| Dallas County Hospital | |
|
610 10th St Perry IA 50220-2249 | |
| (515) 465-3547 | |
| (515) 465-2922 |
| Full Name | Dallas County Hospital |
|---|---|
| Speciality | Emergency Medicine |
| Location | 610 10th St, Perry, Iowa |
| Authorized Official Name and Position | Angela Mortoza (CEO) |
| Authorized Official Contact | 5154657600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas County Hospital 610 10th St Perry IA 50220-2249 Ph: (515) 465-3547 | Dallas County Hospital 610 10th St Perry IA 50220-2249 Ph: (515) 465-3547 |
| NPI Number | 1861416307 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 02/19/2020 |
| Medicare PECOS PAC ID | 9931094257 |
|---|---|
| Medicare Enrollment ID | O20040217000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861416307 | NPI | - | NPPES |
| 0269001 | Medicaid | IA |
| Provider Name | Paul Henry Novak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992795496 PECOS PAC ID: 7214824556 Enrollment ID: I20040302000648 |
| Provider Name | David Michael Huante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871574566 PECOS PAC ID: 5193628667 Enrollment ID: I20040414001657 |
| Provider Name | Neeraja Kakade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659443547 PECOS PAC ID: 4284618133 Enrollment ID: I20040617000145 |
| Provider Name | Patricia L Blackledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871586271 PECOS PAC ID: 6901881440 Enrollment ID: I20040621000377 |
| Provider Name | Mindy K Gingery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124026042 PECOS PAC ID: 9931188042 Enrollment ID: I20040714000275 |
| Provider Name | Denay Lynn Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376505131 PECOS PAC ID: 7113998774 Enrollment ID: I20041029000269 |
| Provider Name | Harry M Condoleon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528039914 PECOS PAC ID: 4183515752 Enrollment ID: I20041112001198 |
| Provider Name | Paul A Grossmann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750357224 PECOS PAC ID: 1153379755 Enrollment ID: I20050111000203 |
| Provider Name | Fawad S Zafar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003818493 PECOS PAC ID: 9931151081 Enrollment ID: I20050217000420 |
| Provider Name | Michael S Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366407827 PECOS PAC ID: 2062467046 Enrollment ID: I20050314000482 |
| Provider Name | Jonathan M Fialkov |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518951532 PECOS PAC ID: 8628008083 Enrollment ID: I20050816000186 |
| Provider Name | Edmund Joseph Piasecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477534279 PECOS PAC ID: 2567444334 Enrollment ID: I20051114000371 |
| Provider Name | Anthony J Montegut |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306830013 PECOS PAC ID: 7618972076 Enrollment ID: I20061006000127 |
| Provider Name | Melissa Diane Young-szalay |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1316945009 PECOS PAC ID: 3375542491 Enrollment ID: I20070104000547 |
| Provider Name | Sarah M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730287772 PECOS PAC ID: 1153323852 Enrollment ID: I20070209000062 |
| Provider Name | Bryon N Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134339989 PECOS PAC ID: 7214029636 Enrollment ID: I20070815000364 |
| Provider Name | Jennie S Nuehring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598979163 PECOS PAC ID: 2668564378 Enrollment ID: I20070827000431 |
| Provider Name | Jill Marion Konfrst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801893250 PECOS PAC ID: 7618055898 Enrollment ID: I20080429000543 |
| Provider Name | Gregory J Yanish |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497809859 PECOS PAC ID: 6103868229 Enrollment ID: I20080522000124 |
| Provider Name | Mudassir I Malik |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1457553653 PECOS PAC ID: 0840362984 Enrollment ID: I20080707000075 |
| Provider Name | Gardar Sigurdsson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043310881 PECOS PAC ID: 2961570882 Enrollment ID: I20081006000374 |
| Provider Name | Mark D Mcgaughey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083696744 PECOS PAC ID: 5597812891 Enrollment ID: I20090402000090 |
| Provider Name | Bradley E Wilcox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760401657 PECOS PAC ID: 6800890187 Enrollment ID: I20090616000540 |
| Provider Name | Scott Frank Menolascino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336391275 PECOS PAC ID: 3779634720 Enrollment ID: I20090702000210 |
| Provider Name | Michele Ann Tingle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689769432 PECOS PAC ID: 6406909571 Enrollment ID: I20090806000691 |
| Provider Name | Steven D Sohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083600787 PECOS PAC ID: 0648324640 Enrollment ID: I20090810000550 |
| Provider Name | Joshua Tessier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023271087 PECOS PAC ID: 0143374108 Enrollment ID: I20090811000289 |
| Provider Name | Eric Mitchell Ash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225024193 PECOS PAC ID: 3476607953 Enrollment ID: I20090818000527 |
| Provider Name | Denise M Sorrentino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982686705 PECOS PAC ID: 7012053812 Enrollment ID: I20091008000336 |
| Provider Name | Stephen R Eckstat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053322263 PECOS PAC ID: 9739266917 Enrollment ID: I20100119000302 |
| Provider Name | Joseph J Merchant |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699765826 PECOS PAC ID: 3173576238 Enrollment ID: I20100215000127 |
| Provider Name | Benjamin S Paulson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184864340 PECOS PAC ID: 3971628298 Enrollment ID: I20100909001217 |
| Provider Name | Leslie R Fenimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134485998 PECOS PAC ID: 8527221647 Enrollment ID: I20120529000315 |
| Provider Name | Timothy R Vinyard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619185907 PECOS PAC ID: 2567636590 Enrollment ID: I20120719000242 |
| Provider Name | Benjamin Robert Beecher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720299217 PECOS PAC ID: 4880863950 Enrollment ID: I20120809000135 |
| Provider Name | Jimmie R Horton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710114434 PECOS PAC ID: 2860642071 Enrollment ID: I20121024000750 |
| Provider Name | Alva Eugene Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003155995 PECOS PAC ID: 5698912780 Enrollment ID: I20130509000131 |
| Provider Name | Timothy Holcomb |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417277609 PECOS PAC ID: 2668610320 Enrollment ID: I20130805000765 |
| Provider Name | Kyle G Ulveling |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790906246 PECOS PAC ID: 2062654965 Enrollment ID: I20130806000040 |
| Provider Name | Malori J Khalil |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629374590 PECOS PAC ID: 9931338449 Enrollment ID: I20140203001522 |
| Provider Name | Sarah A Pike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790107183 PECOS PAC ID: 1254561434 Enrollment ID: I20140310000599 |
| Provider Name | Joan M Jensen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659785244 PECOS PAC ID: 2567687213 Enrollment ID: I20140714000493 |
| Provider Name | Todd C Peterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407085103 PECOS PAC ID: 0547585671 Enrollment ID: I20151005001841 |
| Provider Name | Jared M Routh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659718104 PECOS PAC ID: 1153565163 Enrollment ID: I20160608002279 |
| Provider Name | Trevor Richard Schmitz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326364449 PECOS PAC ID: 8224343124 Enrollment ID: I20160801001099 |
| Provider Name | Sumin T Li |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205086337 PECOS PAC ID: 8022259472 Enrollment ID: I20161019002408 |
| Provider Name | Cynthia Y Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255731303 PECOS PAC ID: 7214158732 Enrollment ID: I20161103001963 |
| Provider Name | Angelique Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558810978 PECOS PAC ID: 3375822521 Enrollment ID: I20161111000605 |
| Provider Name | Blaine B Westemeyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184005357 PECOS PAC ID: 7012229578 Enrollment ID: I20170124000152 |
| Provider Name | Ruth E Mash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205290434 PECOS PAC ID: 2062795966 Enrollment ID: I20170217001921 |
| Provider Name | William N Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417363573 PECOS PAC ID: 0941426951 Enrollment ID: I20170622000421 |
| Provider Name | Rienera S Sivesind |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053534107 PECOS PAC ID: 1052500170 Enrollment ID: I20171031002874 |
| Provider Name | Jennifer L Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710347943 PECOS PAC ID: 5799083051 Enrollment ID: I20180118002133 |
| Provider Name | Kara J Reis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205314440 PECOS PAC ID: 9133479272 Enrollment ID: I20180911001208 |
| Provider Name | Nathan P Neuberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922459494 PECOS PAC ID: 6002186343 Enrollment ID: I20181009001582 |
| Provider Name | Alexis M Semmler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861965089 PECOS PAC ID: 1850633140 Enrollment ID: I20190507002737 |
| Provider Name | Erica L Evans |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548515109 PECOS PAC ID: 8224340922 Enrollment ID: I20191112001872 |
| Provider Name | Nermin Imsirovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033763073 PECOS PAC ID: 1052745775 Enrollment ID: I20200103002345 |
| Provider Name | Erin B Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386297489 PECOS PAC ID: 2769816347 Enrollment ID: I20200107003567 |
| Provider Name | Jeffrey D Hadwiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194364307 PECOS PAC ID: 2567884083 Enrollment ID: I20200629003403 |
| Provider Name | Benjamin T Bjerke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639496292 PECOS PAC ID: 9537470174 Enrollment ID: I20200707000229 |
| Provider Name | Kaitlyn M Baumgardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952928236 PECOS PAC ID: 5991120594 Enrollment ID: I20200729003336 |
| Provider Name | Michael G Simons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518495589 PECOS PAC ID: 2365712601 Enrollment ID: I20200831002028 |
| Provider Name | Amy Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396350906 PECOS PAC ID: 6305258823 Enrollment ID: I20201207002118 |
| Provider Name | Brianne L Wessels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649886029 PECOS PAC ID: 1951715523 Enrollment ID: I20210122002235 |
| Provider Name | Eric Asbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629420989 PECOS PAC ID: 4688967771 Enrollment ID: I20220808001780 |
| Provider Name | Darin Willardsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346230034 PECOS PAC ID: 5395880462 Enrollment ID: I20230221000317 |
| Provider Name | Jacob R West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184144941 PECOS PAC ID: 1557630415 Enrollment ID: I20230804000696 |
| Provider Name | Alexander D Schmidt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265175954 PECOS PAC ID: 0840678728 Enrollment ID: I20231006000557 |
| Provider Name | Stephanie Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932117512 PECOS PAC ID: 8921032475 Enrollment ID: I20240624000500 |
| Provider Name | Omar A Jaradat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447770276 PECOS PAC ID: 9032488994 Enrollment ID: I20240718004534 |
| Provider Name | Sara Haerther |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952901803 PECOS PAC ID: 6406393164 Enrollment ID: I20240731001695 |
State University Of Iowa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 10th St, Perry, IA 50220 Phone: 515-465-3553 | |
State University Of Iowa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 10th St, Perry, IA 50220 Phone: 515-465-3553 Fax: 515-465-4319 | |
Dallas County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 616 10th St, Perry, IA 50220 Phone: 515-465-3553 |