Ottumwa Health Group Llc | |
1001 Pennsylvania Ave Ottumwa IA 52501-2186 | |
(641) 682-7511 | |
(641) 684-3199 |
Full Name | Ottumwa Health Group Llc |
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Speciality | Obstetrics & Gynecology |
Location | 1001 Pennsylvania Ave, Ottumwa, Iowa |
Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ottumwa Health Group Llc 1001 Pennsylvania Ave Ottumwa IA 52501-2186 Ph: (641) 682-7511 | Ottumwa Health Group Llc 1001 Pennsylvania Ave Ottumwa IA 52501-2186 Ph: (641) 682-7511 |
NPI Number | 1386956290 |
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Provider Enumeration Date | 07/08/2010 |
Last Update Date | 09/26/2024 |
Medicare PECOS PAC ID | 3971629924 |
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Medicare Enrollment ID | O20100927001257 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386956290 | NPI | - | NPPES |
Provider Name | Shawn C Dawson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306834577 PECOS PAC ID: 2769394295 Enrollment ID: I20031213000065 |
Provider Name | Edward B Ortell |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1346236940 PECOS PAC ID: 8123914827 Enrollment ID: I20040227000242 |
Provider Name | Carol L Mcintyre |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1649223728 PECOS PAC ID: 2466442033 Enrollment ID: I20040514001175 |
Provider Name | Steven M Johnson |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1598724767 PECOS PAC ID: 1951382613 Enrollment ID: I20040527001025 |
Provider Name | Elaine A Assad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588657969 PECOS PAC ID: 9133104599 Enrollment ID: I20040621000601 |
Provider Name | Jeffrey A Brannen |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1972616316 PECOS PAC ID: 6305898917 Enrollment ID: I20050211000315 |
Provider Name | Alicia D Barron |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194888024 PECOS PAC ID: 3173568425 Enrollment ID: I20050627000978 |
Provider Name | Joanne M Harbert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053418194 PECOS PAC ID: 4880693514 Enrollment ID: I20061207000098 |
Provider Name | David L Paustian |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1841289311 PECOS PAC ID: 3476552043 Enrollment ID: I20061208000063 |
Provider Name | Judith A Book-davin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578540944 PECOS PAC ID: 7214025519 Enrollment ID: I20071120000678 |
Provider Name | Jeffrey W Bittner |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1780688713 PECOS PAC ID: 8426012311 Enrollment ID: I20080115000861 |
Provider Name | Mudassir I Malik |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1457553653 PECOS PAC ID: 0840362984 Enrollment ID: I20080707000075 |
Provider Name | Gary G Lee |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1699853390 PECOS PAC ID: 0042249716 Enrollment ID: I20080929000519 |
Provider Name | Mark A Tannenbaum |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1033191861 PECOS PAC ID: 9537205331 Enrollment ID: I20091008000373 |
Provider Name | Eric G Garner |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1922092915 PECOS PAC ID: 7315089695 Enrollment ID: I20100125000689 |
Provider Name | Steven Ira Goldstein |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1083722219 PECOS PAC ID: 0749272003 Enrollment ID: I20100312000191 |
Provider Name | Gerald M Wait |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1467493510 PECOS PAC ID: 9436289253 Enrollment ID: I20100604000650 |
Provider Name | Melisa A Coaker |
---|---|
Provider Type | Practitioner - Sleep Medicine |
Provider Identifiers | NPI Number: 1164623393 PECOS PAC ID: 1557414588 Enrollment ID: I20100806000628 |
Provider Name | Diane Nutter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295708113 PECOS PAC ID: 7214920107 Enrollment ID: I20120123000833 |
Provider Name | Stanley Hahn |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1619977758 PECOS PAC ID: 0648210898 Enrollment ID: I20120301000460 |
Provider Name | Bradley A Scott |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1821284183 PECOS PAC ID: 8921259078 Enrollment ID: I20121119000277 |
Provider Name | Laura A Waddell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326392259 PECOS PAC ID: 3173778420 Enrollment ID: I20130313000007 |
Provider Name | Jennifer L Scott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912258344 PECOS PAC ID: 5193968576 Enrollment ID: I20130904000536 |
Provider Name | Joni R Hanshaw |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396083531 PECOS PAC ID: 0345476495 Enrollment ID: I20131119000630 |
Provider Name | Vijay Chawla |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1952386336 PECOS PAC ID: 9335375914 Enrollment ID: I20131204001542 |
Provider Name | Lori A Wells |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861829186 PECOS PAC ID: 7618104878 Enrollment ID: I20131213000266 |
Provider Name | Jackson Scott Thomas |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1982702155 PECOS PAC ID: 1658500665 Enrollment ID: I20140213001563 |
Provider Name | Jessica A Hicks |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407167869 PECOS PAC ID: 2769613702 Enrollment ID: I20140315000150 |
Provider Name | Becky E Baker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619394236 PECOS PAC ID: 4587896824 Enrollment ID: I20140421000380 |
Provider Name | Akinbode S Egbelakin |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1104117522 PECOS PAC ID: 3577780626 Enrollment ID: I20140813001256 |
Provider Name | Sandra E Leaders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629150669 PECOS PAC ID: 2365537164 Enrollment ID: I20141103001277 |
Provider Name | Eric L Dodson |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1851384465 PECOS PAC ID: 5890717177 Enrollment ID: I20141112000388 |
Provider Name | Nancie Nordwick |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1952380404 PECOS PAC ID: 1355237181 Enrollment ID: I20141203001447 |
Provider Name | Gilbert Simas |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1497802383 PECOS PAC ID: 3274684071 Enrollment ID: I20150106001014 |
Provider Name | Rebecca L. Ferguson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760510440 PECOS PAC ID: 4981509973 Enrollment ID: I20150223000983 |
Provider Name | Angela J Blankenship |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285046516 PECOS PAC ID: 3072832047 Enrollment ID: I20150427000137 |
Provider Name | Oluwarotimi Adepoju |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1982950937 PECOS PAC ID: 6608182084 Enrollment ID: I20150831001795 |
Provider Name | Shelley Bechtel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245601087 PECOS PAC ID: 3577864651 Enrollment ID: I20151215000032 |
Provider Name | Johanna Delacroix |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1689807315 PECOS PAC ID: 7214238856 Enrollment ID: I20151223001734 |
Provider Name | Miles Tommeraasen |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1295733905 PECOS PAC ID: 2062536873 Enrollment ID: I20160303001624 |
Provider Name | Case C Everett |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144481441 PECOS PAC ID: 8820270218 Enrollment ID: I20160307000041 |
Provider Name | George M Adam |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1134109150 PECOS PAC ID: 9335150408 Enrollment ID: I20160420000762 |
Provider Name | Antoinette M Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154729135 PECOS PAC ID: 3476877861 Enrollment ID: I20160428000420 |
Provider Name | Melissa L Gingrich |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1528378957 PECOS PAC ID: 0840446373 Enrollment ID: I20160510000458 |
Provider Name | Richard T Pardilla |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1467879619 PECOS PAC ID: 6901022847 Enrollment ID: I20160606001345 |
Provider Name | Cyndi J Mccormick |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1356754337 PECOS PAC ID: 2365660867 Enrollment ID: I20160623001916 |
Provider Name | Colleen Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700293859 PECOS PAC ID: 3577781475 Enrollment ID: I20160726000398 |
Provider Name | Misty Dawn Bowen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881038834 PECOS PAC ID: 7618279837 Enrollment ID: I20160810001199 |
Provider Name | William N Oduro |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1720177488 PECOS PAC ID: 5294716007 Enrollment ID: I20161010000472 |
Provider Name | Kristi Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982008827 PECOS PAC ID: 7517280332 Enrollment ID: I20161013000279 |
Provider Name | Joyce L Chouinard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770033888 PECOS PAC ID: 8224316112 Enrollment ID: I20161027001550 |
Provider Name | Cynthia Y Wu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255731303 PECOS PAC ID: 7214158732 Enrollment ID: I20161103001963 |
Provider Name | Mary M Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821545898 PECOS PAC ID: 4082993407 Enrollment ID: I20161108000100 |
Provider Name | Amr M Nabaah |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1851737647 PECOS PAC ID: 6709182082 Enrollment ID: I20161213000339 |
Provider Name | Bertrand Bezanchong Fonji |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1073764403 PECOS PAC ID: 9739378456 Enrollment ID: I20161227001672 |
Provider Name | Catherine P Mcneill |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1003824822 PECOS PAC ID: 3476736000 Enrollment ID: I20170210000526 |
Provider Name | David Burrows |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407156458 PECOS PAC ID: 7618154956 Enrollment ID: I20170329002058 |
Provider Name | Rebecca A Belschner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295833085 PECOS PAC ID: 4284635822 Enrollment ID: I20170515001443 |
Provider Name | Nathan A Nicholson |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1972860476 PECOS PAC ID: 0244479335 Enrollment ID: I20170713003138 |
Provider Name | Marti Jordan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306932033 PECOS PAC ID: 2163573379 Enrollment ID: I20170809002384 |
Provider Name | Estela Sosa |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1356465140 PECOS PAC ID: 1153481098 Enrollment ID: I20170815001395 |
Provider Name | Michael Ryskin |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1326007774 PECOS PAC ID: 0446285571 Enrollment ID: I20170815004325 |
Provider Name | Jamie Lee Hyde |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073038220 PECOS PAC ID: 7113299868 Enrollment ID: I20170816000801 |
Provider Name | Emily Ann Mcintosh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861901621 PECOS PAC ID: 3375818586 Enrollment ID: I20171013000549 |
Provider Name | Ann M Cadwalader |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1922196351 PECOS PAC ID: 6305737131 Enrollment ID: I20171020003035 |
Provider Name | Brandy Jeansimon |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1578855201 PECOS PAC ID: 0345559852 Enrollment ID: I20171215001372 |
Provider Name | Shayla L Rae |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942713888 PECOS PAC ID: 9234497017 Enrollment ID: I20171228000565 |
Provider Name | Jennifer R Mazza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366968968 PECOS PAC ID: 6204194939 Enrollment ID: I20171229000595 |
Provider Name | Andrew Hall |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1417196254 PECOS PAC ID: 7113159948 Enrollment ID: I20180109003458 |
Provider Name | Peggy Sue Swank |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447752464 PECOS PAC ID: 0143582635 Enrollment ID: I20180321001272 |
Provider Name | Michelle D Hartman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639418635 PECOS PAC ID: 3274771175 Enrollment ID: I20180322000759 |
Provider Name | Laura M Medanic |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508305541 PECOS PAC ID: 3072875418 Enrollment ID: I20180322000837 |
Provider Name | Irina Bernescu |
---|---|
Provider Type | Practitioner - Colorectal Surgery (proctology) |
Provider Identifiers | NPI Number: 1174850952 PECOS PAC ID: 1850517608 Enrollment ID: I20180418001722 |
Provider Name | Mahmoud Alameddine |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1730595778 PECOS PAC ID: 1052667854 Enrollment ID: I20180710000816 |
Provider Name | Desire K Christensen |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083064216 PECOS PAC ID: 4688967979 Enrollment ID: I20180712000130 |
Provider Name | Jasmine Benson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982194874 PECOS PAC ID: 3678822848 Enrollment ID: I20180821002798 |
Provider Name | Mariah E Skelley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629506829 PECOS PAC ID: 4082988688 Enrollment ID: I20180831001585 |
Provider Name | Shane Rainey |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1588041164 PECOS PAC ID: 4688989304 Enrollment ID: I20190404002841 |
Provider Name | Aaron M Hawkins |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1437415163 PECOS PAC ID: 8224288394 Enrollment ID: I20200203000446 |
Provider Name | Gregory Renck |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20200203001266 |
Provider Name | Jourdan Aromin |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598150955 PECOS PAC ID: 4082942776 Enrollment ID: I20200215000206 |
Provider Name | Joseph Hime |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528324811 PECOS PAC ID: 8123337201 Enrollment ID: I20200310001370 |
Provider Name | Venkedesh Raju |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1053512814 PECOS PAC ID: 6204987233 Enrollment ID: I20200313001135 |
Provider Name | James Lamousin |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043227606 PECOS PAC ID: 8022000215 Enrollment ID: I20200413000424 |
Provider Name | Najeeb Ansari |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1992816227 PECOS PAC ID: 0547427270 Enrollment ID: I20200702001500 |
Provider Name | Allison Judge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326679937 PECOS PAC ID: 9638596216 Enrollment ID: I20200827001160 |
Provider Name | Dwayne Narayan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083619951 PECOS PAC ID: 5597909192 Enrollment ID: I20200910003109 |
Provider Name | Natasha Ann Myers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659904399 PECOS PAC ID: 9032402086 Enrollment ID: I20200916001373 |
Provider Name | Stephanie Merrill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265051239 PECOS PAC ID: 3072932961 Enrollment ID: I20200925001437 |
Provider Name | Susan A Waterman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1376749333 PECOS PAC ID: 9537588819 Enrollment ID: I20201204000497 |
Provider Name | Jeffrey F Liubicich |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730576257 PECOS PAC ID: 4486957867 Enrollment ID: I20201208002522 |
Provider Name | Jessica Zaret |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1437376373 PECOS PAC ID: 7618155011 Enrollment ID: I20210114001181 |
Provider Name | Karen Ann Poe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629044318 PECOS PAC ID: 7719048206 Enrollment ID: I20210323001530 |
Provider Name | Robert Howard |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1689649204 PECOS PAC ID: 0143366740 Enrollment ID: I20210526001298 |
Provider Name | Heather Lynn Worth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134716483 PECOS PAC ID: 4486053071 Enrollment ID: I20210602001463 |
Provider Name | Taniya Pradhan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275709859 PECOS PAC ID: 3274751706 Enrollment ID: I20210624001154 |
Provider Name | Wendy Vandemark |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386698231 PECOS PAC ID: 2264491554 Enrollment ID: I20220218001443 |
Provider Name | Stephen Hurwitz |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1134145592 PECOS PAC ID: 0749213221 Enrollment ID: I20220630001084 |
Provider Name | Andrew Smith |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1295171734 PECOS PAC ID: 9537420245 Enrollment ID: I20220706003384 |
Provider Name | Sabreen R Rahman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689833824 PECOS PAC ID: 4688857543 Enrollment ID: I20220711002240 |
Provider Name | Ernest Spiotto |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1902331747 PECOS PAC ID: 2961772314 Enrollment ID: I20220711002470 |
Provider Name | Michelle Schofield |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1104874056 PECOS PAC ID: 2062437106 Enrollment ID: I20220712002066 |
Provider Name | Anna Teal Steffan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1497101497 PECOS PAC ID: 6709172950 Enrollment ID: I20221025001139 |
Provider Name | Dallas Black |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760156665 PECOS PAC ID: 9931577590 Enrollment ID: I20221201002845 |
Provider Name | Yezan Hesham Abderrahman |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1215460878 PECOS PAC ID: 0244655967 Enrollment ID: I20221214002800 |
Provider Name | Olivia Catherine Mccoy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710645601 PECOS PAC ID: 3173993144 Enrollment ID: I20230109001251 |
Provider Name | Amanda J Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861136897 PECOS PAC ID: 3779953773 Enrollment ID: I20230109002485 |
Provider Name | Paige M. Helton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104532357 PECOS PAC ID: 3678948288 Enrollment ID: I20230413001240 |
Provider Name | Thomas Lavie |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1972690006 PECOS PAC ID: 5698783876 Enrollment ID: I20230628004194 |
Provider Name | Shelli Slaughter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588149108 PECOS PAC ID: 6507101664 Enrollment ID: I20230821003841 |
Provider Name | Jennifer Ann Nelsen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053098285 PECOS PAC ID: 5698138972 Enrollment ID: I20230905001172 |
Provider Name | Brian P Quigley |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1063617033 PECOS PAC ID: 6507966207 Enrollment ID: I20230905003113 |
Provider Name | Aisha Ahmed |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1942737069 PECOS PAC ID: 9234408881 Enrollment ID: I20230911002282 |
Provider Name | Maria Alvarado |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1881822385 PECOS PAC ID: 1153556212 Enrollment ID: I20230914001763 |
Provider Name | Danielle Wallace |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1114147006 PECOS PAC ID: 7618020611 Enrollment ID: I20231005002711 |
Provider Name | Diana Smith |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1194930917 PECOS PAC ID: 0244410181 Enrollment ID: I20231130002019 |
Provider Name | Samantha Jo Chambers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992560643 PECOS PAC ID: 7517309172 Enrollment ID: I20240528002754 |
Provider Name | Scotlan Raeann Peterson |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1356195812 PECOS PAC ID: 6608218052 Enrollment ID: I20240530002066 |
Ottumwa Health Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Pennsylvania Ave, Ste 204, Ottumwa, IA 52501 Phone: 641-682-8761 | |
River Hills Community Health Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 216 S Market St, Ottumwa, IA 52501 Phone: 641-683-5773 Fax: 641-226-5759 | |
Mercyone Ottumwa Family And Internal Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 522 N Hancock St, Ottumwa, IA 52501 Phone: 641-683-0800 Fax: 641-683-0801 | |
Orhc Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Pennsylvania Ave, Central Clinic Billing, Ottumwa, IA 52501 Phone: 641-684-3053 Fax: 641-683-2855 | |
Rhchc Bh Sigourney Site Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 S Market St, Ottumwa, IA 52501 Phone: 641-684-6896 Fax: 641-226-5759 | |
Ottumwa Women's Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 931 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-682-8761 Fax: 641-682-2764 |