| Hegg Memorial Hospital | |
|
1202 21st Avenue Rock Valley IA 51247-1445 | |
| (712) 476-8100 | |
| (712) 476-8190 |
| Full Name | Hegg Memorial Hospital |
|---|---|
| Speciality | Family Medicine |
| Location | 1202 21st Avenue, Rock Valley, Iowa |
| Authorized Official Name and Position | Valerie Ladd Loudenback (CLINIC MANAGER) |
| Authorized Official Contact | 7124768150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hegg Memorial Hospital 2121 Hegg Dr Rock Valley IA 51247-1445 Ph: (712) 476-8100 | Hegg Memorial Hospital 1202 21st Avenue Rock Valley IA 51247-1445 Ph: (712) 476-8100 |
| NPI Number | 1629023429 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 08/10/2009 |
| Medicare PECOS PAC ID | 5193718757 |
|---|---|
| Medicare Enrollment ID | O20040407001457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629023429 | NPI | - | NPPES |
| 0201089 | Medicaid | IA | |
| 0129528 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Iowa) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Matthew N Witte |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548228141 PECOS PAC ID: 8022903996 Enrollment ID: I20040318000983 |
| Provider Name | Shahid I Naqvi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457412314 PECOS PAC ID: 7214924851 Enrollment ID: I20040427000743 |
| Provider Name | Julie A Mckay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659398295 PECOS PAC ID: 2062467749 Enrollment ID: I20051004000965 |
| Provider Name | Travis James Petree |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487604625 PECOS PAC ID: 0648216291 Enrollment ID: I20051118000572 |
| Provider Name | Allison Summers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316926272 PECOS PAC ID: 1052366267 Enrollment ID: I20080116000049 |
| Provider Name | William F Wosick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700808375 PECOS PAC ID: 1254228679 Enrollment ID: I20080223000070 |
| Provider Name | Bradley D Kamstra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538151287 PECOS PAC ID: 3375612310 Enrollment ID: I20080516000718 |
| Provider Name | Paul W Dejong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801096599 PECOS PAC ID: 1557449790 Enrollment ID: I20080619000025 |
| Provider Name | Jonathan H Engbers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114243078 PECOS PAC ID: 6406081058 Enrollment ID: I20131107000014 |
| Provider Name | Jonathan Jaksha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871555649 PECOS PAC ID: 3274632054 Enrollment ID: I20151110001899 |
| Provider Name | Mohammed Quraishi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871545269 PECOS PAC ID: 8123030814 Enrollment ID: I20160122001006 |
| Provider Name | Kelli J Swayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932434065 PECOS PAC ID: 5597880344 Enrollment ID: I20180412001279 |
| Provider Name | Mary E Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811482318 PECOS PAC ID: 9739438755 Enrollment ID: I20180823001706 |
| Provider Name | Steven Todd Mccormack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023000338 PECOS PAC ID: 4183651987 Enrollment ID: I20180924003382 |
| Provider Name | Kathryn Ann Cambron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396749867 PECOS PAC ID: 8224016530 Enrollment ID: I20181001000273 |
| Provider Name | David Scott Henley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770518128 PECOS PAC ID: 2769374032 Enrollment ID: I20181001001826 |
| Provider Name | Scott White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144276338 PECOS PAC ID: 4385745215 Enrollment ID: I20181001002377 |
| Provider Name | Michael W Grevengoed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356837579 PECOS PAC ID: 1456695329 Enrollment ID: I20181204000268 |
| Provider Name | Olivia B Van Beek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437618337 PECOS PAC ID: 3476894528 Enrollment ID: I20190418000274 |
| Provider Name | Tyler Neitlich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144429317 PECOS PAC ID: 4082702949 Enrollment ID: I20200520001991 |
| Provider Name | Shannon L St Clair |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881030997 PECOS PAC ID: 3678714268 Enrollment ID: I20200520002324 |
| Provider Name | Eugene Park Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528030525 PECOS PAC ID: 4486624160 Enrollment ID: I20200520002714 |
| Provider Name | Shawn Timothy Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891040689 PECOS PAC ID: 6103103569 Enrollment ID: I20200520002911 |
| Provider Name | Jonathan Reed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588653075 PECOS PAC ID: 3577669928 Enrollment ID: I20200520002960 |
| Provider Name | Stanley R Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003802968 PECOS PAC ID: 4082527205 Enrollment ID: I20200521000262 |
| Provider Name | Veronica Y Ruvo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740252725 PECOS PAC ID: 4183523855 Enrollment ID: I20200527000479 |
| Provider Name | Timothy Allen Conner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750385357 PECOS PAC ID: 6709784119 Enrollment ID: I20200527002154 |
| Provider Name | William J Knoer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033731187 PECOS PAC ID: 5991117103 Enrollment ID: I20201211002278 |
| Provider Name | Kimberly A Butts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093196008 PECOS PAC ID: 1759687643 Enrollment ID: I20210414000185 |
| Provider Name | Jarret Kuo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720228778 PECOS PAC ID: 0446495626 Enrollment ID: I20210526000171 |
| Provider Name | Fang Yu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811159296 PECOS PAC ID: 9830214154 Enrollment ID: I20210526000266 |
| Provider Name | Frank J Welte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568676948 PECOS PAC ID: 6800933847 Enrollment ID: I20210526000639 |
| Provider Name | Monjari Gillian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265533665 PECOS PAC ID: 4587550876 Enrollment ID: I20210526000683 |
| Provider Name | Kevin Marcum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619166675 PECOS PAC ID: 0042480303 Enrollment ID: I20210526000826 |
| Provider Name | Jake Vrdoljak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619976230 PECOS PAC ID: 8527253400 Enrollment ID: I20210526001489 |
| Provider Name | Karen Phillips |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801992813 PECOS PAC ID: 8729024161 Enrollment ID: I20210526002781 |
| Provider Name | Justin Ellis Costello |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215235916 PECOS PAC ID: 5799054326 Enrollment ID: I20210824000789 |
| Provider Name | David Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740798099 PECOS PAC ID: 2062769466 Enrollment ID: I20220511000172 |
| Provider Name | David Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851326557 PECOS PAC ID: 7719984210 Enrollment ID: I20220627001429 |
| Provider Name | Brooke A Konz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386174332 PECOS PAC ID: 1254601560 Enrollment ID: I20220713002984 |
| Provider Name | Feras Jalab |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104104637 PECOS PAC ID: 5092134361 Enrollment ID: I20220725000484 |
| Provider Name | Colin M Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467615252 PECOS PAC ID: 5597982694 Enrollment ID: I20230210000705 |
| Provider Name | Timothy J Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821399239 PECOS PAC ID: 6901199371 Enrollment ID: I20230221000438 |
| Provider Name | Wyatt Myron Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881399491 PECOS PAC ID: 4183082100 Enrollment ID: I20230623002282 |
| Provider Name | Sarah Connors Beucher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265834618 PECOS PAC ID: 6800141383 Enrollment ID: I20231012000769 |
| Provider Name | Jessica L Crow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669545299 PECOS PAC ID: 7719076538 Enrollment ID: I20231012000855 |
| Provider Name | Erica Van Surksum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437936507 PECOS PAC ID: 5294180154 Enrollment ID: I20231012001196 |
| Provider Name | Jennifer Huckabee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689017345 PECOS PAC ID: 3375885551 Enrollment ID: I20231108000797 |
| Provider Name | Yuyang Zhang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538304035 PECOS PAC ID: 4880833615 Enrollment ID: I20231108001048 |
| Provider Name | Kyle D Hirschman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801175401 PECOS PAC ID: 2466686126 Enrollment ID: I20231109000243 |
| Provider Name | Sean Feinberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104273549 PECOS PAC ID: 3476952557 Enrollment ID: I20231113001959 |
| Provider Name | Surendra Pawar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427098797 PECOS PAC ID: 8325011018 Enrollment ID: I20231121002975 |
| Provider Name | Douglas Green |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164635173 PECOS PAC ID: 0042489668 Enrollment ID: I20240516003005 |
| Provider Name | Judith Wolfstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013914456 PECOS PAC ID: 0345135232 Enrollment ID: I20240516003592 |
| Provider Name | Peter Britt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023012010 PECOS PAC ID: 1850376096 Enrollment ID: I20240517002010 |
| Provider Name | Anthony J Rowe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518120575 PECOS PAC ID: 8921246273 Enrollment ID: I20240517003133 |
| Provider Name | Muneer J Desai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376516021 PECOS PAC ID: 4688645591 Enrollment ID: I20240528001183 |
| Provider Name | Michael D Wilson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568652147 PECOS PAC ID: 3577638204 Enrollment ID: I20240528001774 |
| Provider Name | Daniel Burritt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265775928 PECOS PAC ID: 1951527498 Enrollment ID: I20240528002274 |
| Provider Name | Dillenia C Rosica |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679893820 PECOS PAC ID: 4880914845 Enrollment ID: I20240528003511 |
| Provider Name | Kimia Khalatbari Kani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700028131 PECOS PAC ID: 5991856098 Enrollment ID: I20240531002390 |
| Provider Name | Oded Greenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003892928 PECOS PAC ID: 0840341533 Enrollment ID: I20240625001324 |
| Provider Name | David Alexis Bulley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912950635 PECOS PAC ID: 2961480306 Enrollment ID: I20240711000347 |
| Provider Name | Robert C Anton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801816814 PECOS PAC ID: 3577461284 Enrollment ID: I20240711000528 |
| Provider Name | Andrew M Ciccarelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407893738 PECOS PAC ID: 9436162302 Enrollment ID: I20240909000484 |
| Provider Name | Jason Robert Divito |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558604876 PECOS PAC ID: 4183981947 Enrollment ID: I20240913000225 |
| Provider Name | Bryan Suchecki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184686933 PECOS PAC ID: 7416119540 Enrollment ID: I20240913000524 |
| Provider Name | Jeffrey Joseph Hebert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407824972 PECOS PAC ID: 7517947955 Enrollment ID: I20241008001112 |
| Provider Name | Chad Herman Barker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629336573 PECOS PAC ID: 0244477792 Enrollment ID: I20250121001054 |
| Provider Name | Matthew Dulles Bourne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619437779 PECOS PAC ID: 8325587264 Enrollment ID: I20250205003929 |
| Provider Name | Sean C Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801108568 PECOS PAC ID: 8325216518 Enrollment ID: I20250207003301 |
| Provider Name | Zi Rong Xu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114258191 PECOS PAC ID: 3173657624 Enrollment ID: I20250319002991 |
| Provider Name | Brandon Hofland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528820123 PECOS PAC ID: 5890218416 Enrollment ID: I20250325000574 |
| Provider Name | Stuart L Isaacson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710007398 PECOS PAC ID: 9234271024 Enrollment ID: I20250402000758 |
| Provider Name | Jennifer M Veaco |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184115180 PECOS PAC ID: 0941551436 Enrollment ID: I20250512003225 |
| Provider Name | John Yeoman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265451702 PECOS PAC ID: 5092778787 Enrollment ID: I20250522000732 |
Hegg Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2121 Hegg Dr, Rock Valley, IA 51247 Phone: 712-476-8100 | |
Greater Sioux Community Health Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1712 20th Ave Rm 501d, Rock Valley, IA 51247 Phone: 712-476-2701 |