| Impact Physician Group, Iowa Llc | |
|
2801 Heartland Dr Coralville IA 52241-2733 | |
| (319) 645-4001 | |
| Not Available |
| Full Name | Impact Physician Group, Iowa Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2801 Heartland Dr, Coralville, Iowa |
| Authorized Official Name and Position | Paul Miller (CEO) |
| Authorized Official Contact | 6789675599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Physician Group, Iowa Llc 21 Eastbrook Bnd Ste 218 Peachtree City GA 30269-1546 Ph: (678) 967-5599 | Impact Physician Group, Iowa Llc 2801 Heartland Dr Coralville IA 52241-2733 Ph: (319) 645-4001 |
| NPI Number | 1780281915 |
|---|---|
| Provider Enumeration Date | 10/01/2020 |
| Last Update Date | 12/19/2022 |
| Medicare PECOS PAC ID | 4486064789 |
|---|---|
| Medicare Enrollment ID | O20201027002239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780281915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Ahmad Al-najjar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912214818 PECOS PAC ID: 9830323641 Enrollment ID: I20131010001052 |
| Provider Name | Denise L Younke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740699925 PECOS PAC ID: 5496055816 Enrollment ID: I20151207002728 |
| Provider Name | Saif Choudhury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447540943 PECOS PAC ID: 7012133812 Enrollment ID: I20200702001120 |
| Provider Name | Jibran K Durrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750797262 PECOS PAC ID: 8527378850 Enrollment ID: I20200702001267 |
| Provider Name | Zubair Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134416019 PECOS PAC ID: 0840410403 Enrollment ID: I20200702001374 |
Ui Quickcare - Coralville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2510 Corridor Way, Suite 6a, Coralville, IA 52241 Phone: 319-384-8500 | |
Queenyee Family Medicine Clinic L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 860 22nd Ave Rear Unit, Coralville, IA 52241 Phone: 319-594-2545 | |
Jill H Scholz Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 12th Ave, Suite 203, Coralville, IA 52241 Phone: 319-341-3668 Fax: 319-354-1014 | |
North Corridor Internal Medicine P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2591 Holiday Rd, Coralville, IA 52241 Phone: 319-341-9778 Fax: 319-341-9795 |