| Mr Jon James Clinton, CRNA | |
|
1825 Logan Ave, Waterloo, IA 50703-1916 | |
| (319) 235-5386 | |
| (319) 235-3074 |
| Full Name | Mr Jon James Clinton |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1825 Logan Ave, Waterloo, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942272505 | NPI | - | NPPES |
| 1942272505 | Other | IA | WELLMARK |
| 1942272505 | Medicaid | IA | |
| 421417307RV | Other | IA | UHC/RIVER VALLEY/ JD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D111180 (Iowa) | Primary |
| Entity Name | Cedar Valley Medical Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497794242 PECOS PAC ID: 1759291487 Enrollment ID: O20031208000462 |
| Entity Name | Grundy County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114012085 PECOS PAC ID: 6406766435 Enrollment ID: O20040217000174 |
| Entity Name | Waverly Health Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1033125463 PECOS PAC ID: 8820996762 Enrollment ID: O20060925000486 |
| Entity Name | Grundy County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1821055989 PECOS PAC ID: 6406766435 Enrollment ID: O20061104000161 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jon James Clinton, CRNA 4150 Kimball Ave, Po Box 2758, Waterloo, IA 50704-2758 Ph: (319) 235-5390 | Mr Jon James Clinton, CRNA 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-5386 |
Kathryn E Soeder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5390 | |
Savannah Meredith Wiltfang, DNAP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1015 S Hackett Rd Ste B, Waterloo, IA 50701 Phone: 319-234-5990 Fax: 319-234-5994 | |
Mrs. Sara Elizabeth Yoder, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5386 Fax: 319-235-3074 | |
Scott Robert Doyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1015 S Hackett Rd Ste B, Waterloo, IA 50701 Phone: 319-406-5990 Fax: 319-234-5994 | |
Lance A Lalonde, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5390 | |
Kathryn Ann Ogburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5386 Fax: 319-235-3074 | |
Kate Nichelle Nicholson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5386 Fax: 319-235-3074 |