804001687 |
Provider Name | Esgar E Guarin-nieto |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902088636 PECOS PAC ID: 1850430844 Enrollment ID: I20150914000993 |
Provider Name | Kelsey Angela Tish |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467931535 PECOS PAC ID: 5890046023 Enrollment ID: I20180926002770 |
Provider Name | Jody L Van Veen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346724713 PECOS PAC ID: 8325392574 Enrollment ID: I20181107001358 |
Provider Name | Sarah Sue Neal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124580329 PECOS PAC ID: 9032452578 Enrollment ID: I20190523002376 |
Provider Name | Christina Lester |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942205471 PECOS PAC ID: 7810983541 Enrollment ID: I20191018002517 |
Provider Name | Nicole J Ferguson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194245506 PECOS PAC ID: 9234408196 Enrollment ID: I20200909001721 |
Provider Name | Tara Gravenstine |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043698939 PECOS PAC ID: 7416218532 Enrollment ID: I20211201001449 |
Provider Name | Stacy Jo Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891421202 PECOS PAC ID: 0446635478 Enrollment ID: I20220912002988 |
Provider Name | Sarah Florence |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023679172 PECOS PAC ID: 4183950835 Enrollment ID: I20221007000203 |
Provider Name | Zachary J Bliek |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1982229845 PECOS PAC ID: 7810310356 Enrollment ID: I20230727001160 |
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