| Mcfarland Clinic PC | |
|
1215 Duff Avenue Ames IA 50010-3014 | |
| (515) 239-4400 | |
| (515) 239-4446 |
| Full Name | Mcfarland Clinic PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1215 Duff Avenue, Ames, Iowa |
| Authorized Official Name and Position | Andrew M. Perry (CEO) |
| Authorized Official Contact | 5152394452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcfarland Clinic PC 1215 Duff Ave Ames IA 50010-5469 Ph: (515) 239-4400 | Mcfarland Clinic PC 1215 Duff Avenue Ames IA 50010-3014 Ph: (515) 239-4400 |
| NPI Number | 1639135643 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 08/18/2022 |
| Certification Date | 08/18/2022 |
| Medicare PECOS PAC ID | 1254244239 |
|---|---|
| Medicare Enrollment ID | O20031106000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639135643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Caryn L King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972574291 PECOS PAC ID: 2466365416 Enrollment ID: I20031106000620 |
| Provider Name | Sherri E Stebniski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902852254 PECOS PAC ID: 0042105470 Enrollment ID: I20040216000979 |
| Provider Name | John D Mcclelland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649267907 PECOS PAC ID: 3577458132 Enrollment ID: I20040220000990 |
| Provider Name | Tanya L Main |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508893017 PECOS PAC ID: 1052304813 Enrollment ID: I20040407000026 |
| Provider Name | Sean a Juguilon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225014624 PECOS PAC ID: 3779566492 Enrollment ID: I20040611001035 |
| Provider Name | Sarah E Renze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326029315 PECOS PAC ID: 8921070418 Enrollment ID: I20040806000046 |
| Provider Name | Katherine M Tjaden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013974575 PECOS PAC ID: 8224004742 Enrollment ID: I20040907000831 |
| Provider Name | Amy Louise Hock |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942370473 PECOS PAC ID: 4688638745 Enrollment ID: I20041117001198 |
| Provider Name | Tina M Lawler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760452262 PECOS PAC ID: 2668420530 Enrollment ID: I20050106001047 |
| Provider Name | Susan E Barry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770553240 PECOS PAC ID: 1658329537 Enrollment ID: I20050106001055 |
| Provider Name | Jessica M Hrnicek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609846195 PECOS PAC ID: 0446297667 Enrollment ID: I20050409000078 |
| Provider Name | Andrew J Mizerak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982695912 PECOS PAC ID: 7012992886 Enrollment ID: I20050512000850 |
| Provider Name | Jotesh S Chug |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235126137 PECOS PAC ID: 8921049685 Enrollment ID: I20050512000935 |
| Provider Name | Todd C Berryhill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063409563 PECOS PAC ID: 4981645132 Enrollment ID: I20050518000128 |
| Provider Name | Amy B Hawthorne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811986052 PECOS PAC ID: 6901847094 Enrollment ID: I20050519000057 |
| Provider Name | Jamie Allen Weydert |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578551362 PECOS PAC ID: 4082656863 Enrollment ID: I20050523001230 |
| Provider Name | Aaron M Heiar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558321075 PECOS PAC ID: 0941243398 Enrollment ID: I20050607000137 |
| Provider Name | Michael John Slattery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023099835 PECOS PAC ID: 2769428119 Enrollment ID: I20050707000373 |
| Provider Name | Kevin M Rahner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386653707 PECOS PAC ID: 8426085374 Enrollment ID: I20050721000736 |
| Provider Name | Nicole Lynn Stalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265449128 PECOS PAC ID: 4587691431 Enrollment ID: I20050721000760 |
| Provider Name | Traci L Shogren Knaak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629059001 PECOS PAC ID: 7214988401 Enrollment ID: I20050810000283 |
| Provider Name | Laura Brunsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790794337 PECOS PAC ID: 6507898632 Enrollment ID: I20050908001174 |
| Provider Name | Meleah R Jensen Schneider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205864576 PECOS PAC ID: 3274568704 Enrollment ID: I20051003000818 |
| Provider Name | Stuart D Christenson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336112499 PECOS PAC ID: 5799700688 Enrollment ID: I20051010000923 |
| Provider Name | Sherri Anne Flugrad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396723284 PECOS PAC ID: 1951379403 Enrollment ID: I20051110000690 |
| Provider Name | Travis Petree |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487604625 PECOS PAC ID: 0648216291 Enrollment ID: I20051118000572 |
| Provider Name | William a Barry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558358440 PECOS PAC ID: 4082622998 Enrollment ID: I20060403000648 |
| Provider Name | Trisha a Andersen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518917947 PECOS PAC ID: 7315958824 Enrollment ID: I20060517000097 |
| Provider Name | Jessica F Siler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831128966 PECOS PAC ID: 5092779249 Enrollment ID: I20060727000375 |
| Provider Name | Jamie W Ostrander |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124015912 PECOS PAC ID: 8729060132 Enrollment ID: I20060810000161 |
| Provider Name | Christopher J Johnson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316987878 PECOS PAC ID: 1153325162 Enrollment ID: I20060906000305 |
| Provider Name | Darryl C Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720084916 PECOS PAC ID: 8325043987 Enrollment ID: I20061003000720 |
| Provider Name | Sarah J Vanhauen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336100312 PECOS PAC ID: 3971501941 Enrollment ID: I20061130000035 |
| Provider Name | Kristina a Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760553150 PECOS PAC ID: 2264431535 Enrollment ID: I20061214000145 |
| Provider Name | Jill E Robinson-baier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700928447 PECOS PAC ID: 1658474010 Enrollment ID: I20070306000224 |
| Provider Name | Brenda a Burrough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326163098 PECOS PAC ID: 0941308654 Enrollment ID: I20070604000635 |
| Provider Name | Grant D Doolittle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457464836 PECOS PAC ID: 0345341434 Enrollment ID: I20070719000182 |
| Provider Name | Travis Lee Mattson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134214844 PECOS PAC ID: 2567471477 Enrollment ID: I20070719000380 |
| Provider Name | Alesha L Lofstedt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770782856 PECOS PAC ID: 1052403037 Enrollment ID: I20070822000811 |
| Provider Name | Lynne J Desotel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568545960 PECOS PAC ID: 8426071895 Enrollment ID: I20070827000101 |
| Provider Name | Ryan L Grandgenett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316999865 PECOS PAC ID: 5193785525 Enrollment ID: I20070910000882 |
| Provider Name | Laura Elizabeth Moeller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184650905 PECOS PAC ID: 3274539937 Enrollment ID: I20070910001037 |
| Provider Name | Jennifer L Sills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114916285 PECOS PAC ID: 1850488875 Enrollment ID: I20071107000355 |
| Provider Name | Thomas M Wernimont |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003030628 PECOS PAC ID: 3072601962 Enrollment ID: I20071109000329 |
| Provider Name | Maria L Olberding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003807900 PECOS PAC ID: 4587753082 Enrollment ID: I20071207000183 |
| Provider Name | Wendy K Thiessen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306827035 PECOS PAC ID: 1254420672 Enrollment ID: I20071207000363 |
| Provider Name | Joseph C Pollpeter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700877164 PECOS PAC ID: 3476553793 Enrollment ID: I20071207000487 |
| Provider Name | Daniel E Feddersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932197951 PECOS PAC ID: 1951490309 Enrollment ID: I20071207000622 |
| Provider Name | Michael Robert Bird |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669469110 PECOS PAC ID: 1658460019 Enrollment ID: I20071207000644 |
| Provider Name | Daniel J Koenig |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235129917 PECOS PAC ID: 8224127600 Enrollment ID: I20071207000797 |
| Provider Name | Carrie J Koenig |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881684652 PECOS PAC ID: 9931298312 Enrollment ID: I20071207000812 |
| Provider Name | Pierre R Bernard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114914520 PECOS PAC ID: 1254420631 Enrollment ID: I20071207000841 |
| Provider Name | Ann L Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881683811 PECOS PAC ID: 2466541875 Enrollment ID: I20071208000140 |
| Provider Name | Leanne K Knoop |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316936511 PECOS PAC ID: 7214026582 Enrollment ID: I20071210000334 |
| Provider Name | Stephen F Vanburen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316929862 PECOS PAC ID: 6305935545 Enrollment ID: I20071211000327 |
| Provider Name | Andrew T Boyko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528078060 PECOS PAC ID: 7012095334 Enrollment ID: I20080425000638 |
| Provider Name | Nicole M Vold |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1306822895 PECOS PAC ID: 2668542721 Enrollment ID: I20080531000076 |
| Provider Name | Dean C Gute |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225144975 PECOS PAC ID: 1759452493 Enrollment ID: I20080624000258 |
| Provider Name | Melissa M Collins |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992978266 PECOS PAC ID: 3173694700 Enrollment ID: I20080625000227 |
| Provider Name | Daniel M Macalpine |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841280336 PECOS PAC ID: 5395817514 Enrollment ID: I20080703000398 |
| Provider Name | David S. Sosnouski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114009743 PECOS PAC ID: 5092887844 Enrollment ID: I20080710000527 |
| Provider Name | Douglas R Lake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194808394 PECOS PAC ID: 1456457407 Enrollment ID: I20080726000071 |
| Provider Name | Jeremy Fields |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285844142 PECOS PAC ID: 3274608179 Enrollment ID: I20080812000217 |
| Provider Name | Paul C Brott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164647137 PECOS PAC ID: 2163582693 Enrollment ID: I20081113000574 |
| Provider Name | Jack J Swanson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467445007 PECOS PAC ID: 7113075920 Enrollment ID: I20090506000005 |
| Provider Name | Sumathi Chellappa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649479551 PECOS PAC ID: 8224189998 Enrollment ID: I20090619000590 |
| Provider Name | Anna M Vela |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659586899 PECOS PAC ID: 9133271158 Enrollment ID: I20090722000098 |
| Provider Name | Bradley J Jordison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326201377 PECOS PAC ID: 1951455906 Enrollment ID: I20090811000216 |
| Provider Name | Katherine a Lem |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043441264 PECOS PAC ID: 5698820512 Enrollment ID: I20090828000340 |
| Provider Name | Shelley B Diehl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114919818 PECOS PAC ID: 9830244201 Enrollment ID: I20090909000014 |
| Provider Name | Randy L Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912115288 PECOS PAC ID: 4082760624 Enrollment ID: I20090923000055 |
| Provider Name | James a Friederich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295723302 PECOS PAC ID: 7810035524 Enrollment ID: I20091117000229 |
| Provider Name | David K Sneller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265413678 PECOS PAC ID: 3173661899 Enrollment ID: I20091117000246 |
| Provider Name | Perry S Rathe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497746689 PECOS PAC ID: 8628116340 Enrollment ID: I20091117000252 |
| Provider Name | Edward G Nassif |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1295726255 PECOS PAC ID: 9537259247 Enrollment ID: I20091118000569 |
| Provider Name | Rupal V Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225024995 PECOS PAC ID: 8921146549 Enrollment ID: I20091118000631 |
| Provider Name | Alice C May |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427383397 PECOS PAC ID: 7214076710 Enrollment ID: I20091123000137 |
| Provider Name | Sarah M Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154310209 PECOS PAC ID: 6204975121 Enrollment ID: I20091204000536 |
| Provider Name | Jennifer a Killion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649269648 PECOS PAC ID: 4284773102 Enrollment ID: I20091204000553 |
| Provider Name | Bonnie S Beer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609863216 PECOS PAC ID: 2567502172 Enrollment ID: I20091211000512 |
| Provider Name | Eric P Jensen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447249560 PECOS PAC ID: 4183764640 Enrollment ID: I20091215000361 |
| Provider Name | Rhonda C Rotert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558342907 PECOS PAC ID: 3375683543 Enrollment ID: I20091218000304 |
| Provider Name | Sally a Overland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831180488 PECOS PAC ID: 1456492073 Enrollment ID: I20100105000341 |
| Provider Name | Michael J Schnurr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336120716 PECOS PAC ID: 9436290053 Enrollment ID: I20100105000346 |
| Provider Name | John P Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700874054 PECOS PAC ID: 1759422090 Enrollment ID: I20100108000064 |
| Provider Name | Greg L Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164413605 PECOS PAC ID: 2062553209 Enrollment ID: I20100109000120 |
| Provider Name | Laura E Lasack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861468084 PECOS PAC ID: 7113025065 Enrollment ID: I20100109000338 |
| Provider Name | Nicolas G Hamouche |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922097252 PECOS PAC ID: 7315088366 Enrollment ID: I20100113000079 |
| Provider Name | Firas Salti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285615666 PECOS PAC ID: 8123169174 Enrollment ID: I20100113000095 |
| Provider Name | Arul M Molian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942291976 PECOS PAC ID: 7618018672 Enrollment ID: I20100113000173 |
| Provider Name | Karen J Mullaney |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730159237 PECOS PAC ID: 6103968979 Enrollment ID: I20100118000216 |
| Provider Name | David Brian Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609867688 PECOS PAC ID: 0749322931 Enrollment ID: I20100127000072 |
| Provider Name | Dory C Moon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487624987 PECOS PAC ID: 0840333449 Enrollment ID: I20100204000456 |
| Provider Name | Jacob C Alexander |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558357376 PECOS PAC ID: 4082757315 Enrollment ID: I20100208000692 |
| Provider Name | Patrick H Allaire |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811983695 PECOS PAC ID: 9537202866 Enrollment ID: I20100208000699 |
| Provider Name | Jeffrey a Drawbond |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013905421 PECOS PAC ID: 0345383675 Enrollment ID: I20100208000710 |
| Provider Name | Steven Hallberg |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1720077035 PECOS PAC ID: 0345330056 Enrollment ID: I20100215000086 |
| Provider Name | Joseph J Merchant |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699765826 PECOS PAC ID: 3173576238 Enrollment ID: I20100215000127 |
| Provider Name | Shannon L Skartvedt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881665016 PECOS PAC ID: 9133264245 Enrollment ID: I20100301000509 |
| Provider Name | Arnold R Parenteau |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1518948793 PECOS PAC ID: 2365577657 Enrollment ID: I20100311000618 |
| Provider Name | Nicole M Cummings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528227055 PECOS PAC ID: 4587792163 Enrollment ID: I20100503000823 |
| Provider Name | Amy M Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649502733 PECOS PAC ID: 3274662382 Enrollment ID: I20100528000293 |
| Provider Name | Lavanya Amuluru |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265588834 PECOS PAC ID: 3274663810 Enrollment ID: I20100609000178 |
| Provider Name | Gregory Philip Sachs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942406038 PECOS PAC ID: 3678604659 Enrollment ID: I20100708000819 |
| Provider Name | Jamie H Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447460555 PECOS PAC ID: 0345372090 Enrollment ID: I20100716000126 |
| Provider Name | Alison E Wilson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114149622 PECOS PAC ID: 6002940798 Enrollment ID: I20100817000819 |
| Provider Name | Robert C Swartz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073584215 PECOS PAC ID: 4082738158 Enrollment ID: I20100825001008 |
| Provider Name | Einar K Arason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831321579 PECOS PAC ID: 5698960482 Enrollment ID: I20101105000688 |
| Provider Name | Lyman S Hopkins |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144450578 PECOS PAC ID: 2668640889 Enrollment ID: I20110714000051 |
| Provider Name | Damon J Dyche |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194930081 PECOS PAC ID: 2264600485 Enrollment ID: I20110714000101 |
| Provider Name | Bryan M Purdy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659582310 PECOS PAC ID: 9830367952 Enrollment ID: I20110715000407 |
| Provider Name | Noelle C Bennett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699063446 PECOS PAC ID: 3678742251 Enrollment ID: I20110816000837 |
| Provider Name | Shauna M Basener |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902060759 PECOS PAC ID: 6406982669 Enrollment ID: I20110829000413 |
| Provider Name | Karen M Wolters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669632436 PECOS PAC ID: 4789857202 Enrollment ID: I20111028000413 |
| Provider Name | Brian E Salton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427381383 PECOS PAC ID: 4789857145 Enrollment ID: I20111031000180 |
| Provider Name | Amy M Wibholm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225312390 PECOS PAC ID: 0042484958 Enrollment ID: I20111110000478 |
| Provider Name | Michael E Knutsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063774321 PECOS PAC ID: 2860648292 Enrollment ID: I20120817000147 |
| Provider Name | Jean D Hermsen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356540884 PECOS PAC ID: 6709034564 Enrollment ID: I20120919000847 |
| Provider Name | Ryan J Meis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508111006 PECOS PAC ID: 5698925006 Enrollment ID: I20121020000047 |
| Provider Name | Bryan a Warme |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598973885 PECOS PAC ID: 2466602776 Enrollment ID: I20121023000352 |
| Provider Name | Sarah a Tofilon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003079997 PECOS PAC ID: 4486804465 Enrollment ID: I20121029000431 |
| Provider Name | Jennifer L Erbes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205155959 PECOS PAC ID: 8921252651 Enrollment ID: I20130206000074 |
| Provider Name | Matthew R Okland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093026635 PECOS PAC ID: 7214179944 Enrollment ID: I20130809000051 |
| Provider Name | Benjamin Patrick Schlicher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114186160 PECOS PAC ID: 6800035452 Enrollment ID: I20130810000018 |
| Provider Name | Joshua P Mccaughey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114168549 PECOS PAC ID: 6002067535 Enrollment ID: I20130816000410 |
| Provider Name | Garrett S Korrect |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548414188 PECOS PAC ID: 9436392198 Enrollment ID: I20130827000939 |
| Provider Name | Gina Erickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629204342 PECOS PAC ID: 4981878758 Enrollment ID: I20130828000029 |
| Provider Name | Amanda K Eischeid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891127213 PECOS PAC ID: 9436383353 Enrollment ID: I20131009000522 |
| Provider Name | Lisa K Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023377827 PECOS PAC ID: 2668606393 Enrollment ID: I20131010001953 |
| Provider Name | Carly M Quam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508127705 PECOS PAC ID: 2668600370 Enrollment ID: I20131231001877 |
| Provider Name | Shaun S Quam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376804229 PECOS PAC ID: 8123256807 Enrollment ID: I20140103000234 |
| 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 | Timothy J Hansen |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1518109123 PECOS PAC ID: 7719101377 Enrollment ID: I20140623000369 |
| Provider Name | Taylor a Drake |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518128297 PECOS PAC ID: 3375713845 Enrollment ID: I20140725001025 |
| Provider Name | Barbara a Palas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811967318 PECOS PAC ID: 9931325958 Enrollment ID: I20140729001060 |
| Provider Name | Mark N Abraham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760612964 PECOS PAC ID: 1658509666 Enrollment ID: I20140804000467 |
| Provider Name | Stephanie a Donnelly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336460013 PECOS PAC ID: 1557533148 Enrollment ID: I20140818000936 |
| Provider Name | Brian E Stith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639307192 PECOS PAC ID: 6709033715 Enrollment ID: I20140910002265 |
| Provider Name | Julie M Fleener |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700088697 PECOS PAC ID: 1759500358 Enrollment ID: I20140912001725 |
| Provider Name | Caitlyn a Ackerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922409127 PECOS PAC ID: 9335369701 Enrollment ID: I20141007000958 |
| Provider Name | Melissa a Hilsabeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477956886 PECOS PAC ID: 3274856075 Enrollment ID: I20141231002078 |
| Provider Name | Dana Hartwigsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255453767 PECOS PAC ID: 0749356418 Enrollment ID: I20150123000691 |
| Provider Name | Matthew J Crandon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730301375 PECOS PAC ID: 2860719622 Enrollment ID: I20150317000035 |
| Provider Name | Brandon R Mcnew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063643401 PECOS PAC ID: 4385881762 Enrollment ID: I20150605002632 |
| Provider Name | Venkatesh K Rudrapatna |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104012996 PECOS PAC ID: 6002089232 Enrollment ID: I20150610000878 |
| Provider Name | Beth K Soulli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255621512 PECOS PAC ID: 9436470879 Enrollment ID: I20150610001241 |
| Provider Name | Abby MH Williams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437413838 PECOS PAC ID: 7113238023 Enrollment ID: I20150618002473 |
| Provider Name | Kristy a Calland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588939631 PECOS PAC ID: 6901117555 Enrollment ID: I20150623001867 |
| Provider Name | Erica RB Henricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568842920 PECOS PAC ID: 1355653494 Enrollment ID: I20150702001581 |
| Provider Name | Jason T Rasmussen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326279290 PECOS PAC ID: 8022320522 Enrollment ID: I20150710001626 |
| Provider Name | Daniel P Fulton |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609003433 PECOS PAC ID: 6709032287 Enrollment ID: I20150721002076 |
| Provider Name | Sarah N Moyle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295080281 PECOS PAC ID: 2567613649 Enrollment ID: I20150728005575 |
| Provider Name | Joshua J Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609122233 PECOS PAC ID: 6204140759 Enrollment ID: I20150729006742 |
| Provider Name | Nichole J Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487037578 PECOS PAC ID: 8527372812 Enrollment ID: I20150730012403 |
| Provider Name | Kara J Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821471822 PECOS PAC ID: 9436464948 Enrollment ID: I20150812008910 |
| Provider Name | Jessica a Pierce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447634795 PECOS PAC ID: 4385950138 Enrollment ID: I20150825004011 |
| Provider Name | Curtis J Waite |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720340524 PECOS PAC ID: 5698078699 Enrollment ID: I20160126000837 |
| Provider Name | Krista M Hansen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023476926 PECOS PAC ID: 5799083648 Enrollment ID: I20160411000950 |
| Provider Name | Mindy K Royster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174987341 PECOS PAC ID: 7719278951 Enrollment ID: I20160620001537 |
| Provider Name | Edward J Clemmons |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1518252014 PECOS PAC ID: 5698915809 Enrollment ID: I20160624001394 |
| Provider Name | John G Hardie |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073801148 PECOS PAC ID: 2365698172 Enrollment ID: I20160720000800 |
| Provider Name | Samuel C Dvorak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841557345 PECOS PAC ID: 4688890239 Enrollment ID: I20160725002443 |
| Provider Name | Christopher a Etscheidt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144667171 PECOS PAC ID: 9739321126 Enrollment ID: I20160915002376 |
| Provider Name | Angela R Olerich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689018905 PECOS PAC ID: 5496977225 Enrollment ID: I20161011002738 |
| Provider Name | Kindra a Jacobsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619353323 PECOS PAC ID: 0143520247 Enrollment ID: I20161025000271 |
| Provider Name | Rupinder Deep Singh Deo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205092095 PECOS PAC ID: 7810183340 Enrollment ID: I20161101000282 |
| Provider Name | Rachel C Bump |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770974412 PECOS PAC ID: 0042527400 Enrollment ID: I20161220000036 |
| Provider Name | Calista C Padilla |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740725712 PECOS PAC ID: 2961784343 Enrollment ID: I20170119001096 |
| Provider Name | Kelly J Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124216882 PECOS PAC ID: 6002198413 Enrollment ID: I20170119002214 |
| Provider Name | Bianca M Finn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730455445 PECOS PAC ID: 8123330214 Enrollment ID: I20170209001027 |
| Provider Name | Ruth E Mash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205290434 PECOS PAC ID: 2062795966 Enrollment ID: I20170217001921 |
| Provider Name | Carol Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588105365 PECOS PAC ID: 9436435328 Enrollment ID: I20170406002905 |
| Provider Name | Austin Bancroft |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699937045 PECOS PAC ID: 2668615881 Enrollment ID: I20170508002598 |
| Provider Name | Sarah a Bancroft |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1538321971 PECOS PAC ID: 2264617042 Enrollment ID: I20170510002059 |
| Provider Name | Kindra P Gaulke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689115263 PECOS PAC ID: 1759658669 Enrollment ID: I20170525000129 |
| Provider Name | Erin M Eide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174054324 PECOS PAC ID: 6002183688 Enrollment ID: I20170602000593 |
| Provider Name | Alia K Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346657822 PECOS PAC ID: 0648549303 Enrollment ID: I20170712000890 |
| Provider Name | Hugo a Rivadeneyra Pasten |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962766980 PECOS PAC ID: 7315248598 Enrollment ID: I20170714002606 |
| Provider Name | Marc a Shulman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1225191836 PECOS PAC ID: 0941571681 Enrollment ID: I20170731000121 |
| Provider Name | Tamim S Mahayni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184935132 PECOS PAC ID: 2769623024 Enrollment ID: I20170804002484 |
| Provider Name | Danielle L Pellow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023329026 PECOS PAC ID: 9638310832 Enrollment ID: I20170811000949 |
| Provider Name | Lesley K Olswing |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902069305 PECOS PAC ID: 8426123761 Enrollment ID: I20170817003823 |
| Provider Name | Xuan-an Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104232131 PECOS PAC ID: 6507082591 Enrollment ID: I20170912002200 |
| Provider Name | Ruth E Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770007155 PECOS PAC ID: 2466726492 Enrollment ID: I20170914002095 |
| Provider Name | Steven Patrick Thoma |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598021131 PECOS PAC ID: 4587969415 Enrollment ID: I20170915001958 |
| Provider Name | Alexandria J Bonner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427575489 PECOS PAC ID: 5890060941 Enrollment ID: I20170929001020 |
| Provider Name | Brian P Otool |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033233218 PECOS PAC ID: 0840557708 Enrollment ID: I20171130002127 |
| Provider Name | Chelsey R Pyle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942632989 PECOS PAC ID: 2062646573 Enrollment ID: I20171221002293 |
| Provider Name | Mara B Syring |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609166180 PECOS PAC ID: 7517270689 Enrollment ID: I20180118000061 |
| Provider Name | Chelsea S Wickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891294823 PECOS PAC ID: 1052673993 Enrollment ID: I20180313001077 |
| Provider Name | Katherine a Dewall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174033245 PECOS PAC ID: 2769744887 Enrollment ID: I20180412002398 |
| Provider Name | Ryan J Elsey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003269325 PECOS PAC ID: 6800183880 Enrollment ID: I20180419002669 |
| Provider Name | Joy Natalie Carroll |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649699141 PECOS PAC ID: 6103128335 Enrollment ID: I20180618001271 |
| Provider Name | Sean M Sturm |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588025662 PECOS PAC ID: 4981978798 Enrollment ID: I20180618001535 |
| Provider Name | Godfrey I Thuku |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1336400860 PECOS PAC ID: 4284874595 Enrollment ID: I20180619000340 |
| Provider Name | Iliya Amaza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205242732 PECOS PAC ID: 7113237298 Enrollment ID: I20180628000751 |
| Provider Name | Joshua a Zwingelberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710390182 PECOS PAC ID: 4789901976 Enrollment ID: I20180706002474 |
| Provider Name | Nicole M Makovec |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356776264 PECOS PAC ID: 8527315977 Enrollment ID: I20180717002837 |
| Provider Name | Shannon a Appel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447737143 PECOS PAC ID: 9032460738 Enrollment ID: I20180919001989 |
| Provider Name | Andrea M Bartling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144707837 PECOS PAC ID: 5496006900 Enrollment ID: I20180921003115 |
| Provider Name | Semira Ramic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205274669 PECOS PAC ID: 0042437378 Enrollment ID: I20180924001962 |
| Provider Name | Hanna Lydia Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417235318 PECOS PAC ID: 5496090888 Enrollment ID: I20181212002275 |
| Provider Name | Jenna M Wood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821561531 PECOS PAC ID: 0749527562 Enrollment ID: I20190131001995 |
| Provider Name | Carol B Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225592074 PECOS PAC ID: 3274871207 Enrollment ID: I20190215002124 |
| Provider Name | John M Mcgarity |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538591896 PECOS PAC ID: 4880983071 Enrollment ID: I20190618002341 |
| Provider Name | Shobhadarshini Gogoi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326383563 PECOS PAC ID: 9133429046 Enrollment ID: I20190626002332 |
| Provider Name | Meredith K Dryden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942658919 PECOS PAC ID: 5496040750 Enrollment ID: I20190709000656 |
| Provider Name | Priyadarshini Gangula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477904589 PECOS PAC ID: 7810222916 Enrollment ID: I20190711002036 |
| Provider Name | Michael D Stefl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275943334 PECOS PAC ID: 9638434657 Enrollment ID: I20190817000185 |
| Provider Name | Jeffrey W Dikis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740544386 PECOS PAC ID: 4385959287 Enrollment ID: I20190830002724 |
| Provider Name | Dawn M Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386656668 PECOS PAC ID: 9335134428 Enrollment ID: I20190906002279 |
| Provider Name | Kimberly F Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255317160 PECOS PAC ID: 2062460991 Enrollment ID: I20190910003462 |
| Provider Name | Meagen L Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881063006 PECOS PAC ID: 5991014300 Enrollment ID: I20190920000248 |
| Provider Name | Claire S Stefl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942615885 PECOS PAC ID: 0244527216 Enrollment ID: I20191001001472 |
| Provider Name | Mallory Scrimger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114568383 PECOS PAC ID: 6204168347 Enrollment ID: I20191023000653 |
| Provider Name | Courtney Ann Hartberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114459724 PECOS PAC ID: 1153653977 Enrollment ID: I20191029001106 |
| Provider Name | Sreenath Kodali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376823567 PECOS PAC ID: 9436465861 Enrollment ID: I20191104000294 |
| Provider Name | Eli D Musselman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053791251 PECOS PAC ID: 8224342357 Enrollment ID: I20191211000724 |
| Provider Name | Nima a Golchin |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1063859981 PECOS PAC ID: 6305089723 Enrollment ID: I20191211001263 |
| Provider Name | Jonathon Ross Geisinger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366702326 PECOS PAC ID: 5395976294 Enrollment ID: I20191213000507 |
| Provider Name | Rachel L Hayward |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164744694 PECOS PAC ID: 0547398539 Enrollment ID: I20200115000648 |
| Provider Name | Amanda Van Wyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700423894 PECOS PAC ID: 8729413794 Enrollment ID: I20200121002566 |
| Provider Name | Ericka Muhlbauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700370624 PECOS PAC ID: 5496181059 Enrollment ID: I20200130002229 |
| Provider Name | Mattea J Otten |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326689878 PECOS PAC ID: 9436585882 Enrollment ID: I20200204001266 |
| Provider Name | Laura Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679118756 PECOS PAC ID: 7113355850 Enrollment ID: I20200312000406 |
| Provider Name | Jill W Alexander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851387591 PECOS PAC ID: 0042648313 Enrollment ID: I20200319002509 |
| Provider Name | Brooke a Ibeling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396376216 PECOS PAC ID: 8921438904 Enrollment ID: I20200414003127 |
| Provider Name | Stephanie L Moellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235765884 PECOS PAC ID: 6901236157 Enrollment ID: I20200430002398 |
| Provider Name | Manuel a Arbelaez Agudelo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093237562 PECOS PAC ID: 6406277979 Enrollment ID: I20200609001970 |
| Provider Name | Taylor B Hircock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790215804 PECOS PAC ID: 4880965128 Enrollment ID: I20200609002154 |
| Provider Name | Lindsey M Rearigh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245614643 PECOS PAC ID: 6709193659 Enrollment ID: I20200609002323 |
| Provider Name | Michelle a Riesselman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912357765 PECOS PAC ID: 5799078077 Enrollment ID: I20200701000695 |
| Provider Name | Emily S Zoulek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407006240 PECOS PAC ID: 6406005727 Enrollment ID: I20200713000188 |
| Provider Name | Kaitlyn M Baumgardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952928236 PECOS PAC ID: 5991120594 Enrollment ID: I20200729003336 |
| Provider Name | Laura C Johnston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093212607 PECOS PAC ID: 2163848946 Enrollment ID: I20200812000135 |
| Provider Name | Logan Koopman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750906400 PECOS PAC ID: 2163849472 Enrollment ID: I20200901003344 |
| Provider Name | Tamara J Mechaelsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194782102 PECOS PAC ID: 8224456173 Enrollment ID: I20200909003289 |
| Provider Name | Mackenzie C Boothe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780290486 PECOS PAC ID: 0941628127 Enrollment ID: I20200921001640 |
| Provider Name | Heather Diane Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992326607 PECOS PAC ID: 7517377377 Enrollment ID: I20201105001558 |
| Provider Name | Caitlin Marie Jardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356938138 PECOS PAC ID: 3577977289 Enrollment ID: I20210120002259 |
| Provider Name | Courtney R. Makus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720681554 PECOS PAC ID: 5294149951 Enrollment ID: I20210121000675 |
| Provider Name | Hannah E Sheridan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831749662 PECOS PAC ID: 2163836271 Enrollment ID: I20210202000827 |
| Provider Name | Trisha L Vandelune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629672076 PECOS PAC ID: 0941614069 Enrollment ID: I20210202001003 |
| Provider Name | Kayla M Tafolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568054831 PECOS PAC ID: 3476968793 Enrollment ID: I20210219000508 |
| Provider Name | Claire Louise Molak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992399588 PECOS PAC ID: 5496162117 Enrollment ID: I20210325000544 |
| Provider Name | John Adam Hamilton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982720231 PECOS PAC ID: 3072785211 Enrollment ID: I20210406000750 |
| Provider Name | Melissa a Chiston |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134440886 PECOS PAC ID: 6507039815 Enrollment ID: I20210406001350 |
| Provider Name | Tricia M Mittra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851959258 PECOS PAC ID: 2062747538 Enrollment ID: I20210419000094 |
| Provider Name | Laura Hauck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518556695 PECOS PAC ID: 9436568581 Enrollment ID: I20210503001000 |
| Provider Name | Alex Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932647047 PECOS PAC ID: 8224309919 Enrollment ID: I20210527000946 |
| Provider Name | Sonam J Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306230230 PECOS PAC ID: 5991007478 Enrollment ID: I20210604002690 |
| Provider Name | Betsey K Bean |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316237357 PECOS PAC ID: 2062752959 Enrollment ID: I20210621000308 |
| Provider Name | Nicholas Gregory Thilges |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952916579 PECOS PAC ID: 0446651830 Enrollment ID: I20210623000279 |
| Provider Name | Leslie H Pyle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568950970 PECOS PAC ID: 3779839667 Enrollment ID: I20210720000595 |
| Provider Name | Christy Marie Christophersen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447631379 PECOS PAC ID: 7719215359 Enrollment ID: I20210720002853 |
| Provider Name | Analissa M Kautza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710556030 PECOS PAC ID: 5698178077 Enrollment ID: I20210722001551 |
| Provider Name | Alejandra Londono Jimenez |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1699161919 PECOS PAC ID: 3173864568 Enrollment ID: I20210804001852 |
| Provider Name | Snehitha Vijaykumar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376960526 PECOS PAC ID: 8325442668 Enrollment ID: I20210809000710 |
| Provider Name | Jordan P Kaminski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356846760 PECOS PAC ID: 3577819606 Enrollment ID: I20210811001617 |
| Provider Name | Jenni a Sohm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457923567 PECOS PAC ID: 2961426812 Enrollment ID: I20210831001747 |
| Provider Name | Molly E Gentle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376854117 PECOS PAC ID: 8022257096 Enrollment ID: I20210907000110 |
| Provider Name | Natalie Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053945048 PECOS PAC ID: 3173929494 Enrollment ID: I20210910001524 |
| Provider Name | Maura Elizabeth Mendus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477171445 PECOS PAC ID: 8224436134 Enrollment ID: I20211007000854 |
| Provider Name | Aubrey Molgaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427597806 PECOS PAC ID: 6800284928 Enrollment ID: I20211022000479 |
| Provider Name | Moira Katherine Keech |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740813385 PECOS PAC ID: 8022406495 Enrollment ID: I20211104001010 |
| Provider Name | Kathleen Marie Soseman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245673987 PECOS PAC ID: 7315336617 Enrollment ID: I20211108000735 |
| Provider Name | Dominic Thielen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316397144 PECOS PAC ID: 8921498486 Enrollment ID: I20211124001478 |
| Provider Name | Stefanie Anne Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285399758 PECOS PAC ID: 1153711163 Enrollment ID: I20211207000899 |
| Provider Name | Tiffany Marie Navrkal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669137832 PECOS PAC ID: 3577953157 Enrollment ID: I20211214002714 |
| Provider Name | Kate a Ganger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124784418 PECOS PAC ID: 4082006424 Enrollment ID: I20220118000166 |
| Provider Name | Abigail J Gabriel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639587850 PECOS PAC ID: 0042581050 Enrollment ID: I20220504000927 |
| Provider Name | Ibrahim Alakhras |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942861505 PECOS PAC ID: 5496080178 Enrollment ID: I20220603001237 |
| Provider Name | Ross Klocke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548729494 PECOS PAC ID: 3072944636 Enrollment ID: I20220609000835 |
| Provider Name | Larry Johnston |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386036333 PECOS PAC ID: 1355729906 Enrollment ID: I20220609002409 |
| Provider Name | Kyle S Freeman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568826865 PECOS PAC ID: 7315213386 Enrollment ID: I20220614001029 |
| Provider Name | Tyler Mccurdy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902267198 PECOS PAC ID: 8123398930 Enrollment ID: I20220615001877 |
| Provider Name | Katelyn M Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891452884 PECOS PAC ID: 5597144592 Enrollment ID: I20220622001621 |
| Provider Name | Alexander Wayne Wickenkamp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821526757 PECOS PAC ID: 5799052601 Enrollment ID: I20220629003871 |
| Provider Name | Jason a Cascio |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1275061459 PECOS PAC ID: 3072882752 Enrollment ID: I20220705000650 |
| Provider Name | Jacob P Kolker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932631454 PECOS PAC ID: 6800164955 Enrollment ID: I20220713000856 |
| Provider Name | Kristin Rae Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891289492 PECOS PAC ID: 8527314640 Enrollment ID: I20220714000871 |
| Provider Name | Daniel M Delaney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992360697 PECOS PAC ID: 1254669898 Enrollment ID: I20220714003818 |
| Provider Name | Benjamin Perea |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184154106 PECOS PAC ID: 0648540856 Enrollment ID: I20220809000328 |
| Provider Name | Kaysha Halbur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871226423 PECOS PAC ID: 1850776089 Enrollment ID: I20220923001343 |
| Provider Name | Stacey Kasperbauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275254641 PECOS PAC ID: 7315313392 Enrollment ID: I20221017000429 |
| Provider Name | Faith Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134788847 PECOS PAC ID: 3375919392 Enrollment ID: I20221017001785 |
| Provider Name | Madison Kay Mathes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699485946 PECOS PAC ID: 7618347881 Enrollment ID: I20230104001063 |
| Provider Name | Cameron Julian Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457061442 PECOS PAC ID: 4587036652 Enrollment ID: I20230218000396 |
| Provider Name | Leroy Spurlock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588181523 PECOS PAC ID: 5193064087 Enrollment ID: I20230308000198 |
| Provider Name | Janelle R Elken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659014769 PECOS PAC ID: 3971960469 Enrollment ID: I20230526000316 |
| Provider Name | Justin Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205327525 PECOS PAC ID: 7214284835 Enrollment ID: I20230616001224 |
| Provider Name | Austin Greco |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033645486 PECOS PAC ID: 8820367519 Enrollment ID: I20230707002033 |
| Provider Name | Grant Young |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285291666 PECOS PAC ID: 9234465980 Enrollment ID: I20230707002251 |
| Provider Name | Charles J Paul |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386171437 PECOS PAC ID: 3173893187 Enrollment ID: I20230712000238 |
| Provider Name | Colton J Kramer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225717507 PECOS PAC ID: 5991167280 Enrollment ID: I20230818000418 |
| Provider Name | Laura Rochelle Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831877836 PECOS PAC ID: 7315300225 Enrollment ID: I20230824004172 |
| Provider Name | Esteffania C Villegas-santamaria |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457804395 PECOS PAC ID: 0143551333 Enrollment ID: I20230829003821 |
| Provider Name | Olesya Grinenko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306345210 PECOS PAC ID: 0446604730 Enrollment ID: I20230920001167 |
| Provider Name | Amy Elizabeth Epstein |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457126997 PECOS PAC ID: 9830549559 Enrollment ID: I20231221000775 |
| Provider Name | Dalana Kathleen Kron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760252886 PECOS PAC ID: 7517300411 Enrollment ID: I20240207003865 |
| Provider Name | Annapoorna Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922593938 PECOS PAC ID: 3577811355 Enrollment ID: I20240229003856 |
| Provider Name | Katie Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508624727 PECOS PAC ID: 9032557715 Enrollment ID: I20240401000374 |
| Provider Name | Anand K Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457342131 PECOS PAC ID: 8820160187 Enrollment ID: I20240401001678 |
| Provider Name | Melinda J Engelmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902996127 PECOS PAC ID: 6002255346 Enrollment ID: I20240418003250 |
| Provider Name | Samantha a Henning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891471066 PECOS PAC ID: 8820437890 Enrollment ID: I20240424000216 |
| Provider Name | Tanzeh B Metzger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588283600 PECOS PAC ID: 2062843246 Enrollment ID: I20240508001971 |
| Provider Name | Karl Hamouche |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003309766 PECOS PAC ID: 2668723669 Enrollment ID: I20240610000936 |
| Provider Name | Brittany Lauren Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164270237 PECOS PAC ID: 6709161128 Enrollment ID: I20240614003838 |
| Provider Name | Carrington Elizabeth Bachman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447090816 PECOS PAC ID: 5294278446 Enrollment ID: I20240617002547 |
| Provider Name | Joshua Choi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639758550 PECOS PAC ID: 3971904400 Enrollment ID: I20240618002687 |
| Provider Name | Phaedra Lipsey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356046254 PECOS PAC ID: 1456895093 Enrollment ID: I20240707000154 |
| Provider Name | Molly Christine Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053981241 PECOS PAC ID: 0941745905 Enrollment ID: I20240715000814 |
| Provider Name | Nicole C Morrow |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396364956 PECOS PAC ID: 0042634727 Enrollment ID: I20240718003481 |
| Provider Name | Joseph Metzger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083233878 PECOS PAC ID: 6901236827 Enrollment ID: I20240722001962 |
| Provider Name | James G Kohler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740772417 PECOS PAC ID: 6204182058 Enrollment ID: I20240801001449 |
| Provider Name | Britnie Marie Nerem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689402497 PECOS PAC ID: 2264970698 Enrollment ID: I20240816002384 |
| Provider Name | Kaylee Marie Gerdts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790529469 PECOS PAC ID: 0941748008 Enrollment ID: I20240820002978 |
| Provider Name | Melinda a Arnold |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013618701 PECOS PAC ID: 0042759706 Enrollment ID: I20240826002038 |
| Provider Name | Abby Michelle Richards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700622859 PECOS PAC ID: 4082154745 Enrollment ID: I20240909001776 |
| Provider Name | Shelby L Randolph |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053944017 PECOS PAC ID: 4789080854 Enrollment ID: I20240926000657 |
| Provider Name | Andrew D. Harris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922732908 PECOS PAC ID: 5597103697 Enrollment ID: I20241010002797 |
| Provider Name | Lauren L Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245050145 PECOS PAC ID: 6608300892 Enrollment ID: I20241111002379 |
| Provider Name | Ryan L. Radke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295550069 PECOS PAC ID: 3577092402 Enrollment ID: I20250122002528 |
| Provider Name | Sandy Dao |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912715947 PECOS PAC ID: 9739600669 Enrollment ID: I20250308000243 |
| Provider Name | Anna C Skibba |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508264862 PECOS PAC ID: 4587989819 Enrollment ID: I20250424002343 |
| Provider Name | Taryn Lynn Kosier |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376341529 PECOS PAC ID: 2961928114 Enrollment ID: I20250430001746 |
| Provider Name | Mark T Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245625003 PECOS PAC ID: 9739484874 Enrollment ID: I20250512000162 |
| Provider Name | Taher S Sabobeh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497316582 PECOS PAC ID: 2163757832 Enrollment ID: I20250528001275 |
| Provider Name | Maggie Mary Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508670886 PECOS PAC ID: 8022537539 Enrollment ID: I20250528002466 |
| Provider Name | Grace Julia Lange |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508656398 PECOS PAC ID: 2365951753 Enrollment ID: I20250605002320 |
| Provider Name | Matias Alberto Gerstner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053044560 PECOS PAC ID: 1850801945 Enrollment ID: I20250609000662 |
| Provider Name | Joshua Douglas Seydell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962080721 PECOS PAC ID: 1254841299 Enrollment ID: I20250610000747 |
| Provider Name | Suhail Haddadin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881207215 PECOS PAC ID: 2365846458 Enrollment ID: I20250610001734 |
| Provider Name | David Dean Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922746825 PECOS PAC ID: 2264942937 Enrollment ID: I20250611001884 |
| Provider Name | Michaela K Heys |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578206249 PECOS PAC ID: 0648780239 Enrollment ID: I20250612000057 |
| Provider Name | Destinee R Schmitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659948768 PECOS PAC ID: 2466852595 Enrollment ID: I20250625003494 |
| Provider Name | John H Petrisko |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1083728448 PECOS PAC ID: 5395747042 Enrollment ID: I20250625003817 |
| Provider Name | Dallin S Harper |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750010039 PECOS PAC ID: 5294115408 Enrollment ID: I20250712000353 |
| Provider Name | Haley N Hicks |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295354991 PECOS PAC ID: 4183025810 Enrollment ID: I20250715000361 |
| Provider Name | Nicole Anne Heeren |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760375349 PECOS PAC ID: 1850808379 Enrollment ID: I20250729004412 |
| Provider Name | Nadejda Dergham Tawfiq Baklizi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346972536 PECOS PAC ID: 7911400502 Enrollment ID: I20250910003087 |
| Provider Name | Kyle P Hebert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336033372 PECOS PAC ID: 8820591415 Enrollment ID: I20250910003088 |
| Provider Name | Larissa a Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568255792 PECOS PAC ID: 3173013158 Enrollment ID: I20251107001894 |
| Provider Name | Macie Leigh Gay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457218919 PECOS PAC ID: 0840770046 Enrollment ID: I20260217001997 |
| Provider Name | Colton J Vander Berg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639036288 PECOS PAC ID: 7618458357 Enrollment ID: I20260220002880 |
| Provider Name | Christopher a Moir |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962360909 PECOS PAC ID: 5395226336 Enrollment ID: I20260226003862 |
| Provider Name | Elizabeth M. Grace |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689531816 PECOS PAC ID: 6800379462 Enrollment ID: I20260311003023 |
| Provider Name | Luke M Ross |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659238624 PECOS PAC ID: 0446734073 Enrollment ID: I20260323000966 |
Thielen Student Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2260 Thielen Student Health Center, Union & Sheldon Drive, Ames, IA 50011 Phone: 515-294-7960 Fax: 515-294-5457 |
Back in Action Chiropractic LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 622 Burnett Ave, Ames, IA 50010 Phone: 515-232-9075 Fax: 515-232-4995 |
Eye State Optometry, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3105 Grand Ave, Ames, IA 50010 Phone: 515-441-8127 |
Complete Connection Chiropractic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 University Blvd Ste 102, Ames, IA 50010 Phone: 515-412-4784 |
The Counseling Edge, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1421 S Bell Ave Ste 108a, Ames, IA 50010 Phone: 515-419-8682 |
Main Street Family Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Main St, Ames, IA 50010 Phone: 515-393-1898 Fax: 515-329-9174 |