| Alegent Health - Mercy Hospital, Corning Iowa | |
|
601 Rosary Dr Corning IA 50841-1683 | |
| (641) 322-5245 | |
| Not Available |
| Full Name | Alegent Health - Mercy Hospital, Corning Iowa |
|---|---|
| Speciality | Family Medicine |
| Location | 601 Rosary Dr, Corning, Iowa |
| Authorized Official Name and Position | Randy Pritza (SYSTEM SVP) |
| Authorized Official Contact | 4023434477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alegent Health - Mercy Hospital, Corning Iowa 7261 Mercy Rd Attn Lisa Smith Omaha NE 68124-2311 Ph: (402) 398-6255 | Alegent Health - Mercy Hospital, Corning Iowa 601 Rosary Dr Corning IA 50841-1683 Ph: (641) 322-5245 |
| NPI Number | 1821134826 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 09/18/2023 |
| Medicare PECOS PAC ID | 0547154940 |
|---|---|
| Medicare Enrollment ID | O20040209000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821134826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephen J Goldman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750368528 PECOS PAC ID: 0143201483 Enrollment ID: I20040525000261 |
| Provider Name | Brian K Rarick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841283637 PECOS PAC ID: 5193627768 Enrollment ID: I20041112001159 |
| Provider Name | Stuart G Oxford |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003895178 PECOS PAC ID: 7012986698 Enrollment ID: I20050419001375 |
| Provider Name | Caroline M Amao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619032554 PECOS PAC ID: 3274579271 Enrollment ID: I20050629001150 |
| Provider Name | Stephen M Ellestad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124009634 PECOS PAC ID: 3971527839 Enrollment ID: I20060118000424 |
| Provider Name | Daniel H Richter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730246745 PECOS PAC ID: 3072528991 Enrollment ID: I20060214000699 |
| Provider Name | John P Safranek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801962014 PECOS PAC ID: 4587650734 Enrollment ID: I20060404000499 |
| Provider Name | Jill R Breach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790854370 PECOS PAC ID: 1850309675 Enrollment ID: I20060405000065 |
| Provider Name | Ahmad Alchommali |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437144961 PECOS PAC ID: 9638076862 Enrollment ID: I20060922000349 |
| Provider Name | Sarah M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730287772 PECOS PAC ID: 1153323852 Enrollment ID: I20070209000062 |
| Provider Name | Jill Marion Konfrst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801893250 PECOS PAC ID: 7618055898 Enrollment ID: I20080429000543 |
| Provider Name | Romaine S Sangha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528284262 PECOS PAC ID: 0749345676 Enrollment ID: I20090210000282 |
| Provider Name | Gary B Morsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851367809 PECOS PAC ID: 4981595931 Enrollment ID: I20090806000070 |
| Provider Name | Sherri D Broadbent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487766903 PECOS PAC ID: 5991835373 Enrollment ID: I20100610000959 |
| Provider Name | Alan M Parks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467667345 PECOS PAC ID: 3476606625 Enrollment ID: I20100902000059 |
| Provider Name | Rachel L Rager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841505377 PECOS PAC ID: 1254457500 Enrollment ID: I20110506000589 |
| Provider Name | Ashley A Neils |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366737686 PECOS PAC ID: 6709040496 Enrollment ID: I20121121000103 |
| Provider Name | Mohammad M Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326049420 PECOS PAC ID: 9739121781 Enrollment ID: I20130529000413 |
| Provider Name | Steven A Freeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497770176 PECOS PAC ID: 6901791334 Enrollment ID: I20130724000407 |
| Provider Name | Michael T Ralls |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770566630 PECOS PAC ID: 8527957166 Enrollment ID: I20131230001857 |
| Provider Name | Jenna L Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891080362 PECOS PAC ID: 9830320670 Enrollment ID: I20140320001259 |
| Provider Name | Gregg A Drabek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629180054 PECOS PAC ID: 5890785034 Enrollment ID: I20140403001328 |
| Provider Name | Patrick Oben |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255617700 PECOS PAC ID: 4082833769 Enrollment ID: I20140910002449 |
| Provider Name | Shawn E Goodall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518011154 PECOS PAC ID: 3870631351 Enrollment ID: I20141003000382 |
| Provider Name | Megan L Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326450172 PECOS PAC ID: 0042532491 Enrollment ID: I20141215000506 |
| Provider Name | Tu Anh Thi Luong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528320991 PECOS PAC ID: 2567603830 Enrollment ID: I20150813010406 |
| Provider Name | Ryan Luong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225320583 PECOS PAC ID: 0941449771 Enrollment ID: I20160525002335 |
| Provider Name | Charles F Youngblood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346202447 PECOS PAC ID: 9234293549 Enrollment ID: I20160629000967 |
| Provider Name | Nathan R Tiwari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609185263 PECOS PAC ID: 8628219169 Enrollment ID: I20170801003465 |
| Provider Name | Seema Harichand-herdt |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1801831870 PECOS PAC ID: 2961682075 Enrollment ID: I20171115001272 |
| Provider Name | Paislee R Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225537012 PECOS PAC ID: 3870853872 Enrollment ID: I20180213001537 |
| Provider Name | Robert Alan Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780775692 PECOS PAC ID: 2769483502 Enrollment ID: I20180430000993 |
| Provider Name | Mark Steven Howerter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104995471 PECOS PAC ID: 3476519372 Enrollment ID: I20180430001252 |
| Provider Name | Erin Hale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801237706 PECOS PAC ID: 6901183466 Enrollment ID: I20180717000652 |
| Provider Name | Samantha J Specht |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982066593 PECOS PAC ID: 2264785112 Enrollment ID: I20181023003725 |
| Provider Name | Rande K Short |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831177039 PECOS PAC ID: 5092795385 Enrollment ID: I20181217001000 |
| Provider Name | Jessica R Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215597588 PECOS PAC ID: 7416281217 Enrollment ID: I20190627003124 |
| Provider Name | Michael J Coffey |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1215138607 PECOS PAC ID: 2365668498 Enrollment ID: I20200114001572 |
| Provider Name | Sheran N Fernando |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124540869 PECOS PAC ID: 4183981764 Enrollment ID: I20200708001091 |
| Provider Name | Jon J Morton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174526198 PECOS PAC ID: 2163452806 Enrollment ID: I20200813003261 |
| Provider Name | Jennifer Shinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760052534 PECOS PAC ID: 4789087289 Enrollment ID: I20210721002217 |
| Provider Name | Amanda L Dahlstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184200776 PECOS PAC ID: 6103223789 Enrollment ID: I20210923003332 |
| Provider Name | Aubrey Molgaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427597806 PECOS PAC ID: 6800284928 Enrollment ID: I20211022000479 |
| Provider Name | Emily C James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568110690 PECOS PAC ID: 0244626562 Enrollment ID: I20220413000396 |
| Provider Name | Corey J Ritchie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447906805 PECOS PAC ID: 5991192361 Enrollment ID: I20220523002249 |
| Provider Name | Kartik Anand |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164863841 PECOS PAC ID: 1052610250 Enrollment ID: I20230307002343 |
| Provider Name | Angela Aiyan Lu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336816123 PECOS PAC ID: 3577958289 Enrollment ID: I20231115002864 |
| Provider Name | Stacey Lynn Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508623778 PECOS PAC ID: 7517304314 Enrollment ID: I20240402003352 |
| Provider Name | Matthew A Halfar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184916744 PECOS PAC ID: 5496974081 Enrollment ID: I20240417002756 |
| Provider Name | Ahmed Issa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467010330 PECOS PAC ID: 8527460542 Enrollment ID: I20240817000061 |
| Provider Name | Nadyne Bernadette Montiel De Gagnier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881062719 PECOS PAC ID: 0042742298 Enrollment ID: I20241014002147 |
| Provider Name | Andrew J Blazek |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881259489 PECOS PAC ID: 4082942826 Enrollment ID: I20241023001307 |
Greater Regional Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 Davis Ave, Corning, IA 50841 Phone: 641-322-4431 Fax: 641-322-5052 | |
Alegent Health Mercy Hospital Corning, Iowa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Rosary Dr, Corning, IA 50841 Phone: 641-322-5245 | |
Alegent Health - Mercy Hospital, Corning, Iowa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Rosary Dr, Corning, IA 50841 Phone: 641-322-5245 Fax: 641-322-4687 |