Van Diest Medical Center Stratford Clinic | |
817 Shakespeare Ave Stratford IA 50249-7774 | |
(515) 838-2100 | |
Not Available |
Full Name | Van Diest Medical Center Stratford Clinic |
---|---|
Speciality | Clinic/Center |
Location | 817 Shakespeare Ave, Stratford, Iowa |
Authorized Official Name and Position | Alice Heinrichs (CFO) |
Authorized Official Contact | 5158329400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Van Diest Medical Center Stratford Clinic Po Box 430 Webster City IA 50595-0430 Ph: (515) 832-9400 | Van Diest Medical Center Stratford Clinic 817 Shakespeare Ave Stratford IA 50249-7774 Ph: (515) 838-2100 |
NPI Number | 1497957351 |
---|---|
Provider Enumeration Date | 06/04/2007 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 1254241565 |
---|---|
Medicare Enrollment ID | O20031216000775 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497957351 | NPI | - | NPPES |
Provider Name | Subhash Sahai |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215934237 PECOS PAC ID: 3375590284 Enrollment ID: I20050411000828 |
Provider Name | Gayette F Grimm |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1194720755 PECOS PAC ID: 9032188313 Enrollment ID: I20050927001156 |
Provider Name | Caleb D Glawe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902940323 PECOS PAC ID: 0941356331 Enrollment ID: I20090928000194 |
Provider Name | John D Birkett |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780655100 PECOS PAC ID: 2466360763 Enrollment ID: I20100225000823 |
Provider Name | Alan P Nguyen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417921388 PECOS PAC ID: 4284769084 Enrollment ID: I20100318000540 |
Provider Name | Nicole L Ehn |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164653820 PECOS PAC ID: 5698969996 Enrollment ID: I20101101000536 |
Provider Name | Tricia L Widlund |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790087013 PECOS PAC ID: 7618156522 Enrollment ID: I20110125000422 |
Provider Name | Leslie R Fenimore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134485998 PECOS PAC ID: 8527221647 Enrollment ID: I20120529000315 |
Provider Name | Jane A Hoffman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972888147 PECOS PAC ID: 3678716446 Enrollment ID: I20130826000942 |
Provider Name | Benjamin Joseph Willis |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1730438847 PECOS PAC ID: 7911211768 Enrollment ID: I20150806011738 |
Provider Name | Roshan Sinha |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225444250 PECOS PAC ID: 6507082542 Enrollment ID: I20160927000170 |
Provider Name | Sushma Sahai |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1548267206 PECOS PAC ID: 8022338060 Enrollment ID: I20181115000785 |
Provider Name | Brett David Rosenthal |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1992047302 PECOS PAC ID: 4284938127 Enrollment ID: I20181115001040 |
Provider Name | Amanda Langford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992274377 PECOS PAC ID: 9739427659 Enrollment ID: I20190219000177 |
Provider Name | Krista Lynn Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265094304 PECOS PAC ID: 3577718816 Enrollment ID: I20190821000645 |
Provider Name | Elise Ag Duwe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073007894 PECOS PAC ID: 6901148121 Enrollment ID: I20191015002796 |
Provider Name | Jade A Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689212011 PECOS PAC ID: 6709213937 Enrollment ID: I20200227000678 |
Provider Name | Shawn Tulp |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1255767778 PECOS PAC ID: 3678702834 Enrollment ID: I20200630002193 |
Provider Name | Julie Trout |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033730916 PECOS PAC ID: 7214352038 Enrollment ID: I20200810003227 |
Provider Name | Giselle Allred |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508428327 PECOS PAC ID: 7911236658 Enrollment ID: I20210209001677 |
Provider Name | Assunta Anasooya Abraham |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1467613315 PECOS PAC ID: 9830311331 Enrollment ID: I20240423002436 |