| Gundersen Nonaco | |
|
1830 State Highway 9 Ste 100 Decorah IA 52101-7301 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | Gundersen Nonaco |
|---|---|
| Speciality | Clinic/Center |
| Location | 1830 State Highway 9 Ste 100, Decorah, Iowa |
| Authorized Official Name and Position | Kari B Adank (CCO) |
| Authorized Official Contact | 6087758025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gundersen Nonaco 1836 South Ave La Crosse WI 54601-5429 Ph: (608) 782-7300 | Gundersen Nonaco 1830 State Highway 9 Ste 100 Decorah IA 52101-7301 Ph: (608) 782-7300 |
| NPI Number | 1699461558 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 07/17/2023 |
| Medicare PECOS PAC ID | 8820450919 |
|---|---|
| Medicare Enrollment ID | O20230822002401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699461558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kurt A Swanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265436950 PECOS PAC ID: 4880580695 Enrollment ID: I20040427001509 |
| Provider Name | Sherri K Schilling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659375236 PECOS PAC ID: 1052395779 Enrollment ID: I20040617001480 |
| Provider Name | Phillip S Yee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306840061 PECOS PAC ID: 3870577505 Enrollment ID: I20040617001544 |
| Provider Name | Mary E Kuffel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215933478 PECOS PAC ID: 0042283210 Enrollment ID: I20040816001196 |
| Provider Name | Craig P Sullivan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700881182 PECOS PAC ID: 8426944331 Enrollment ID: I20040831000611 |
| Provider Name | Brooke A Tappe |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508861980 PECOS PAC ID: 7618930173 Enrollment ID: I20041105000932 |
| Provider Name | Gregory N Tjossem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215931696 PECOS PAC ID: 6709784028 Enrollment ID: I20041207000330 |
| Provider Name | Todd A Mahr |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1659374411 PECOS PAC ID: 5193782878 Enrollment ID: I20041214000784 |
| Provider Name | Janet Sue Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972507895 PECOS PAC ID: 0547284275 Enrollment ID: I20060120000830 |
| Provider Name | Raju G Ailiani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831192194 PECOS PAC ID: 8426024647 Enrollment ID: I20060602000187 |
| Provider Name | Jason A Maret |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215979554 PECOS PAC ID: 2860488384 Enrollment ID: I20060628000052 |
| Provider Name | Gregory J Valkosky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356307185 PECOS PAC ID: 7315959616 Enrollment ID: I20060706000034 |
| Provider Name | Mandy Mae Rutta |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841228509 PECOS PAC ID: 7012920077 Enrollment ID: I20060919000053 |
| Provider Name | Anthony M Coppola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467568766 PECOS PAC ID: 2264525922 Enrollment ID: I20070911000684 |
| Provider Name | Daniel S Wientzen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952417248 PECOS PAC ID: 7517041981 Enrollment ID: I20080222000585 |
| Provider Name | Kurt R Oettel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770585051 PECOS PAC ID: 2860393121 Enrollment ID: I20080527000086 |
| Provider Name | Matthew R Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437358041 PECOS PAC ID: 4587736830 Enrollment ID: I20080702000400 |
| Provider Name | Kevin V Quinn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003894445 PECOS PAC ID: 3577537646 Enrollment ID: I20080819000341 |
| Provider Name | Douglas W White |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316964836 PECOS PAC ID: 5597761023 Enrollment ID: I20100927001330 |
| Provider Name | Daniel P Wolbrink |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700041274 PECOS PAC ID: 6507910460 Enrollment ID: I20101104000394 |
| Provider Name | Lara S Head |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730328329 PECOS PAC ID: 9133286453 Enrollment ID: I20110412000328 |
| Provider Name | Michael F Labelle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275784464 PECOS PAC ID: 3476722695 Enrollment ID: I20110804000359 |
| Provider Name | Danielle J Bakewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972891976 PECOS PAC ID: 2961675707 Enrollment ID: I20111024000331 |
| Provider Name | Sumaiya Siddiqi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679607709 PECOS PAC ID: 9931206638 Enrollment ID: I20140722001506 |
| Provider Name | Kurt K Mueller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083616304 PECOS PAC ID: 2163554809 Enrollment ID: I20140911000206 |
| Provider Name | Stephanie L Cenek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245646744 PECOS PAC ID: 5597984666 Enrollment ID: I20140923000401 |
| Provider Name | Michael A Witcik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568625713 PECOS PAC ID: 3072679372 Enrollment ID: I20140926000485 |
| Provider Name | Paul Vincent Letendre |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801158852 PECOS PAC ID: 0446493423 Enrollment ID: I20150507001762 |
| Provider Name | Yongxue D Yao |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952629701 PECOS PAC ID: 2769622521 Enrollment ID: I20150807014580 |
| Provider Name | Irina Shakhnovich |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881806529 PECOS PAC ID: 2860641909 Enrollment ID: I20160210000403 |
| Provider Name | Wayne A Bottner |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1255335931 PECOS PAC ID: 0042230112 Enrollment ID: I20160627000107 |
| Provider Name | Rachel A Biemiller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790927390 PECOS PAC ID: 0042453680 Enrollment ID: I20160714000687 |
| Provider Name | Catherine A Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881004042 PECOS PAC ID: 4183937105 Enrollment ID: I20170831002592 |
| Provider Name | Mark James Ringstrom |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134486756 PECOS PAC ID: 3375851975 Enrollment ID: I20171214001950 |
| Provider Name | James L Groskreutz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548265127 PECOS PAC ID: 9234184243 Enrollment ID: I20180102001030 |
| Provider Name | Scott W Rathgaber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336141498 PECOS PAC ID: 0749247781 Enrollment ID: I20180102002505 |
| Provider Name | Justin Mitchell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154649267 PECOS PAC ID: 4183868037 Enrollment ID: I20180418001736 |
| Provider Name | Abdallah Sanaani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689919144 PECOS PAC ID: 8628328580 Enrollment ID: I20180913003336 |
| Provider Name | Elizabeth L Abbas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932588100 PECOS PAC ID: 2466760244 Enrollment ID: I20181019000938 |
| Provider Name | Erin B Solomon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710157904 PECOS PAC ID: 5799862082 Enrollment ID: I20181113003395 |
| Provider Name | Dana M Benden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184628042 PECOS PAC ID: 1557302346 Enrollment ID: I20181212002601 |
| Provider Name | Morgan Ann Grabinoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477801728 PECOS PAC ID: 4486929866 Enrollment ID: I20190611003349 |
| Provider Name | Mateen Fatima Abidi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730333980 PECOS PAC ID: 9830369073 Enrollment ID: I20190712001192 |
| Provider Name | Victor Uko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639348832 PECOS PAC ID: 0547424376 Enrollment ID: I20190722000518 |
| Provider Name | Elleson A Schurtz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447664883 PECOS PAC ID: 9830406743 Enrollment ID: I20190828001992 |
| Provider Name | Wah Wah Htun |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083943179 PECOS PAC ID: 9032412465 Enrollment ID: I20190916001938 |
| Provider Name | Heather Douthitt Stief |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730507310 PECOS PAC ID: 7618265109 Enrollment ID: I20200312000897 |
| Provider Name | Heather B Riese |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417375783 PECOS PAC ID: 1850510439 Enrollment ID: I20200401000635 |
| Provider Name | Melissa M Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477073252 PECOS PAC ID: 0941575104 Enrollment ID: I20200421001806 |
| Provider Name | Megan Marie Daveau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356851992 PECOS PAC ID: 7214294651 Enrollment ID: I20210407001049 |
| Provider Name | Ryan S Stever |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417488958 PECOS PAC ID: 9739429184 Enrollment ID: I20210729002365 |
| Provider Name | Ian J Stock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326544537 PECOS PAC ID: 3173870284 Enrollment ID: I20210825002374 |
| Provider Name | Jonathan B Peterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245491182 PECOS PAC ID: 5092936542 Enrollment ID: I20211021001271 |
| Provider Name | Laura Peterson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881853307 PECOS PAC ID: 6204077837 Enrollment ID: I20211108000573 |
| Provider Name | Mary A Stockus |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639176852 PECOS PAC ID: 4385682640 Enrollment ID: I20220106001764 |
| Provider Name | Julie A Gorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215330840 PECOS PAC ID: 7012239478 Enrollment ID: I20220309002355 |
| Provider Name | Brookelyn Kruger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336791862 PECOS PAC ID: 9931531191 Enrollment ID: I20220729001862 |
| Provider Name | Jamal Janjua |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366894370 PECOS PAC ID: 3274821426 Enrollment ID: I20220810000309 |
| Provider Name | Alexa Lowry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902303639 PECOS PAC ID: 7517214125 Enrollment ID: I20230104001203 |
| Provider Name | Laura Jean Keatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972214591 PECOS PAC ID: 3870956584 Enrollment ID: I20240111003570 |
Gundersen Regional Clinics Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1830 State Highway 9 Ste 100, Decorah, IA 52101 Phone: 608-782-7300 | |
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Family Care Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 Commerce Dr, Decorah, IA 52101 Phone: 563-382-1200 Fax: 563-382-1211 | |
Winnmed Luther Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 College Drive, Larsen Building-ll, Decorah, IA 52101 Phone: 563-387-1045 Fax: 563-387-1053 | |
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