| Covenant Clinic | |
|
3421 W 9th St Waterloo IA 50702-5401 | |
| (319) 272-7303 | |
| (319) 272-7318 |
| Full Name | Covenant Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3421 W 9th St, Waterloo, Iowa |
| Authorized Official Name and Position | Timothy Huber (CONTROLLER) |
| Authorized Official Contact | 3192727600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Clinic Po Box 6200 Waterloo IA 50704-6200 Ph: (319) 272-1590 | Covenant Clinic 3421 W 9th St Waterloo IA 50702-5401 Ph: (319) 272-7303 |
| NPI Number | 1548288160 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 04/25/2022 |
| Medicare PECOS PAC ID | 0244148732 |
|---|---|
| Medicare Enrollment ID | O20031111000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548288160 | NPI | - | NPPES |
| 0190686 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1878 (Iowa) | Primary |
| Provider Name | Jessica L Boevers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962422873 PECOS PAC ID: 1951209048 Enrollment ID: I20031229000193 |
| Provider Name | Chidi L Ojinnaka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780647198 PECOS PAC ID: 1456252048 Enrollment ID: I20040116000377 |
| Provider Name | Cristina I Pasarin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1801838354 PECOS PAC ID: 5890780902 Enrollment ID: I20040419000255 |
| Provider Name | Thomas F Helmsworth |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063498855 PECOS PAC ID: 7012907223 Enrollment ID: I20040518000379 |
| Provider Name | Marc E Hines |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265434674 PECOS PAC ID: 8820988249 Enrollment ID: I20040618001337 |
| Provider Name | Ann F Bell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467446401 PECOS PAC ID: 7113919713 Enrollment ID: I20040902000291 |
| Provider Name | Sheryl K Hansel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780612143 PECOS PAC ID: 8628044955 Enrollment ID: I20040908000357 |
| Provider Name | Suzanne Bartlett Hackenmiller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740209436 PECOS PAC ID: 6406824960 Enrollment ID: I20040922000522 |
| Provider Name | Jane A Springer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851329023 PECOS PAC ID: 4688630387 Enrollment ID: I20041204000105 |
| Provider Name | Kent L Croskey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689654105 PECOS PAC ID: 5890684286 Enrollment ID: I20050122000193 |
| Provider Name | Erwei Gao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245276245 PECOS PAC ID: 9335195791 Enrollment ID: I20050329000611 |
| Provider Name | Christopher L Eagan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861448128 PECOS PAC ID: 7416999438 Enrollment ID: I20050531000584 |
| Provider Name | Katinka M Keith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790776433 PECOS PAC ID: 5890721195 Enrollment ID: I20050708000462 |
| Provider Name | Neil E Wickham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811974934 PECOS PAC ID: 6800887233 Enrollment ID: I20050822001375 |
| Provider Name | Connie S Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811975071 PECOS PAC ID: 6709811813 Enrollment ID: I20050928000141 |
| Provider Name | Jane M Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922086180 PECOS PAC ID: 6608801717 Enrollment ID: I20050928000151 |
| Provider Name | Marcia L Hillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861420127 PECOS PAC ID: 2365469871 Enrollment ID: I20051024001054 |
| Provider Name | Ronald M Kane |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013944412 PECOS PAC ID: 9032016852 Enrollment ID: I20060313000175 |
| Provider Name | Vytautas Naslenas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902848245 PECOS PAC ID: 2163439233 Enrollment ID: I20060314000704 |
| Provider Name | Peter J Hohnstein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538104039 PECOS PAC ID: 9931017084 Enrollment ID: I20060315000088 |
| Provider Name | David M Visokey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912979261 PECOS PAC ID: 3072521103 Enrollment ID: I20060330000360 |
| Provider Name | Heather M Marthers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750341384 PECOS PAC ID: 9537178447 Enrollment ID: I20060420000107 |
| Provider Name | Alexander Flower |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023094406 PECOS PAC ID: 0143230037 Enrollment ID: I20060421000059 |
| Provider Name | Anke Bellinger |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1447202692 PECOS PAC ID: 9638181407 Enrollment ID: I20060616000045 |
| Provider Name | Julie R Sandell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215925268 PECOS PAC ID: 3274545967 Enrollment ID: I20060818000139 |
| Provider Name | Kathleen A Megivern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245269489 PECOS PAC ID: 4789689266 Enrollment ID: I20060918000106 |
| Provider Name | Traci M Ludwig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396784872 PECOS PAC ID: 5193720472 Enrollment ID: I20060920000001 |
| Provider Name | Ahsan Maqsood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992899702 PECOS PAC ID: 0840297982 Enrollment ID: I20061102000056 |
| Provider Name | Felipe C Javier |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1003819624 PECOS PAC ID: 5799785788 Enrollment ID: I20061221000231 |
| Provider Name | Ronelle R Langley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760555965 PECOS PAC ID: 7517967557 Enrollment ID: I20061222000106 |
| Provider Name | Jodi L Van Sickle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982630703 PECOS PAC ID: 2567566888 Enrollment ID: I20070327000158 |
| Provider Name | John M Zehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184797888 PECOS PAC ID: 6507965746 Enrollment ID: I20070628000353 |
| Provider Name | Sangeeta Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477765584 PECOS PAC ID: 8628178811 Enrollment ID: I20070718000065 |
| Provider Name | Jennifer L Bryant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255308037 PECOS PAC ID: 1759473366 Enrollment ID: I20070827000526 |
| Provider Name | Celia E Pantoja Rojas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659496180 PECOS PAC ID: 2365535861 Enrollment ID: I20070829000348 |
| Provider Name | Sara M Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639154016 PECOS PAC ID: 3577659986 Enrollment ID: I20071017000264 |
| Provider Name | Samir Chandra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639114077 PECOS PAC ID: 5496841355 Enrollment ID: I20071023000748 |
| Provider Name | Richard J Valente |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760464077 PECOS PAC ID: 8820186299 Enrollment ID: I20071119000263 |
| Provider Name | Troy A Renaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164478467 PECOS PAC ID: 3971691346 Enrollment ID: I20071119000296 |
| Provider Name | Anand H Inamdar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467497909 PECOS PAC ID: 9739269283 Enrollment ID: I20080326000187 |
| Provider Name | Albert Jerome Jackson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417168667 PECOS PAC ID: 7810062809 Enrollment ID: I20080827000138 |
| Provider Name | Suzanne E Munns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386868115 PECOS PAC ID: 3577630714 Enrollment ID: I20080930000258 |
| Provider Name | Timothy C Horrigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467430181 PECOS PAC ID: 2264580315 Enrollment ID: I20090430000141 |
| Provider Name | Robert D Shontz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730390410 PECOS PAC ID: 2264583905 Enrollment ID: I20090619000368 |
| Provider Name | Brian K Sankey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043479355 PECOS PAC ID: 1759435969 Enrollment ID: I20090821000196 |
| Provider Name | Brian Olshansky |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1962483347 PECOS PAC ID: 2062552110 Enrollment ID: I20100119000137 |
| Provider Name | Mary Susan S Pruzinsky |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326097296 PECOS PAC ID: 3274676150 Enrollment ID: I20100201000147 |
| Provider Name | Cindy L Huwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154309870 PECOS PAC ID: 1153466917 Enrollment ID: I20100304000043 |
| Provider Name | Jeffrey J Sutton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255368676 PECOS PAC ID: 4486789096 Enrollment ID: I20100322000673 |
| Provider Name | Lee O Fagre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982649018 PECOS PAC ID: 8527193044 Enrollment ID: I20100322000825 |
| Provider Name | Brian P Burnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790726362 PECOS PAC ID: 4880720952 Enrollment ID: I20100327000476 |
| Provider Name | Larry J Standing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922036276 PECOS PAC ID: 8325174493 Enrollment ID: I20100327000498 |
| Provider Name | Michelle S Craig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568698389 PECOS PAC ID: 5092842518 Enrollment ID: I20100414000804 |
| Provider Name | Gary A Knudson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700813441 PECOS PAC ID: 6406984335 Enrollment ID: I20100513000254 |
| Provider Name | Mukund G Nadipuram |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962444349 PECOS PAC ID: 6002944840 Enrollment ID: I20100514000386 |
| Provider Name | Richard L Bremner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467493742 PECOS PAC ID: 5698804284 Enrollment ID: I20100519000725 |
| Provider Name | Steven W Tarr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609812387 PECOS PAC ID: 1759410343 Enrollment ID: I20100519000752 |
| Provider Name | Matthew L Sojka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659358471 PECOS PAC ID: 3779672670 Enrollment ID: I20100522000007 |
| Provider Name | Barbara J Malicka-rozek |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366487092 PECOS PAC ID: 3577692516 Enrollment ID: I20100601000032 |
| Provider Name | Neil G Mcmahon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124055926 PECOS PAC ID: 0547390361 Enrollment ID: I20100604000624 |
| Provider Name | Victor R Mujica |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003859877 PECOS PAC ID: 0749310498 Enrollment ID: I20100607000936 |
| Provider Name | Thomas J Pattee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801832191 PECOS PAC ID: 6608906151 Enrollment ID: I20100610000481 |
| Provider Name | Stephen C Riggs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871520080 PECOS PAC ID: 7416087358 Enrollment ID: I20100618000874 |
| Provider Name | Paul E.l. Richardson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124018999 PECOS PAC ID: 6002996550 Enrollment ID: I20100706000274 |
| Provider Name | Brian E Sims |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023051554 PECOS PAC ID: 2163554528 Enrollment ID: I20100720000893 |
| Provider Name | Daniel L Wright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831174663 PECOS PAC ID: 3476677832 Enrollment ID: I20100908000188 |
| Provider Name | Angela S Townsend |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508846007 PECOS PAC ID: 6406998541 Enrollment ID: I20100923001520 |
| Provider Name | James B Brooks |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649219379 PECOS PAC ID: 7214123017 Enrollment ID: I20101118001145 |
| Provider Name | Penumetsa B Raju |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184666539 PECOS PAC ID: 4385830793 Enrollment ID: I20101124000903 |
| Provider Name | Richard W Naylor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750317756 PECOS PAC ID: 8628085727 Enrollment ID: I20101208000580 |
| Provider Name | Sunita Kantamneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851329296 PECOS PAC ID: 8325235922 Enrollment ID: I20101208000997 |
| Provider Name | Lori A Shockley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154362721 PECOS PAC ID: 9436346046 Enrollment ID: I20101208001102 |
| Provider Name | Mark S Shockley |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1831146042 PECOS PAC ID: 9931132388 Enrollment ID: I20101215000445 |
| Provider Name | Luis A Avila |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053367169 PECOS PAC ID: 3971790031 Enrollment ID: I20101215000541 |
| Provider Name | John Upshaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225066673 PECOS PAC ID: 0143418442 Enrollment ID: I20110103000070 |
| Provider Name | Thomas J Kremer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851392880 PECOS PAC ID: 0749210482 Enrollment ID: I20110106001173 |
| Provider Name | Brian S Rafferty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881640290 PECOS PAC ID: 2466631783 Enrollment ID: I20110119000467 |
| Provider Name | Vandana Jain |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083684757 PECOS PAC ID: 2062450703 Enrollment ID: I20110323000827 |
| Provider Name | Jason H Stanford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134334006 PECOS PAC ID: 9335327618 Enrollment ID: I20110711000447 |
| Provider Name | Benjamin H Davidson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134384902 PECOS PAC ID: 2163690868 Enrollment ID: I20110725000498 |
| Provider Name | Bobbita Nag |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013115369 PECOS PAC ID: 6507034071 Enrollment ID: I20110728000127 |
| Provider Name | Erin A Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336436674 PECOS PAC ID: 7113196189 Enrollment ID: I20110808000778 |
| Provider Name | Victor R Salamanca |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427255009 PECOS PAC ID: 5698944346 Enrollment ID: I20110815000148 |
| Provider Name | Kathy A Bell-mahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700173028 PECOS PAC ID: 4981873577 Enrollment ID: I20110817000175 |
| Provider Name | Carolyn I Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134417280 PECOS PAC ID: 6406026616 Enrollment ID: I20110825000732 |
| Provider Name | Melissa A Groeneveld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851671192 PECOS PAC ID: 0446420574 Enrollment ID: I20110829000712 |
| Provider Name | Roxanne L Lenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578845301 PECOS PAC ID: 0840463956 Enrollment ID: I20111107000424 |
| Provider Name | Chassity A Deur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376563833 PECOS PAC ID: 7911161245 Enrollment ID: I20120615000581 |
| Provider Name | Desiree K Cunningham Loggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063738086 PECOS PAC ID: 3779747050 Enrollment ID: I20120618000424 |
| Provider Name | Stephanie A Grzybek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093086803 PECOS PAC ID: 4688839525 Enrollment ID: I20120627000592 |
| Provider Name | Daniel J Leisinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245506864 PECOS PAC ID: 2365690088 Enrollment ID: I20120920000639 |
| Provider Name | Nicole R Menuey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013272517 PECOS PAC ID: 7618126400 Enrollment ID: I20121011000740 |
| Provider Name | Erica M Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679913255 PECOS PAC ID: 6103069596 Enrollment ID: I20130904000665 |
| Provider Name | Then E Tong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447578992 PECOS PAC ID: 7214161520 Enrollment ID: I20130927000441 |
| Provider Name | Tabetha M Gehrke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588006928 PECOS PAC ID: 3072747302 Enrollment ID: I20130927000672 |
| Provider Name | Lydia Mustafic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386879724 PECOS PAC ID: 9335311182 Enrollment ID: I20131023001057 |
| Provider Name | Mary Jo Stromberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821437088 PECOS PAC ID: 6608001805 Enrollment ID: I20131024000159 |
| Provider Name | Ladawna M Myrmo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720417264 PECOS PAC ID: 3779712864 Enrollment ID: I20140221001342 |
| Provider Name | Paula M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215351457 PECOS PAC ID: 2062644743 Enrollment ID: I20140411000130 |
| Provider Name | Erica N Leclair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710145115 PECOS PAC ID: 2860630894 Enrollment ID: I20140509001777 |
| Provider Name | Rachel A Schlichting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598179756 PECOS PAC ID: 9133345911 Enrollment ID: I20140731001095 |
| Provider Name | Martha J Caster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972816247 PECOS PAC ID: 4880810670 Enrollment ID: I20140731001400 |
| Provider Name | Erica S Schafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063827723 PECOS PAC ID: 7315164993 Enrollment ID: I20140805001060 |
| Provider Name | Punit S Sachdev |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558785337 PECOS PAC ID: 3274750419 Enrollment ID: I20140811002808 |
| Provider Name | Kathryn A Heetland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578905832 PECOS PAC ID: 0042438285 Enrollment ID: I20140829000239 |
| Provider Name | Pankaj Mehta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558525154 PECOS PAC ID: 0143440156 Enrollment ID: I20140925000631 |
| Provider Name | Tulsi Sharma |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407180094 PECOS PAC ID: 9739309345 Enrollment ID: I20141002001656 |
| Provider Name | Steven Meek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093005639 PECOS PAC ID: 6709013766 Enrollment ID: I20141020002182 |
| Provider Name | Tiffany J Mcewan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972985232 PECOS PAC ID: 0648585307 Enrollment ID: I20150811003791 |
| Provider Name | Montica M Foxen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962887836 PECOS PAC ID: 9739494238 Enrollment ID: I20150812008499 |
| Provider Name | Cortney C Corson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053794305 PECOS PAC ID: 3971818477 Enrollment ID: I20150812008651 |
| Provider Name | Kristin A Beermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407239312 PECOS PAC ID: 7810203049 Enrollment ID: I20150902000658 |
| Provider Name | Katherine P Bryden |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760867394 PECOS PAC ID: 5991012601 Enrollment ID: I20150914000431 |
| Provider Name | Jared G Nyabuti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255695797 PECOS PAC ID: 9133368822 Enrollment ID: I20151008001662 |
| Provider Name | Nan L Ambrosy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144325648 PECOS PAC ID: 4981597978 Enrollment ID: I20151016001336 |
| Provider Name | Eman Al-selmie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588006613 PECOS PAC ID: 3173751757 Enrollment ID: I20151027001985 |
| Provider Name | Krissy J Wieland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801263462 PECOS PAC ID: 1557670825 Enrollment ID: I20151028000248 |
| Provider Name | Emily Louise Horrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689044224 PECOS PAC ID: 7517277270 Enrollment ID: I20151109001101 |
| Provider Name | Shantila M Caston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396114906 PECOS PAC ID: 7416258702 Enrollment ID: I20151210000280 |
| Provider Name | Hannah L Carlsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720426166 PECOS PAC ID: 5890923973 Enrollment ID: I20160229001825 |
| Provider Name | Rafael J Rolon Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316233661 PECOS PAC ID: 1456570738 Enrollment ID: I20160513000568 |
| Provider Name | Thomas J Veiseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396195905 PECOS PAC ID: 3072806900 Enrollment ID: I20160729000180 |
| Provider Name | Alvin Joseph Gonzales Dandan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174835706 PECOS PAC ID: 3274836721 Enrollment ID: I20160801002105 |
| Provider Name | Gayla M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033567375 PECOS PAC ID: 9436443371 Enrollment ID: I20160816000268 |
| Provider Name | Heather Andersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467801613 PECOS PAC ID: 9436444973 Enrollment ID: I20160823003001 |
| Provider Name | Ngozi Nduka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902137201 PECOS PAC ID: 3476682246 Enrollment ID: I20160829000052 |
| Provider Name | Faisal Tai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619381316 PECOS PAC ID: 7911125265 Enrollment ID: I20160829002908 |
| Provider Name | Geoffrey K Hadlock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184668709 PECOS PAC ID: 8325082902 Enrollment ID: I20161206000975 |
| Provider Name | Vivek N Bhatt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861809626 PECOS PAC ID: 9739460254 Enrollment ID: I20161221000864 |
| Provider Name | Kristi M Steinbronn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831624253 PECOS PAC ID: 2163661893 Enrollment ID: I20170719002304 |
| Provider Name | Kendra L Elwood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467892042 PECOS PAC ID: 9234372061 Enrollment ID: I20170731000279 |
| Provider Name | Marietta Elizabeth Walsh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275809584 PECOS PAC ID: 5698064491 Enrollment ID: I20170815000610 |
| Provider Name | Rachelle A Makinde |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093159642 PECOS PAC ID: 5395017669 Enrollment ID: I20170822000129 |
| Provider Name | Jennifer J Schmudlach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225400872 PECOS PAC ID: 8123392875 Enrollment ID: I20170920000605 |
| Provider Name | Angela M Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235656000 PECOS PAC ID: 1557637600 Enrollment ID: I20171018000765 |
| Provider Name | Kristi S Allison |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174033401 PECOS PAC ID: 4082970983 Enrollment ID: I20171109000853 |
| Provider Name | Amy M Schrader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811406184 PECOS PAC ID: 4880950781 Enrollment ID: I20171109000930 |
| Provider Name | Kyle E Reynolds |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225300304 PECOS PAC ID: 9436385200 Enrollment ID: I20171117003116 |
| Provider Name | Prakash P Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831503937 PECOS PAC ID: 0143449868 Enrollment ID: I20171229000527 |
| Provider Name | Justin J Elwood |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1639518426 PECOS PAC ID: 9739320706 Enrollment ID: I20180724000861 |
| Provider Name | Brianna A Bulgarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346734175 PECOS PAC ID: 2668729203 Enrollment ID: I20180727000712 |
| Provider Name | Scott S Hinze |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073726808 PECOS PAC ID: 0143499772 Enrollment ID: I20180817003085 |
| Provider Name | Adriane L Argenio |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992047377 PECOS PAC ID: 4082904420 Enrollment ID: I20180906000741 |
| Provider Name | Haleigh R Pagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154802320 PECOS PAC ID: 9436409489 Enrollment ID: I20180912002075 |
| Provider Name | Olanike O Alonge-obe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174921787 PECOS PAC ID: 4082967617 Enrollment ID: I20181030000884 |
| Provider Name | Sheena Lee Kremer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689158669 PECOS PAC ID: 8123362621 Enrollment ID: I20181211001768 |
| Provider Name | Jamie M Pinter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902201262 PECOS PAC ID: 6608175914 Enrollment ID: I20190131001252 |
| Provider Name | Nicole J Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588120232 PECOS PAC ID: 4688913023 Enrollment ID: I20190304000366 |
| Provider Name | Jennifer Anne Cerutti |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598976821 PECOS PAC ID: 4183792336 Enrollment ID: I20190311001747 |
| Provider Name | Andrew T Shen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538423231 PECOS PAC ID: 1153550645 Enrollment ID: I20190603001198 |
| Provider Name | Syed Imran Shafqat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750345617 PECOS PAC ID: 1658313929 Enrollment ID: I20190912003263 |
| Provider Name | Victor A Abrich |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336428697 PECOS PAC ID: 0244461069 Enrollment ID: I20190919000337 |
| Provider Name | Tien T Thach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013099530 PECOS PAC ID: 3173719846 Enrollment ID: I20190919002366 |
| Provider Name | Jessica E Poulsen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174170948 PECOS PAC ID: 2860722444 Enrollment ID: I20190924003568 |
| Provider Name | Traci D Mahood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295376846 PECOS PAC ID: 8820421183 Enrollment ID: I20191127002477 |
| Provider Name | Angela K Ames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427608710 PECOS PAC ID: 9830522093 Enrollment ID: I20191203001023 |
| Provider Name | Hussain M Naseri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154646149 PECOS PAC ID: 1052609005 Enrollment ID: I20191212000783 |
| Provider Name | Chelsea J Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356987416 PECOS PAC ID: 0345675658 Enrollment ID: I20200115000165 |
| Provider Name | Virginia N Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437796083 PECOS PAC ID: 0042645988 Enrollment ID: I20200122002792 |
| Provider Name | Ami K Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902100746 PECOS PAC ID: 7810219292 Enrollment ID: I20200130002016 |
| Provider Name | Lauren K Gulan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326696717 PECOS PAC ID: 1759718307 Enrollment ID: I20200226001274 |
| Provider Name | Keri A Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669003075 PECOS PAC ID: 6800223785 Enrollment ID: I20200305002962 |
| Provider Name | Danilo A Dalan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1528019767 PECOS PAC ID: 6305935602 Enrollment ID: I20200529000419 |
| Provider Name | Krista A Willenbring |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669097317 PECOS PAC ID: 7214359496 Enrollment ID: I20200616002227 |
| Provider Name | Gregory S Bedynek |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831129634 PECOS PAC ID: 7416922190 Enrollment ID: I20200622002110 |
| Provider Name | Assumpta G Twekise |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972950079 PECOS PAC ID: 4688097330 Enrollment ID: I20200714000918 |
| Provider Name | Samer A Abu Alula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447782578 PECOS PAC ID: 5597188292 Enrollment ID: I20200714002429 |
| Provider Name | Marie C Mcmillen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255712618 PECOS PAC ID: 7618232661 Enrollment ID: I20200813000880 |
| Provider Name | Moiz M Dawood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326459603 PECOS PAC ID: 2062719446 Enrollment ID: I20200817003400 |
| Provider Name | Bishow Paudel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932458304 PECOS PAC ID: 4587967112 Enrollment ID: I20201023001664 |
| Provider Name | Jade M Kalina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922614379 PECOS PAC ID: 3971914383 Enrollment ID: I20201116001099 |
| Provider Name | Michael M Meier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285612002 PECOS PAC ID: 1355243429 Enrollment ID: I20201208000206 |
| Provider Name | David F Lapatka |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982617924 PECOS PAC ID: 2860685039 Enrollment ID: I20210115000807 |
| Provider Name | Natalie A Bloom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770171076 PECOS PAC ID: 0244644581 Enrollment ID: I20210128001421 |
| Provider Name | Kayla M Tafolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568054831 PECOS PAC ID: 3476968793 Enrollment ID: I20210219000508 |
| Provider Name | Jonathan Q Bui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780115964 PECOS PAC ID: 4789952888 Enrollment ID: I20210422002031 |
| Provider Name | Ashlen K Hook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265009526 PECOS PAC ID: 9931509593 Enrollment ID: I20210618000396 |
| Provider Name | Pradeep Kumar Velumula |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205202603 PECOS PAC ID: 5991050759 Enrollment ID: I20210723001036 |
| Provider Name | Siddhanth Ahluwalia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851813489 PECOS PAC ID: 1153670732 Enrollment ID: I20210723003042 |
| Provider Name | Tiffany L Buchheit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164090262 PECOS PAC ID: 8729481916 Enrollment ID: I20210726002511 |
| Provider Name | Paul J Rychwalski |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982639654 PECOS PAC ID: 0446314280 Enrollment ID: I20210803002222 |
| Provider Name | Ryan D Beardsley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356870034 PECOS PAC ID: 8123392792 Enrollment ID: I20210813000915 |
| Provider Name | Andrew Kikuta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750860888 PECOS PAC ID: 5496175416 Enrollment ID: I20210816001060 |
| Provider Name | Yadunath Pokharel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194251546 PECOS PAC ID: 4385981588 Enrollment ID: I20210817003458 |
| Provider Name | Sandeep Badyal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073176533 PECOS PAC ID: 6305174640 Enrollment ID: I20211021003170 |
| Provider Name | Shalini Chowdavarapu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609434281 PECOS PAC ID: 6103154448 Enrollment ID: I20211022000086 |
| Provider Name | Sophia T Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619530763 PECOS PAC ID: 4688902331 Enrollment ID: I20211022001244 |
| Provider Name | Ramakrishna Nalluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396279725 PECOS PAC ID: 0143593442 Enrollment ID: I20211109003335 |
| Provider Name | Nicole M Dupree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952974925 PECOS PAC ID: 1456741271 Enrollment ID: I20211209000448 |
| Provider Name | Robert Shafor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528042702 PECOS PAC ID: 2264330117 Enrollment ID: I20211222000648 |
| Provider Name | Qing Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295178507 PECOS PAC ID: 0547541807 Enrollment ID: I20220107002256 |
| Provider Name | Jacqueline F Ator |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629738356 PECOS PAC ID: 6901298587 Enrollment ID: I20220111000661 |
| Provider Name | Anthony A Giberman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033346754 PECOS PAC ID: 0345500476 Enrollment ID: I20220119002587 |
| Provider Name | Rachel A Amling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508522533 PECOS PAC ID: 1658766969 Enrollment ID: I20220324000553 |
| Provider Name | Shannon Ann Thoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417601576 PECOS PAC ID: 0345637211 Enrollment ID: I20220422001175 |
| Provider Name | Adrian W Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306516513 PECOS PAC ID: 6305223736 Enrollment ID: I20220524001811 |
| Provider Name | Darcy E Jolley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801531314 PECOS PAC ID: 9032597034 Enrollment ID: I20220603000188 |
| Provider Name | Benjamin L Stainbrook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447996756 PECOS PAC ID: 8527447929 Enrollment ID: I20220615000621 |
| Provider Name | Robert Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346557550 PECOS PAC ID: 4789086513 Enrollment ID: I20220701000729 |
| Provider Name | Trivian Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801459128 PECOS PAC ID: 1355683822 Enrollment ID: I20220713000897 |
| Provider Name | Emily R Pursley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033777610 PECOS PAC ID: 5698003424 Enrollment ID: I20220713003185 |
| Provider Name | Marie Ngom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477505873 PECOS PAC ID: 0446272546 Enrollment ID: I20220718001490 |
| Provider Name | Saad Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063868818 PECOS PAC ID: 2365787876 Enrollment ID: I20220721002220 |
| Provider Name | Fnu Deepika |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386166171 PECOS PAC ID: 6901288497 Enrollment ID: I20220730000208 |
| Provider Name | Jack Lin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639630098 PECOS PAC ID: 9436480704 Enrollment ID: I20220801000583 |
| Provider Name | Luiz Gustavo Moreira Costa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386137446 PECOS PAC ID: 8224373410 Enrollment ID: I20220801002069 |
| Provider Name | Kristina Hunter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992296891 PECOS PAC ID: 9537418637 Enrollment ID: I20220804003473 |
| Provider Name | Igor Babets |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992265912 PECOS PAC ID: 0941682959 Enrollment ID: I20220806000598 |
| Provider Name | Amanda J Schroeder |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538744131 PECOS PAC ID: 0840672853 Enrollment ID: I20220806000640 |
| Provider Name | Meng Gan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1649703901 PECOS PAC ID: 3971851346 Enrollment ID: I20220810000655 |
| Provider Name | Kelli E Haut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548905748 PECOS PAC ID: 7012390610 Enrollment ID: I20220815001842 |
| Provider Name | Madison A Albert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043945645 PECOS PAC ID: 5890178412 Enrollment ID: I20220815003025 |
| Provider Name | Jayasakthi Palaniappan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093377434 PECOS PAC ID: 3971986415 Enrollment ID: I20220817000755 |
| Provider Name | Jeffrey A Sugandi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477992279 PECOS PAC ID: 4981955770 Enrollment ID: I20220819000383 |
| Provider Name | Krista R Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033840731 PECOS PAC ID: 6901289156 Enrollment ID: I20220819002771 |
| Provider Name | Gabriel Asumeng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447644695 PECOS PAC ID: 8426362385 Enrollment ID: I20220819002872 |
| Provider Name | Brittney M Heims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316688500 PECOS PAC ID: 0941684336 Enrollment ID: I20220902001700 |
| Provider Name | Sheikh Latif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306052345 PECOS PAC ID: 4082771456 Enrollment ID: I20220908000837 |
| Provider Name | Chaitanya Malla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215356522 PECOS PAC ID: 1355612771 Enrollment ID: I20220921003532 |
| Provider Name | Gorana Zekanovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922726785 PECOS PAC ID: 4587049754 Enrollment ID: I20220923002839 |
| Provider Name | David Burton Tate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710546528 PECOS PAC ID: 2769715184 Enrollment ID: I20220929001870 |
| Provider Name | Lexi M Dietzenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083350672 PECOS PAC ID: 1254717705 Enrollment ID: I20221006000885 |
| Provider Name | Kamran Bhatti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245453166 PECOS PAC ID: 7810062361 Enrollment ID: I20221025000442 |
| Provider Name | Aref Qureini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437681251 PECOS PAC ID: 8729359526 Enrollment ID: I20221130002896 |
| Provider Name | Colleen Michelle Overdorf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013174432 PECOS PAC ID: 4082843701 Enrollment ID: I20221219001962 |
| Provider Name | Mary A Steffensmeier |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053029967 PECOS PAC ID: 3779953450 Enrollment ID: I20221222000470 |
| Provider Name | Kinza Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346867439 PECOS PAC ID: 8123448958 Enrollment ID: I20230207002984 |
| Provider Name | Irmela Salihovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013623289 PECOS PAC ID: 1557734282 Enrollment ID: I20230228002798 |
| Provider Name | Gregory Alan Foote |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225562655 PECOS PAC ID: 5597186502 Enrollment ID: I20230404000605 |
| Provider Name | Maggie J Limoges |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104119965 PECOS PAC ID: 1850683517 Enrollment ID: I20230614000282 |
| Provider Name | Melissa R Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902084858 PECOS PAC ID: 8527427889 Enrollment ID: I20230705000395 |
| Provider Name | Malcolm Ingram Goodchild |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710283460 PECOS PAC ID: 3870738826 Enrollment ID: I20230706001567 |
| Provider Name | Prudhvi Regula |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1386139244 PECOS PAC ID: 4082075189 Enrollment ID: I20230807000697 |
| Provider Name | Sara A Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033895867 PECOS PAC ID: 6406217405 Enrollment ID: I20230807000900 |
| Provider Name | Kelly M Gerlich |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659059863 PECOS PAC ID: 7719348721 Enrollment ID: I20230807001155 |
| Provider Name | Natesh Yepuri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578024667 PECOS PAC ID: 3375967896 Enrollment ID: I20230824002696 |
| Provider Name | Tenzin M Rabgay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467072967 PECOS PAC ID: 1658734165 Enrollment ID: I20230831001751 |
| Provider Name | Gowthami Koorapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497378640 PECOS PAC ID: 3173986692 Enrollment ID: I20230831002454 |
| Provider Name | Courtney P Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255010583 PECOS PAC ID: 4587028899 Enrollment ID: I20230919002966 |
| Provider Name | Karim M Bayoumy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285251538 PECOS PAC ID: 8921462235 Enrollment ID: I20230919003035 |
| Provider Name | Rohit Rauniyar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417568759 PECOS PAC ID: 7315363041 Enrollment ID: I20230919003599 |
| Provider Name | Baha M Abbad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366050064 PECOS PAC ID: 8022432715 Enrollment ID: I20230921000748 |
| Provider Name | Muhammad Md Naeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346854940 PECOS PAC ID: 1456705631 Enrollment ID: I20230921001421 |
| Provider Name | Md Alal Uddin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174085534 PECOS PAC ID: 6709115132 Enrollment ID: I20230925000442 |
| Provider Name | Edward D Coen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063196921 PECOS PAC ID: 3476907841 Enrollment ID: I20231004000764 |
| Provider Name | Chloe L Schaufenbuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801670542 PECOS PAC ID: 8921454398 Enrollment ID: I20231023000880 |
| Provider Name | Seth Bellister |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891043956 PECOS PAC ID: 9537433727 Enrollment ID: I20231113001795 |
| Provider Name | Melissa M Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295972859 PECOS PAC ID: 1951466689 Enrollment ID: I20231207003491 |
| Provider Name | Collin Sharp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659575348 PECOS PAC ID: 8123173176 Enrollment ID: I20231215000187 |
| Provider Name | Dana Schmitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740727718 PECOS PAC ID: 7517317449 Enrollment ID: I20231219001182 |
| Provider Name | Thomas J Stanfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396949814 PECOS PAC ID: 5597154708 Enrollment ID: I20231219001417 |
| Provider Name | Kimberly K Ellingson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922312412 PECOS PAC ID: 4981054822 Enrollment ID: I20231219001578 |
| Provider Name | Lisa K Kukral |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538197264 PECOS PAC ID: 1951751890 Enrollment ID: I20231219001711 |
| Provider Name | Anthony J Michael |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679907026 PECOS PAC ID: 9537519483 Enrollment ID: I20231219001969 |
| Provider Name | Daniel S Oswald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760053821 PECOS PAC ID: 4183028988 Enrollment ID: I20231220002508 |
| Provider Name | Hilary M Pates |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033621586 PECOS PAC ID: 7719337385 Enrollment ID: I20231221003113 |
| Provider Name | Richard Allison Pollock |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386609220 PECOS PAC ID: 6608765409 Enrollment ID: I20240103002773 |
| Provider Name | Lauren Lawler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194592386 PECOS PAC ID: 0941651160 Enrollment ID: I20240111002625 |
| Provider Name | Mariam Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366825234 PECOS PAC ID: 9830485598 Enrollment ID: I20240118001358 |
| Provider Name | Fatima Begic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972372159 PECOS PAC ID: 5092158709 Enrollment ID: I20240209002231 |
| Provider Name | Sue A Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174392468 PECOS PAC ID: 8527401900 Enrollment ID: I20240213003123 |
| Provider Name | Elisabeth A Fox |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053491704 PECOS PAC ID: 0446314132 Enrollment ID: I20240213004417 |
| Provider Name | Joey Lawrence Christmas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770700619 PECOS PAC ID: 7618043605 Enrollment ID: I20240307002287 |
| Provider Name | Caitlin L Mostek |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740051218 PECOS PAC ID: 3870939945 Enrollment ID: I20240312000278 |
Family Health Center Of Waterloo, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 W Ridgeway Ave, Suite 106, Waterloo, IA 50701 Phone: 319-226-4400 Fax: 319-226-4401 | |
Peoples Community Health Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Franklin St, Waterloo, IA 50703 Phone: 319-272-4300 Fax: 319-272-4321 | |
Matthew Smith Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1753 W Ridgeway Ave Ste 103a, Waterloo, IA 50701 Phone: 319-235-3568 Fax: 319-235-5013 | |
Nagarathnamma Nadipuram, Md, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 W Dale St, Waterloo, IA 50703 Phone: 319-235-3178 Fax: 319-274-6776 | |
Iowa Gastroenterology Associates Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2710 St. Francis Drive, Suite 401, Waterloo, IA 50702 Phone: 319-830-4538 | |
Fiat Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 Southbrooke Dr, Waterloo, IA 50702 Phone: 319-236-7751 Fax: 319-236-7753 | |
Peoples Community Health Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 Logan Ave, Waterloo, IA 50703 Phone: 319-433-2500 |