| Clarinda Medical Associates | |
|
220 Essie Davison Dr. Clarinda IA 51632-2915 | |
| (712) 542-8330 | |
| (712) 542-8397 |
| Full Name | Clarinda Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 220 Essie Davison Dr., Clarinda, Iowa |
| Authorized Official Name and Position | Elaine K Otte (COO) |
| Authorized Official Contact | 7125422176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarinda Medical Associates Po Box 217 Clarinda IA 51632-0217 Ph: (712) 542-8305 | Clarinda Medical Associates 220 Essie Davison Dr. Clarinda IA 51632-2915 Ph: (712) 542-8330 |
| NPI Number | 1629196241 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 05/21/2014 |
| Medicare PECOS PAC ID | 4587573993 |
|---|---|
| Medicare Enrollment ID | O20031205000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629196241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| Provider Name | Christopher J Sporleder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013907815 PECOS PAC ID: 3274439203 Enrollment ID: I20031210000822 |
| Provider Name | Garret T Shaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871566695 PECOS PAC ID: 8820983570 Enrollment ID: I20040220000241 |
| Provider Name | Bret D Heileson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912982075 PECOS PAC ID: 5496740573 Enrollment ID: I20040419000035 |
| Provider Name | Bryon J Schaeffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174561476 PECOS PAC ID: 7113913633 Enrollment ID: I20040421001026 |
| Provider Name | Brian D Haupts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396706719 PECOS PAC ID: 3173416377 Enrollment ID: I20040506001307 |
| Provider Name | James E Schrier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619944048 PECOS PAC ID: 4587657192 Enrollment ID: I20040507000525 |
| Provider Name | Carol L Mcintyre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649223728 PECOS PAC ID: 2466442033 Enrollment ID: I20040514001175 |
| Provider Name | Kathy J Wulf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730128463 PECOS PAC ID: 1759362502 Enrollment ID: I20040527000116 |
| Provider Name | Brian K Rarick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841283637 PECOS PAC ID: 5193627768 Enrollment ID: I20041112001159 |
| Provider Name | Clifford K Boese |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225036916 PECOS PAC ID: 1759347719 Enrollment ID: I20041210000035 |
| Provider Name | Theresa J Swenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093713794 PECOS PAC ID: 0648237768 Enrollment ID: I20041210000064 |
| Provider Name | Michael J Mahoney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689782336 PECOS PAC ID: 5890752067 Enrollment ID: I20041220000544 |
| Provider Name | Teresa L Franzen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235182965 PECOS PAC ID: 4880647486 Enrollment ID: I20050223000600 |
| Provider Name | Cris L Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073589404 PECOS PAC ID: 8729063920 Enrollment ID: I20050502000121 |
| Provider Name | Mark Frey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336116797 PECOS PAC ID: 1052376449 Enrollment ID: I20050621000611 |
| Provider Name | William Shelton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952349268 PECOS PAC ID: 4082650726 Enrollment ID: I20050701000791 |
| Provider Name | Steven R Dunnick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437143781 PECOS PAC ID: 1456381912 Enrollment ID: I20050816000178 |
| Provider Name | Robert Weissinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942287917 PECOS PAC ID: 2163440959 Enrollment ID: I20051110000230 |
| Provider Name | Robert Willard Clemons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013963339 PECOS PAC ID: 3971515974 Enrollment ID: I20060612000002 |
| Provider Name | Patrick C Farrell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679545289 PECOS PAC ID: 9739173337 Enrollment ID: I20060630000113 |
| Provider Name | Adam W Schope |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154355915 PECOS PAC ID: 7416951330 Enrollment ID: I20060907000553 |
| Provider Name | Satya S Thippareddi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174537567 PECOS PAC ID: 0941206452 Enrollment ID: I20061005000555 |
| Provider Name | Thomas M Atteberry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629063508 PECOS PAC ID: 0547238255 Enrollment ID: I20061018000049 |
| Provider Name | Michelle L Siebrecht |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346351970 PECOS PAC ID: 1557377504 Enrollment ID: I20061019000331 |
| Provider Name | Linda S Newsome |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538252499 PECOS PAC ID: 3072549542 Enrollment ID: I20061118000012 |
| Provider Name | Kimberly J Dierks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750374666 PECOS PAC ID: 3274520507 Enrollment ID: I20061205000045 |
| Provider Name | Joanne M Harbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053418194 PECOS PAC ID: 4880693514 Enrollment ID: I20061207000098 |
| Provider Name | Ivelisse B Zima |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306938816 PECOS PAC ID: 6406754266 Enrollment ID: I20070321000170 |
| Provider Name | Meghan K Bohlender |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427124726 PECOS PAC ID: 7810091139 Enrollment ID: I20070327000172 |
| Provider Name | Sakeer Hussain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952423071 PECOS PAC ID: 7214036227 Enrollment ID: I20070615000276 |
| Provider Name | Chad L Mccance |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093770083 PECOS PAC ID: 3577594159 Enrollment ID: I20080111000158 |
| Provider Name | Jill Marion Konfrst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801893250 PECOS PAC ID: 7618055898 Enrollment ID: I20080429000543 |
| Provider Name | Thomas Z Schmadeke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760455083 PECOS PAC ID: 2062454150 Enrollment ID: I20081028000039 |
| Provider Name | Scott Frank Menolascino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336391275 PECOS PAC ID: 3779634720 Enrollment ID: I20090702000210 |
| Provider Name | Theophile B Barley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962643478 PECOS PAC ID: 7416095484 Enrollment ID: I20091111000581 |
| Provider Name | Harvey a Hopkins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871597583 PECOS PAC ID: 5395708416 Enrollment ID: I20091124000587 |
| Provider Name | Steven F Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700847365 PECOS PAC ID: 1153451380 Enrollment ID: I20100614000607 |
| Provider Name | Jaylene Allyse Zanker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780905307 PECOS PAC ID: 5092839290 Enrollment ID: I20100825000024 |
| Provider Name | Amy Bingaman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750359147 PECOS PAC ID: 2365568656 Enrollment ID: I20100923000992 |
| Provider Name | Gregory Keller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649385287 PECOS PAC ID: 8820285760 Enrollment ID: I20101206000044 |
| Provider Name | Daniel J Larose |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730187410 PECOS PAC ID: 3678538360 Enrollment ID: I20101214000793 |
| Provider Name | Amy E Wilmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417242819 PECOS PAC ID: 0446428684 Enrollment ID: I20110714000346 |
| Provider Name | Stephen Edward Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043227564 PECOS PAC ID: 3072513068 Enrollment ID: I20110803000104 |
| Provider Name | Kara Anne Buckingham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265710503 PECOS PAC ID: 6709056013 Enrollment ID: I20110824000323 |
| Provider Name | Cori L Lempiainen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194005363 PECOS PAC ID: 8921279431 Enrollment ID: I20110913000733 |
| Provider Name | Stephen S Lim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356343628 PECOS PAC ID: 5890725535 Enrollment ID: I20111213000876 |
| Provider Name | Elizabeth N Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326327438 PECOS PAC ID: 9830366137 Enrollment ID: I20120126000473 |
| Provider Name | Caliste IV Hsu |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1972620912 PECOS PAC ID: 0840457578 Enrollment ID: I20120220000110 |
| Provider Name | Jodi L Stowater-goodrich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225278609 PECOS PAC ID: 6002973104 Enrollment ID: I20120227000499 |
| Provider Name | Jimmie R Horton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710114434 PECOS PAC ID: 2860642071 Enrollment ID: I20121024000750 |
| Provider Name | Leigh Gilburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235251562 PECOS PAC ID: 3173624418 Enrollment ID: I20121130000417 |
| Provider Name | Melissa S Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356690887 PECOS PAC ID: 7012160682 Enrollment ID: I20130109000695 |
| Provider Name | Alva Eugene Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003155995 PECOS PAC ID: 5698912780 Enrollment ID: I20130509000131 |
| Provider Name | Marlene S Birkholtz Wier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881663847 PECOS PAC ID: 8527161900 Enrollment ID: I20130920000178 |
| Provider Name | Anuj Wadhwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497090419 PECOS PAC ID: 3173750254 Enrollment ID: I20131217000606 |
| Provider Name | Lacy L Rowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821487679 PECOS PAC ID: 0547587164 Enrollment ID: I20150319001397 |
| Provider Name | Phillip R Hurd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194054312 PECOS PAC ID: 1759423312 Enrollment ID: I20150403000429 |
| Provider Name | Talisha I Furst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275914368 PECOS PAC ID: 8820301179 Enrollment ID: I20150716000892 |
| Provider Name | James Alexander Trent |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285756007 PECOS PAC ID: 3577623586 Enrollment ID: I20150717001206 |
| 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 | Jennifer L Coxe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427428143 PECOS PAC ID: 6709196330 Enrollment ID: I20151124001938 |
| Provider Name | Katrina V Hotka-truempler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215301791 PECOS PAC ID: 4183925464 Enrollment ID: I20151210000047 |
| Provider Name | Robert M Greenhagen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649433848 PECOS PAC ID: 3678759768 Enrollment ID: I20160516001994 |
| Provider Name | Patrick J Nelson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902193618 PECOS PAC ID: 9537325543 Enrollment ID: I20160527001176 |
| Provider Name | Kellen L Huston |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134358500 PECOS PAC ID: 8527359900 Enrollment ID: I20160614002438 |
| Provider Name | Jessalyn C Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073962700 PECOS PAC ID: 7315239720 Enrollment ID: I20160705002173 |
| Provider Name | Melissa a Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447659685 PECOS PAC ID: 6901026335 Enrollment ID: I20160927000189 |
| Provider Name | Jonathan Kilstrom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740695899 PECOS PAC ID: 4486875051 Enrollment ID: I20161101001145 |
| Provider Name | Matthew J Roesner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760830335 PECOS PAC ID: 2163713702 Enrollment ID: I20170223000548 |
| Provider Name | Kassandra a Mellott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528505070 PECOS PAC ID: 4880978162 Enrollment ID: I20170306001068 |
| Provider Name | John P Lazoritz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124446166 PECOS PAC ID: 3072815257 Enrollment ID: I20170613000099 |
| Provider Name | Elizabeth Marie Wooster-pierson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639585359 PECOS PAC ID: 8729397419 Enrollment ID: I20170718000219 |
| Provider Name | Katelyn D Stein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396261996 PECOS PAC ID: 8921374091 Enrollment ID: I20171018001370 |
| Provider Name | Jona J Hutson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861741555 PECOS PAC ID: 1850544065 Enrollment ID: I20171129002082 |
| Provider Name | Amy M Waterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104335496 PECOS PAC ID: 4385903640 Enrollment ID: I20180111001616 |
| Provider Name | Jocelyn a Ramadan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134477201 PECOS PAC ID: 8628385242 Enrollment ID: I20180115000022 |
| Provider Name | Lauren R Davison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285143222 PECOS PAC ID: 1658632062 Enrollment ID: I20180228000113 |
| Provider Name | Brittney L Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891286118 PECOS PAC ID: 7416204631 Enrollment ID: I20180719001235 |
| Provider Name | Timothy K Kessinger-mccroskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811356751 PECOS PAC ID: 8123326600 Enrollment ID: I20180810003049 |
| Provider Name | Clayton Carl Thor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366704082 PECOS PAC ID: 1052542719 Enrollment ID: I20180817000508 |
| Provider Name | Martee R Macleod Kozal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245404086 PECOS PAC ID: 3870759376 Enrollment ID: I20180904003350 |
| Provider Name | Adam B Dobbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407286438 PECOS PAC ID: 7618106857 Enrollment ID: I20190603000393 |
| Provider Name | Nathan Charles Shumway |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629429451 PECOS PAC ID: 3971837477 Enrollment ID: I20190702002325 |
| Provider Name | Dale E Stogdill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750949111 PECOS PAC ID: 3274868799 Enrollment ID: I20190703003086 |
| Provider Name | Charles B Hirst |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124381538 PECOS PAC ID: 4082647243 Enrollment ID: I20190802000062 |
| Provider Name | Estella M Myrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225577372 PECOS PAC ID: 7719261783 Enrollment ID: I20190813002744 |
| Provider Name | Ryan Christopher Ernst |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811131840 PECOS PAC ID: 2062546989 Enrollment ID: I20190826000629 |
| Provider Name | Brooke C Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427607753 PECOS PAC ID: 2567894439 Enrollment ID: I20191114000982 |
| Provider Name | Kelly Marie Schurke-batson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467925388 PECOS PAC ID: 8527491679 Enrollment ID: I20191204001638 |
| Provider Name | Michael B Galloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518422690 PECOS PAC ID: 8325381361 Enrollment ID: I20200127000393 |
| Provider Name | Benn J Rayment |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891326088 PECOS PAC ID: 5698104644 Enrollment ID: I20200326003259 |
| Provider Name | Axel B Bouchard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962889139 PECOS PAC ID: 2365705761 Enrollment ID: I20200409001448 |
| Provider Name | Devon Jean Webster |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124034681 PECOS PAC ID: 4385749282 Enrollment ID: I20200831002635 |
| Provider Name | Kristen D Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720606841 PECOS PAC ID: 2769895853 Enrollment ID: I20210111000225 |
| Provider Name | Sarah Lochman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497382949 PECOS PAC ID: 6204249287 Enrollment ID: I20210112001979 |
| Provider Name | Bailley J Kralik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700477908 PECOS PAC ID: 7810304268 Enrollment ID: I20210331000623 |
| Provider Name | Bridget N Wickstrom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336727858 PECOS PAC ID: 1153739792 Enrollment ID: I20210420000375 |
| Provider Name | Blake M Bodendorfer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083000905 PECOS PAC ID: 0547686313 Enrollment ID: I20210709002703 |
| Provider Name | Alisha J Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710559083 PECOS PAC ID: 7618155466 Enrollment ID: I20210721002655 |
| Provider Name | Anthony D Oberle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487033817 PECOS PAC ID: 9234442351 Enrollment ID: I20210908000434 |
| Provider Name | Susan Yelich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306802889 PECOS PAC ID: 5294629515 Enrollment ID: I20210923000295 |
| Provider Name | Kaylee a Messner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982239349 PECOS PAC ID: 7719318591 Enrollment ID: I20210923000857 |
| Provider Name | Amanda L Bozarth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184200776 PECOS PAC ID: 6103223789 Enrollment ID: I20210923003332 |
| Provider Name | Matthew a Maslonka |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114330784 PECOS PAC ID: 2961774369 Enrollment ID: I20211026000489 |
| Provider Name | Renee R Nauman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003572371 PECOS PAC ID: 4688065436 Enrollment ID: I20220105001172 |
| Provider Name | Trista L Grossnickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346993763 PECOS PAC ID: 7012301385 Enrollment ID: I20220302001732 |
| Provider Name | Paige M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710655352 PECOS PAC ID: 8123405149 Enrollment ID: I20220512002729 |
| Provider Name | Rosemary T Koeppel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275973539 PECOS PAC ID: 9335380062 Enrollment ID: I20220720001462 |
| Provider Name | Nicole Elizabeth Cordonnier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760016554 PECOS PAC ID: 2860822368 Enrollment ID: I20220915003363 |
| Provider Name | Kirsten N Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255058335 PECOS PAC ID: 8820466444 Enrollment ID: I20221201001067 |
| Provider Name | Kimberly a Schoonover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922710466 PECOS PAC ID: 7810369477 Enrollment ID: I20230207003062 |
| Provider Name | Katie a Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033821269 PECOS PAC ID: 9032581640 Enrollment ID: I20230208000998 |
| Provider Name | Stephanie Gadbois |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740545763 PECOS PAC ID: 0749429611 Enrollment ID: I20230413001951 |
| Provider Name | Goral Panchal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245528884 PECOS PAC ID: 1254615883 Enrollment ID: I20230510002380 |
| Provider Name | Pavankumar Bommasamudram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639306293 PECOS PAC ID: 3779749478 Enrollment ID: I20230622001945 |
| Provider Name | Mark Klinger Borsody |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215179767 PECOS PAC ID: 5890844575 Enrollment ID: I20230623001696 |
| Provider Name | Stephen a Mikus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598086050 PECOS PAC ID: 7719121938 Enrollment ID: I20230624000122 |
| Provider Name | Thomas Satterly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174759203 PECOS PAC ID: 5092992032 Enrollment ID: I20231025000466 |
| Provider Name | Christin J Thompson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316431711 PECOS PAC ID: 7416281662 Enrollment ID: I20231025001050 |
| Provider Name | Timothy W Sullinger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669410833 PECOS PAC ID: 5395778971 Enrollment ID: I20231025001120 |
| Provider Name | Brett a Studley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427107911 PECOS PAC ID: 0648236711 Enrollment ID: I20231106000475 |
| Provider Name | Ryan Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790566115 PECOS PAC ID: 7012367493 Enrollment ID: I20231227002021 |
| Provider Name | Austin L Barth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730858739 PECOS PAC ID: 8325482714 Enrollment ID: I20240213003587 |
| Provider Name | Asha R Schweitzer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174751820 PECOS PAC ID: 8921283946 Enrollment ID: I20240412003036 |
| Provider Name | Mandy L Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184486375 PECOS PAC ID: 0244679835 Enrollment ID: I20240416000737 |
| Provider Name | Anna Wanahita |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073650537 PECOS PAC ID: 7214037860 Enrollment ID: I20240416000766 |
| Provider Name | Marcy L Thummel-howard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962915082 PECOS PAC ID: 5799127957 Enrollment ID: I20240521000419 |
| Provider Name | Hallena J Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053701276 PECOS PAC ID: 5698117869 Enrollment ID: I20240521000512 |
| Provider Name | Katie L Abold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982953360 PECOS PAC ID: 4880036482 Enrollment ID: I20240529000518 |
| Provider Name | Amy W Varble |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265525992 PECOS PAC ID: 6204894207 Enrollment ID: I20240610001398 |
| Provider Name | Akash Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871858548 PECOS PAC ID: 7618297441 Enrollment ID: I20240612004282 |
| Provider Name | Daniel Lister |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073599817 PECOS PAC ID: 0547217655 Enrollment ID: I20240625002262 |
| Provider Name | Melinda Sue Barratt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225121361 PECOS PAC ID: 5799754255 Enrollment ID: I20240808004187 |
| Provider Name | Michael a Haboubi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740410117 PECOS PAC ID: 1850535600 Enrollment ID: I20240829003989 |
| Provider Name | Audrianna D Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245766294 PECOS PAC ID: 1355615626 Enrollment ID: I20240913002328 |
| Provider Name | Liliya Gandrabur |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811377989 PECOS PAC ID: 9335568997 Enrollment ID: I20241009004204 |
| Provider Name | Christina M Solt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063234110 PECOS PAC ID: 5991231003 Enrollment ID: I20241212003744 |
| Provider Name | Alison Sporleder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275183055 PECOS PAC ID: 1850723123 Enrollment ID: I20250207003178 |
| Provider Name | Fildrin T Ndimbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528554060 PECOS PAC ID: 6507276086 Enrollment ID: I20251105003351 |
| Provider Name | Jose L Hinojosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548358013 PECOS PAC ID: 0042284515 Enrollment ID: I20260109000580 |
| Provider Name | Sera P Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760223903 PECOS PAC ID: 2365929122 Enrollment ID: I20260122003093 |
| Provider Name | Kaitlin S Card |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104795475 PECOS PAC ID: 9436630027 Enrollment ID: I20260221000940 |
| Provider Name | Angela Marie Krafka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114584745 PECOS PAC ID: 3678800471 Enrollment ID: I20260302002287 |
| Provider Name | Muhammad Naqvi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316269533 PECOS PAC ID: 1951602168 Enrollment ID: I20260310000439 |
| Provider Name | Wade Ott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114763844 PECOS PAC ID: 0244713527 Enrollment ID: I20260314000189 |
| Provider Name | Nicole Lee Anderson Ericksen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225141955 PECOS PAC ID: 6204866429 Enrollment ID: I20260316000667 |
| Provider Name | Crystal L Danner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154064731 PECOS PAC ID: 4183005333 Enrollment ID: I20260325002032 |
| Provider Name | Neil D Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750592861 PECOS PAC ID: 2163657453 Enrollment ID: I20260407001373 |
| Provider Name | Samiran D Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295825685 PECOS PAC ID: 3173531928 Enrollment ID: I20260414003811 |
Beecher Eye Care PLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 S 16th St, Clarinda, IA 51632 Phone: 712-542-6521 Fax: 712-542-4209 |
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