| Gundersen Palmer Lutheran Hospital and Clinics | |
|
112 Jefferson Street West Union IA 52175 | |
| (563) 422-3811 | |
| (563) 422-9875 |
| Full Name | Gundersen Palmer Lutheran Hospital and Clinics |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 112 Jefferson Street, West Union, Iowa |
| Authorized Official Name and Position | Patrice Kuennen (CEO) |
| Authorized Official Contact | 5634223811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gundersen Palmer Lutheran Hospital and Clinics 112 Jefferson Street West Union IA 52175 Ph: (563) 422-3811 | Gundersen Palmer Lutheran Hospital and Clinics 112 Jefferson Street West Union IA 52175 Ph: (563) 422-3811 |
| NPI Number | 1891744108 |
|---|---|
| Provider Enumeration Date | 05/06/2006 |
| Last Update Date | 11/29/2018 |
| Medicare PECOS PAC ID | 4284544255 |
|---|---|
| Medicare Enrollment ID | O20040317001077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891744108 | NPI | - | NPPES |
| 0090423 | Medicaid | IA | |
| 13603 | Other | IA | BLUE CROSS ER GROUP |
| 90423 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 330070H (Iowa) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 330070H (Iowa) | Primary |
| Provider Name | Robert a Roof |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164526349 PECOS PAC ID: 8426962671 Enrollment ID: I20031113000176 |
| Provider Name | Jessica a White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689665622 PECOS PAC ID: 3476449950 Enrollment ID: I20040223000734 |
| Provider Name | Kurt J Ziegelbein |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1205830809 PECOS PAC ID: 6901709260 Enrollment ID: I20040422000127 |
| Provider Name | Lonnie D Simmons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851395735 PECOS PAC ID: 2668386707 Enrollment ID: I20040430000525 |
| Provider Name | Stephen Goldman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750368528 PECOS PAC ID: 0143201483 Enrollment ID: I20040525000261 |
| Provider Name | Iftekhar a Awan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114912268 PECOS PAC ID: 2860473980 Enrollment ID: I20040525001734 |
| Provider Name | Melinda S Brokaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659593572 PECOS PAC ID: 7416930854 Enrollment ID: I20040608000965 |
| 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 | Kenneth W Merkitch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215930888 PECOS PAC ID: 9234117375 Enrollment ID: I20040713001406 |
| Provider Name | Mordechai D Lederman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396741385 PECOS PAC ID: 0840263091 Enrollment ID: I20040816001069 |
| Provider Name | Michael D Redman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386648665 PECOS PAC ID: 5092780601 Enrollment ID: I20040827000592 |
| 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 | Darcy H Connelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235134594 PECOS PAC ID: 4789641655 Enrollment ID: I20041213000232 |
| Provider Name | Kenneth a Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225031883 PECOS PAC ID: 5799742540 Enrollment ID: I20041214000501 |
| Provider Name | Theodore N Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255333704 PECOS PAC ID: 7911956891 Enrollment ID: I20050118000720 |
| Provider Name | Nicholas J Goetsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740287614 PECOS PAC ID: 6305870767 Enrollment ID: I20050924000229 |
| Provider Name | Janet Sue Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972507895 PECOS PAC ID: 0547284275 Enrollment ID: I20060120000830 |
| Provider Name | Ewa Plagman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548262744 PECOS PAC ID: 4981668985 Enrollment ID: I20060308000804 |
| Provider Name | Lana J Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851331573 PECOS PAC ID: 2062429772 Enrollment ID: I20060321000166 |
| 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 | Gregory J Valkosky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356307185 PECOS PAC ID: 7315959616 Enrollment ID: I20060706000034 |
| Provider Name | Scott Bohner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447273495 PECOS PAC ID: 2961406756 Enrollment ID: I20060911000166 |
| Provider Name | Mandy Mae Rutta |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841228509 PECOS PAC ID: 7012920077 Enrollment ID: I20060919000053 |
| Provider Name | Phillip Lee |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1083609317 PECOS PAC ID: 4385621697 Enrollment ID: I20061013000164 |
| Provider Name | William John Specht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396829834 PECOS PAC ID: 2769483866 Enrollment ID: I20070117000231 |
| Provider Name | Kurt 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 | Milton J Schmida |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669477006 PECOS PAC ID: 4789740697 Enrollment ID: I20090302000246 |
| Provider Name | Gabriela Dumitran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831393164 PECOS PAC ID: 8123194800 Enrollment ID: I20090325000434 |
| Provider Name | Roxana Florina Leinbach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891904165 PECOS PAC ID: 8123178480 Enrollment ID: I20090608000185 |
| Provider Name | Rhonda a Cue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174758239 PECOS PAC ID: 6800946005 Enrollment ID: I20090610000085 |
| Provider Name | Jody M Riherd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922041623 PECOS PAC ID: 1052484888 Enrollment ID: I20090824000703 |
| Provider Name | Leah I Metz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467404855 PECOS PAC ID: 4385665298 Enrollment ID: I20091027000789 |
| Provider Name | Darin Dean Damstra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558503102 PECOS PAC ID: 6901943679 Enrollment ID: I20091029000022 |
| Provider Name | Carl W Decker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154421279 PECOS PAC ID: 3375592975 Enrollment ID: I20100224000702 |
| Provider Name | Andrea G Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841282217 PECOS PAC ID: 0244366276 Enrollment ID: I20100330000312 |
| Provider Name | Andrew Weiss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356509384 PECOS PAC ID: 3375671449 Enrollment ID: I20100511000367 |
| Provider Name | Jedadiah J Schaller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790964773 PECOS PAC ID: 9234263070 Enrollment ID: I20100817000040 |
| Provider Name | Andrea K Dietzenbach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205141835 PECOS PAC ID: 0840315420 Enrollment ID: I20100920000766 |
| Provider Name | Daniel P Wolbrink |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700041274 PECOS PAC ID: 6507910460 Enrollment ID: I20101104000394 |
| Provider Name | Geralyn R Zuercher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043257496 PECOS PAC ID: 5799972055 Enrollment ID: I20101213000488 |
| Provider Name | Chad Donald Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174587182 PECOS PAC ID: 6204862865 Enrollment ID: I20110324000478 |
| Provider Name | Paul T Stanton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528092160 PECOS PAC ID: 1951436146 Enrollment ID: I20110620000318 |
| Provider Name | Michael F Labelle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275784464 PECOS PAC ID: 3476722695 Enrollment ID: I20110804000359 |
| Provider Name | Ward M Brown |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720082381 PECOS PAC ID: 5991774879 Enrollment ID: I20110816000186 |
| 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 | Lalit Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952341968 PECOS PAC ID: 0042200230 Enrollment ID: I20111017000769 |
| Provider Name | Kirstin D Nelson Lerch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184900755 PECOS PAC ID: 5092982439 Enrollment ID: I20120125000549 |
| Provider Name | Heather J Wichman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043471972 PECOS PAC ID: 7618124090 Enrollment ID: I20120914000747 |
| Provider Name | Benjamin L Torrez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841446382 PECOS PAC ID: 5395987606 Enrollment ID: I20130816000301 |
| Provider Name | Jessica Everman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760821045 PECOS PAC ID: 5395989099 Enrollment ID: I20130919000366 |
| Provider Name | Ezana Muluneh Azene |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1073715975 PECOS PAC ID: 3476708322 Enrollment ID: I20131007001550 |
| Provider Name | Toni L Luck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649611567 PECOS PAC ID: 3577799014 Enrollment ID: I20131112000132 |
| Provider Name | Monika M Prost |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265409122 PECOS PAC ID: 5294786349 Enrollment ID: I20140108000726 |
| Provider Name | David Peter Megremis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982606620 PECOS PAC ID: 2163493396 Enrollment ID: I20140923000315 |
| 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 | Russell J Norris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669488144 PECOS PAC ID: 6800964818 Enrollment ID: I20150513000287 |
| Provider Name | Shanelle N Pedersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205203528 PECOS PAC ID: 6305153438 Enrollment ID: I20150922001095 |
| Provider Name | Kristen L Larter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962873190 PECOS PAC ID: 2264741867 Enrollment ID: I20151022000406 |
| Provider Name | Krissy J Wieland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801263462 PECOS PAC ID: 1557670825 Enrollment ID: I20151028000248 |
| Provider Name | Murray S Donovan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598747263 PECOS PAC ID: 9638066236 Enrollment ID: I20151208001173 |
| 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 | Chelsey E Zitelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366815391 PECOS PAC ID: 0143521195 Enrollment ID: I20151216000031 |
| Provider Name | Samuel D Brauer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013380138 PECOS PAC ID: 1557662087 Enrollment ID: I20151229000140 |
| Provider Name | Irina Shakhnovich |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881806529 PECOS PAC ID: 2860641909 Enrollment ID: I20160210000403 |
| Provider Name | Halley a Molstad |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235522699 PECOS PAC ID: 5890090963 Enrollment ID: I20160229000657 |
| Provider Name | Sarah R Pendley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922063239 PECOS PAC ID: 8820149438 Enrollment ID: I20160620001494 |
| Provider Name | Daniel F Schraith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316941388 PECOS PAC ID: 1759374952 Enrollment ID: I20160624000174 |
| Provider Name | Wayne a Bottner |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1255335931 PECOS PAC ID: 0042230112 Enrollment ID: I20160627000107 |
| Provider Name | Joshua C Mann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548615206 PECOS PAC ID: 1254623481 Enrollment ID: I20160708001637 |
| Provider Name | Richard J Wittchow |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477557122 PECOS PAC ID: 8022114669 Enrollment ID: I20160711002132 |
| Provider Name | Rachel a Biemiller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790927390 PECOS PAC ID: 0042453680 Enrollment ID: I20160714000687 |
| Provider Name | Rachel Lynn Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326495193 PECOS PAC ID: 3870887839 Enrollment ID: I20160815000587 |
| Provider Name | Ngozi Nduka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902137201 PECOS PAC ID: 3476682246 Enrollment ID: I20160829000052 |
| Provider Name | Andrew D Prather |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790947943 PECOS PAC ID: 9133415615 Enrollment ID: I20160909000330 |
| Provider Name | Nicole Barbee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881037927 PECOS PAC ID: 7618293838 Enrollment ID: I20161111001023 |
| Provider Name | Christen Chamberland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194984716 PECOS PAC ID: 7416171624 Enrollment ID: I20161205001255 |
| Provider Name | Jessica C Loban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992243497 PECOS PAC ID: 8123302320 Enrollment ID: I20170308000429 |
| Provider Name | Brendon Groen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750831293 PECOS PAC ID: 3971885955 Enrollment ID: I20170309001103 |
| Provider Name | Veronica Heath |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841397767 PECOS PAC ID: 8527069053 Enrollment ID: I20170309001658 |
| Provider Name | Nina Conard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114368123 PECOS PAC ID: 6800038050 Enrollment ID: I20170405000726 |
| Provider Name | Krista R Begalske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881128783 PECOS PAC ID: 7214204338 Enrollment ID: I20170522000247 |
| Provider Name | Christopher Cogbill |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326141599 PECOS PAC ID: 8921248121 Enrollment ID: I20170710000459 |
| Provider Name | Jennifer Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538699806 PECOS PAC ID: 6305110651 Enrollment ID: I20170925003478 |
| Provider Name | Sarah Holthe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518360619 PECOS PAC ID: 9436471596 Enrollment ID: I20170929000575 |
| Provider Name | Robert C Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598276669 PECOS PAC ID: 9032476189 Enrollment ID: I20171128003722 |
| Provider Name | Carly Laufenberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336495563 PECOS PAC ID: 7618125212 Enrollment ID: I20171130000145 |
| Provider Name | Mark Ringstrom |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134486756 PECOS PAC ID: 3375851975 Enrollment ID: I20171214001950 |
| Provider Name | Emmanuel a Omoba |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346342342 PECOS PAC ID: 7517868938 Enrollment ID: I20171215000041 |
| Provider Name | Scott Rathgaber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336141498 PECOS PAC ID: 0749247781 Enrollment ID: I20180102002505 |
| Provider Name | Raquel S Ristau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265934384 PECOS PAC ID: 7911260922 Enrollment ID: I20180404000764 |
| Provider Name | Grzegorz T Gurda |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255652061 PECOS PAC ID: 8820249618 Enrollment ID: I20180419001965 |
| Provider Name | Gordon G Zeng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801891460 PECOS PAC ID: 1658304951 Enrollment ID: I20180530001060 |
| Provider Name | Kylie Lynn Jirak |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912499237 PECOS PAC ID: 2567710916 Enrollment ID: I20180801003508 |
| Provider Name | Anthony P Zbacnik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346508033 PECOS PAC ID: 2163705922 Enrollment ID: I20180803000875 |
| Provider Name | Andrea Winters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225033947 PECOS PAC ID: 5991861239 Enrollment ID: I20180806000319 |
| Provider Name | Amy L Wentland |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1285999797 PECOS PAC ID: 4183943053 Enrollment ID: I20181029001482 |
| Provider Name | Sven W Steen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952716714 PECOS PAC ID: 3577856368 Enrollment ID: I20181105002466 |
| Provider Name | Sheena Lee Kremer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689158669 PECOS PAC ID: 8123362621 Enrollment ID: I20181211001768 |
| Provider Name | Rande K Short |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831177039 PECOS PAC ID: 5092795385 Enrollment ID: I20181217001000 |
| Provider Name | John Jacob Zion Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467017921 PECOS PAC ID: 9133457294 Enrollment ID: I20190827003588 |
| Provider Name | Elleson a Schurtz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447664883 PECOS PAC ID: 9830406743 Enrollment ID: I20190828001992 |
| Provider Name | Carina Crookston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699131474 PECOS PAC ID: 6305140765 Enrollment ID: I20200115002537 |
| 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 | Nicole Benkers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396203303 PECOS PAC ID: 1557602091 Enrollment ID: I20200812002369 |
| Provider Name | Daniel E Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609212919 PECOS PAC ID: 8224265038 Enrollment ID: I20201209002400 |
| Provider Name | Anne M Meyer-mccright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154490837 PECOS PAC ID: 4981676830 Enrollment ID: I20201214001408 |
| Provider Name | Maria Swisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568063667 PECOS PAC ID: 1153736780 Enrollment ID: I20210212001122 |
| Provider Name | Nichole Marie Steffens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306468434 PECOS PAC ID: 1052729183 Enrollment ID: I20210409000703 |
| Provider Name | Jonathan Robert Lang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790349157 PECOS PAC ID: 0244630044 Enrollment ID: I20210616001499 |
| Provider Name | Ian J Stock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326544537 PECOS PAC ID: 3173870284 Enrollment ID: I20210825002374 |
| Provider Name | Laura Peterson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881853307 PECOS PAC ID: 6204077837 Enrollment ID: I20211108000573 |
| Provider Name | Krista Jane Kirchner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710469051 PECOS PAC ID: 8820341712 Enrollment ID: I20220516000972 |
| Provider Name | Nicole a Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194469486 PECOS PAC ID: 3072990555 Enrollment ID: I20220523002109 |
| Provider Name | Clinton S Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184192890 PECOS PAC ID: 6103258314 Enrollment ID: I20220621003064 |
| Provider Name | Kirsten Marie Bucher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689250763 PECOS PAC ID: 8628453289 Enrollment ID: I20220916003050 |
| Provider Name | Cole R Marschke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265775191 PECOS PAC ID: 4688978802 Enrollment ID: I20221008000100 |
| Provider Name | Stephanie a Neuman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063617157 PECOS PAC ID: 4183791361 Enrollment ID: I20221209001299 |
| Provider Name | Patricia Fronk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396380572 PECOS PAC ID: 8921498809 Enrollment ID: I20230130001663 |
| Provider Name | Beau Bradley Sorenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023727757 PECOS PAC ID: 0446622179 Enrollment ID: I20230207000856 |
| Provider Name | Paula Humphrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760143002 PECOS PAC ID: 1557747953 Enrollment ID: I20230425001700 |
| Provider Name | Jill M Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487342481 PECOS PAC ID: 7517324460 Enrollment ID: I20230607002922 |
| Provider Name | Travis R Schulze |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073248951 PECOS PAC ID: 7618330606 Enrollment ID: I20230823003048 |
| Provider Name | Suzette Reilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275281693 PECOS PAC ID: 0446637284 Enrollment ID: I20231212000916 |
| Provider Name | Seth Nicolas Additon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336848282 PECOS PAC ID: 0648621995 Enrollment ID: I20240110004816 |
| Provider Name | Scott D Brunk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497759062 PECOS PAC ID: 8426182106 Enrollment ID: I20240312003718 |
| Provider Name | Shawn D Sedgwick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679559298 PECOS PAC ID: 3072595677 Enrollment ID: I20240402002109 |
| Provider Name | Stephen C Copps |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548265804 PECOS PAC ID: 8325942360 Enrollment ID: I20240524000927 |
| Provider Name | Makenzie Dejno |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255917167 PECOS PAC ID: 9638554215 Enrollment ID: I20240524001413 |
| Provider Name | Ivan Kaspruk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649890195 PECOS PAC ID: 1355703588 Enrollment ID: I20240601000308 |
| Provider Name | Andrew C Colburn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639420888 PECOS PAC ID: 5890008825 Enrollment ID: I20240711002485 |
| Provider Name | Jeffrey D Hillesland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730184219 PECOS PAC ID: 5395933881 Enrollment ID: I20240821001546 |
| Provider Name | Christopher J Winters |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659830768 PECOS PAC ID: 5395079735 Enrollment ID: I20240916000215 |
| Provider Name | Mitchell T Voter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477139210 PECOS PAC ID: 2466999107 Enrollment ID: I20241031003054 |
| Provider Name | Leslie a Moriarty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790987162 PECOS PAC ID: 3476885674 Enrollment ID: I20241114001085 |
| Provider Name | Kylie Lynn Jirak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912499237 PECOS PAC ID: 2567710916 Enrollment ID: I20241127003038 |
| Provider Name | Jennifer Lynn Drexler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750594461 PECOS PAC ID: 4789776303 Enrollment ID: I20241207000173 |
| Provider Name | Christopher Eberlein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629073739 PECOS PAC ID: 3375510324 Enrollment ID: I20241230001713 |
| Provider Name | Benjamin S Orozco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407017833 PECOS PAC ID: 5890963136 Enrollment ID: I20250116001678 |
| Provider Name | Sudheer Reddy R Muduganti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538335948 PECOS PAC ID: 6507990249 Enrollment ID: I20250116003819 |
| Provider Name | Abigail R Dahlberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841566304 PECOS PAC ID: 2567782212 Enrollment ID: I20250124003079 |
| Provider Name | Rachel a Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497440416 PECOS PAC ID: 0143664078 Enrollment ID: I20250214003300 |
| Provider Name | Edward D Rodenkirch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326458951 PECOS PAC ID: 0143513556 Enrollment ID: I20250314002430 |
| Provider Name | Garrett J Wickman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285210229 PECOS PAC ID: 6204210354 Enrollment ID: I20250328002421 |
| Provider Name | Bradley W Emmerich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801475447 PECOS PAC ID: 9133520364 Enrollment ID: I20250331002099 |
| Provider Name | Daniel L Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417319112 PECOS PAC ID: 3375836497 Enrollment ID: I20250403002824 |
| Provider Name | Rebecca J Lickiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760226096 PECOS PAC ID: 8527590496 Enrollment ID: I20250611002255 |
| Provider Name | Katherine M Munson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457942252 PECOS PAC ID: 3375959802 Enrollment ID: I20250612000428 |
| Provider Name | Lisa Marie Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710722434 PECOS PAC ID: 2264944412 Enrollment ID: I20250624000641 |
| Provider Name | Tara Lynn Steinbronn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124713144 PECOS PAC ID: 4385152081 Enrollment ID: I20250804003073 |
| Provider Name | Steven J Rickett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194283416 PECOS PAC ID: 8022406867 Enrollment ID: I20250911002727 |
| Provider Name | Kevin D Hanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164885406 PECOS PAC ID: 1355635640 Enrollment ID: I20250912002658 |
| Provider Name | Matthew Jergenson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235691072 PECOS PAC ID: 7719211648 Enrollment ID: I20250916002427 |
| Provider Name | Xiangyun John Duan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083121941 PECOS PAC ID: 7810310851 Enrollment ID: I20250917000666 |
| Provider Name | Ryan M Eichman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437809803 PECOS PAC ID: 0840798120 Enrollment ID: I20251104004483 |
| Provider Name | Justin R Blaskowsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982233615 PECOS PAC ID: 1557743077 Enrollment ID: I20251105000276 |
| Provider Name | Stanley J Dziaba |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013599836 PECOS PAC ID: 4688070121 Enrollment ID: I20251105002015 |
| Provider Name | Kyle R Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386626844 PECOS PAC ID: 2961478854 Enrollment ID: I20251118002384 |
| Provider Name | John R Ringquist |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851369318 PECOS PAC ID: 7719142587 Enrollment ID: I20251202001308 |
| Provider Name | Aaron J Hanesworth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790780302 PECOS PAC ID: 6002908498 Enrollment ID: I20251211001465 |
| Provider Name | Quinn H Holzheimer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497700769 PECOS PAC ID: 0648283283 Enrollment ID: I20251216002216 |
| Provider Name | Marcus C Pearson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497124507 PECOS PAC ID: 6709322357 Enrollment ID: I20251217003321 |
| Provider Name | Gabrielle Icele Flynt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467249011 PECOS PAC ID: 9931685765 Enrollment ID: I20260112002507 |
| Provider Name | Mary K Lilly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285013888 PECOS PAC ID: 8820302565 Enrollment ID: I20260226003334 |
| Provider Name | Anthony D Dicianni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356790372 PECOS PAC ID: 2264855873 Enrollment ID: I20260506001379 |
| Provider Name | Nichole a Nuehring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467322164 PECOS PAC ID: 2567931181 Enrollment ID: I20260513001232 |
| Provider Name | Jessica Ann Hummel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811853096 PECOS PAC ID: 0143799239 Enrollment ID: I20260519000685 |
| Provider Name | Richard James Mcgeehan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437511193 PECOS PAC ID: 3375836471 Enrollment ID: I20260520001179 |
| Provider Name | Michael John Halberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326106386 PECOS PAC ID: 5092874941 Enrollment ID: I20260609000483 |
GL West Union Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Jefferson St, West Union, IA 52175 Phone: 608-782-7300 |
Gundersen Palmer Lutheran Hospital and Clinics - West Union Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Jefferson St, West Union, IA 52175 Phone: 563-422-3810 |