| Medical Associates Clinic P C | |
|
1500 Associates Dr Dubuque IA 52002-2201 | |
| (563) 584-4100 | |
| (563) 584-4110 |
| Full Name | Medical Associates Clinic P C |
|---|---|
| Speciality | Clinic/Center |
| Location | 1500 Associates Dr, Dubuque, Iowa |
| Authorized Official Name and Position | Zachary C Keeling (C.E.O.) |
| Authorized Official Contact | 5635844100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Clinic P C 1500 Associates Dr Dubuque IA 52002-2201 Ph: (563) 584-4100 | Medical Associates Clinic P C 1500 Associates Dr Dubuque IA 52002-2201 Ph: (563) 584-4100 |
| NPI Number | 1457300790 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 03/22/2024 |
| Medicare PECOS PAC ID | 3870491228 |
|---|---|
| Medicare Enrollment ID | O20031223000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457300790 | NPI | - | NPPES |
| 3261600 | Medicaid | WI | |
| 0016998 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Christine M Burds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326097791 PECOS PAC ID: 7719887538 Enrollment ID: I20040219000857 |
| Provider Name | Jennifer M Mohr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750357265 PECOS PAC ID: 0345136388 Enrollment ID: I20040225001096 |
| Provider Name | Honorio J Caceres |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639128010 PECOS PAC ID: 3476541970 Enrollment ID: I20040504000455 |
| Provider Name | Mary C Koenigs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053363903 PECOS PAC ID: 6800884263 Enrollment ID: I20040504000916 |
| Provider Name | Mark W Niemer |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275585259 PECOS PAC ID: 8820998537 Enrollment ID: I20040505001369 |
| Provider Name | Timothy A King |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992758114 PECOS PAC ID: 3779559588 Enrollment ID: I20040902001329 |
| Provider Name | Hyder A Khan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1134170962 PECOS PAC ID: 6406824283 Enrollment ID: I20040920000751 |
| Provider Name | Marsha Horwitz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992757553 PECOS PAC ID: 7012971054 Enrollment ID: I20041118000556 |
| Provider Name | David P Tinker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982608741 PECOS PAC ID: 5698732493 Enrollment ID: I20041214000163 |
| Provider Name | Jared J Freiburger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861443863 PECOS PAC ID: 3375500788 Enrollment ID: I20041217000204 |
| Provider Name | Paul J Meus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265491906 PECOS PAC ID: 5294707675 Enrollment ID: I20041228000823 |
| Provider Name | Alecia K Thiele |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336195775 PECOS PAC ID: 1557303930 Enrollment ID: I20050525000990 |
| Provider Name | Joan M Gibbs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275584351 PECOS PAC ID: 5698717999 Enrollment ID: I20050526000524 |
| Provider Name | Phillip Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689628554 PECOS PAC ID: 9335185818 Enrollment ID: I20050706000880 |
| Provider Name | Gregory A Vandigo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194771840 PECOS PAC ID: 1254367717 Enrollment ID: I20050715000376 |
| Provider Name | Dionne T Hughes |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780637116 PECOS PAC ID: 0547296931 Enrollment ID: I20050718000400 |
| Provider Name | Timothy J Maiers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386612901 PECOS PAC ID: 4688601784 Enrollment ID: I20050720000679 |
| Provider Name | Adib Kassas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386694156 PECOS PAC ID: 9133158330 Enrollment ID: I20050808001227 |
| Provider Name | Mark F Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922052786 PECOS PAC ID: 2567362270 Enrollment ID: I20051011000984 |
| Provider Name | Sarah A Justmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407806128 PECOS PAC ID: 5092732834 Enrollment ID: I20051031000691 |
| Provider Name | Tara L Brock |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164472783 PECOS PAC ID: 8527017565 Enrollment ID: I20051108000625 |
| Provider Name | Sherry L Kelchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477504124 PECOS PAC ID: 6901813575 Enrollment ID: I20060308000028 |
| Provider Name | Kent W Baumann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316999725 PECOS PAC ID: 7911914619 Enrollment ID: I20060321000130 |
| Provider Name | Joseph P Berger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053361832 PECOS PAC ID: 1153338868 Enrollment ID: I20060321000162 |
| Provider Name | Michael P Chapman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790735215 PECOS PAC ID: 8123035847 Enrollment ID: I20060321000267 |
| Provider Name | Stephen E Hoy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275584948 PECOS PAC ID: 2466469101 Enrollment ID: I20060321000397 |
| Provider Name | Trupti S Mehta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699727834 PECOS PAC ID: 4183631849 Enrollment ID: I20060321000586 |
| Provider Name | Thomas Ray Miner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902850704 PECOS PAC ID: 2668429176 Enrollment ID: I20060321000623 |
| Provider Name | Charles H Morrow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407808959 PECOS PAC ID: 9436166105 Enrollment ID: I20060321000696 |
| Provider Name | Judson William Ott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871545897 PECOS PAC ID: 0840207528 Enrollment ID: I20060321000754 |
| Provider Name | Andrea L Ries |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689629933 PECOS PAC ID: 3173530854 Enrollment ID: I20060321000773 |
| Provider Name | Steven M Rock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386698553 PECOS PAC ID: 2668496506 Enrollment ID: I20060322000066 |
| Provider Name | Scott P Schemmel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922053529 PECOS PAC ID: 3971511668 Enrollment ID: I20060322000098 |
| Provider Name | Joseph J Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982658878 PECOS PAC ID: 7416965108 Enrollment ID: I20060322000112 |
| Provider Name | Brian E Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194771048 PECOS PAC ID: 9931117629 Enrollment ID: I20060322000146 |
| Provider Name | Marian R Walker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801842562 PECOS PAC ID: 4082622782 Enrollment ID: I20060322000188 |
| Provider Name | Thomas R Boxleiter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619927431 PECOS PAC ID: 6002828159 Enrollment ID: I20060608000153 |
| Provider Name | Hendrik Schultz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649212861 PECOS PAC ID: 3577576800 Enrollment ID: I20060803000068 |
| Provider Name | Crista N Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023049491 PECOS PAC ID: 5799788337 Enrollment ID: I20060821000200 |
| Provider Name | Todd E Sleep |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306814686 PECOS PAC ID: 0648242503 Enrollment ID: I20061011000790 |
| Provider Name | Kevin M Mullen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710942701 PECOS PAC ID: 9638175623 Enrollment ID: I20061016000087 |
| Provider Name | Scott A Brock |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811904485 PECOS PAC ID: 1355347048 Enrollment ID: I20061020000411 |
| Provider Name | Craig J Tiernan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841267556 PECOS PAC ID: 9830293653 Enrollment ID: I20070403000434 |
| Provider Name | Erika R Odonnell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952347718 PECOS PAC ID: 5890756886 Enrollment ID: I20070710000895 |
| Provider Name | Benjamin Roling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992891188 PECOS PAC ID: 7113010232 Enrollment ID: I20070906000234 |
| Provider Name | Ramanujam S Ramabadran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417151143 PECOS PAC ID: 6608969407 Enrollment ID: I20070911000046 |
| Provider Name | Heidi E Townsend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902964505 PECOS PAC ID: 4284728551 Enrollment ID: I20070917000747 |
| Provider Name | Karen S Scott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447210562 PECOS PAC ID: 4183630890 Enrollment ID: I20071025000648 |
| Provider Name | Mark P Runde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992759088 PECOS PAC ID: 4284534991 Enrollment ID: I20071107000236 |
| Provider Name | Christopher Steege |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568684330 PECOS PAC ID: 9436259371 Enrollment ID: I20080425000595 |
| Provider Name | Julie L Muenster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437128659 PECOS PAC ID: 0840379202 Enrollment ID: I20080509000423 |
| Provider Name | Brian P Poirier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386861284 PECOS PAC ID: 6800967506 Enrollment ID: I20080624000776 |
| Provider Name | Holly Melahoures |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295848604 PECOS PAC ID: 7315014263 Enrollment ID: I20080918000668 |
| Provider Name | Ryan B Stille |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083694681 PECOS PAC ID: 9931264116 Enrollment ID: I20090223000515 |
| Provider Name | Scott Richard Schaber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144474339 PECOS PAC ID: 9931262011 Enrollment ID: I20090317000313 |
| Provider Name | Steven P Septer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295711729 PECOS PAC ID: 2163469073 Enrollment ID: I20090507000071 |
| Provider Name | Jeffrey M Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023125796 PECOS PAC ID: 3779648886 Enrollment ID: I20090619000536 |
| Provider Name | Rami G El Abiad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003025032 PECOS PAC ID: 9032260450 Enrollment ID: I20090625000136 |
| Provider Name | Randy D Cornelius |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831353051 PECOS PAC ID: 3173674140 Enrollment ID: I20090702000340 |
| Provider Name | Brad J Mcclimon |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1346450012 PECOS PAC ID: 5597864892 Enrollment ID: I20090709000659 |
| Provider Name | Jennifer Mcclimon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962695031 PECOS PAC ID: 7012002520 Enrollment ID: I20090729000166 |
| Provider Name | Kenneth F Steffen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780891382 PECOS PAC ID: 7719030865 Enrollment ID: I20090806000533 |
| Provider Name | Ashley C Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851523203 PECOS PAC ID: 6002961547 Enrollment ID: I20090904000070 |
| Provider Name | Michael C Kuennen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396796603 PECOS PAC ID: 4486654373 Enrollment ID: I20090916000225 |
| Provider Name | Thomas M Ottavi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649220054 PECOS PAC ID: 1759285398 Enrollment ID: I20091130000092 |
| Provider Name | Mark K Janes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144271826 PECOS PAC ID: 8729099668 Enrollment ID: I20091214000499 |
| Provider Name | Chadwick J Nachtman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598717688 PECOS PAC ID: 9133285349 Enrollment ID: I20100105000769 |
| Provider Name | Kristen K Heimbuch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235200023 PECOS PAC ID: 7719028075 Enrollment ID: I20100108000209 |
| Provider Name | Thomas M Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801848486 PECOS PAC ID: 7214912401 Enrollment ID: I20100305000461 |
| Provider Name | John Thomas Dolehide |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811949712 PECOS PAC ID: 7719012038 Enrollment ID: I20100311000848 |
| Provider Name | Frederick S Isaak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639129281 PECOS PAC ID: 1850426685 Enrollment ID: I20100318000844 |
| Provider Name | Sean M Schulte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124071923 PECOS PAC ID: 2668507013 Enrollment ID: I20100324000289 |
| Provider Name | Stephen Frommelt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083665111 PECOS PAC ID: 1254467434 Enrollment ID: I20100326000418 |
| Provider Name | Martha E Gould |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992756902 PECOS PAC ID: 9739215518 Enrollment ID: I20100331000562 |
| Provider Name | Bruce A Obbink |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669424644 PECOS PAC ID: 9133204084 Enrollment ID: I20100508000042 |
| Provider Name | Christopher M. Stille |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457306615 PECOS PAC ID: 9032247846 Enrollment ID: I20100514000127 |
| Provider Name | Roger Arthur Ott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316991672 PECOS PAC ID: 9739089442 Enrollment ID: I20100514000594 |
| Provider Name | Rebecca A Watts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245217223 PECOS PAC ID: 6507995347 Enrollment ID: I20100603000632 |
| Provider Name | Sheila A Mueller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962462044 PECOS PAC ID: 8022147891 Enrollment ID: I20100603000933 |
| Provider Name | Stephanie K Klein |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952565251 PECOS PAC ID: 2668504390 Enrollment ID: I20100715000967 |
| Provider Name | Katy A Wethal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699732529 PECOS PAC ID: 1759373384 Enrollment ID: I20100802001008 |
| Provider Name | Amber J Steffen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629382510 PECOS PAC ID: 8224152533 Enrollment ID: I20100824000116 |
| Provider Name | Thomas Eldon Callahan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528262136 PECOS PAC ID: 2466576624 Enrollment ID: I20100825000827 |
| Provider Name | Matthew Arensdorff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255644621 PECOS PAC ID: 1557486784 Enrollment ID: I20100913000111 |
| Provider Name | Kim M. Ehlers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023068111 PECOS PAC ID: 3375579956 Enrollment ID: I20100921000133 |
| Provider Name | Julie T Ehlinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093765083 PECOS PAC ID: 3678577228 Enrollment ID: I20100924000802 |
| Provider Name | Nicole H. Keedy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669789616 PECOS PAC ID: 0244356954 Enrollment ID: I20100929001535 |
| Provider Name | Jeffrey L White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093761785 PECOS PAC ID: 0244284792 Enrollment ID: I20101012001177 |
| Provider Name | Michael J Rider |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376859454 PECOS PAC ID: 9537352745 Enrollment ID: I20101020001011 |
| Provider Name | Lisa A Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790739563 PECOS PAC ID: 9133301468 Enrollment ID: I20110308000826 |
| Provider Name | Jason Rosco E Keppler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770759953 PECOS PAC ID: 9537222930 Enrollment ID: I20110714000079 |
| Provider Name | Timothy J Daley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902000946 PECOS PAC ID: 7810173945 Enrollment ID: I20110919000102 |
| Provider Name | Christine A Mcgrath Wetjen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770749269 PECOS PAC ID: 2466624655 Enrollment ID: I20111012000408 |
| Provider Name | Jodi N Kilburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326357708 PECOS PAC ID: 6103092523 Enrollment ID: I20120105000536 |
| Provider Name | Lisa Anne Kramer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437322849 PECOS PAC ID: 7416103304 Enrollment ID: I20120808000752 |
| Provider Name | Umesh Chakunta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528252210 PECOS PAC ID: 1759538150 Enrollment ID: I20120820000764 |
| Provider Name | Amanda L Kass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750543559 PECOS PAC ID: 4587812789 Enrollment ID: I20120913000105 |
| Provider Name | James M Stecher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356547756 PECOS PAC ID: 9931358603 Enrollment ID: I20121012000731 |
| Provider Name | Amy Michelle Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831449529 PECOS PAC ID: 9133379738 Enrollment ID: I20121017000035 |
| Provider Name | Yakov S Zagalskiy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720308240 PECOS PAC ID: 5991955403 Enrollment ID: I20121018000332 |
| Provider Name | Shannon Elizabeth Davison-wiese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043568934 PECOS PAC ID: 5991955049 Enrollment ID: I20121025000441 |
| Provider Name | Tara L Holste |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295996593 PECOS PAC ID: 1355592189 Enrollment ID: I20121103000054 |
| Provider Name | Samantha Rose Vaassen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346528858 PECOS PAC ID: 2567619638 Enrollment ID: I20121112000670 |
| Provider Name | Sarah D Thibadeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689959934 PECOS PAC ID: 1759556012 Enrollment ID: I20121113000759 |
| Provider Name | Kari J Ernst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932464971 PECOS PAC ID: 0143473991 Enrollment ID: I20130104000081 |
| Provider Name | Lane Andrew Noble |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174752802 PECOS PAC ID: 5193964534 Enrollment ID: I20130617000214 |
| Provider Name | Eric S Engelman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699970558 PECOS PAC ID: 3678715802 Enrollment ID: I20130816000670 |
| Provider Name | Gary Lee Reschak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811218654 PECOS PAC ID: 5698918167 Enrollment ID: I20130830000811 |
| Provider Name | Amy S Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285076760 PECOS PAC ID: 9537303722 Enrollment ID: I20130909000550 |
| Provider Name | Amber N Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255681029 PECOS PAC ID: 0143472308 Enrollment ID: I20131021000159 |
| Provider Name | Ronald P Danis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922075076 PECOS PAC ID: 1850286931 Enrollment ID: I20140602000238 |
| Provider Name | Alethea A. Hein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316174931 PECOS PAC ID: 0648448498 Enrollment ID: I20140808002175 |
| Provider Name | Ashley S Skrocki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164838793 PECOS PAC ID: 4880811892 Enrollment ID: I20140815000701 |
| Provider Name | Beth Marie Ludovissy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548679236 PECOS PAC ID: 9436377181 Enrollment ID: I20140821002755 |
| Provider Name | Sara Fitz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366672784 PECOS PAC ID: 1658595962 Enrollment ID: I20140825001296 |
| Provider Name | Rami S Eltibi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932214194 PECOS PAC ID: 1355420506 Enrollment ID: I20140919001814 |
| Provider Name | Brooke Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225430077 PECOS PAC ID: 7517188071 Enrollment ID: I20141027000345 |
| Provider Name | Thersa Kauffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861746927 PECOS PAC ID: 3375761984 Enrollment ID: I20141210000417 |
| Provider Name | Sara Loetscher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124112503 PECOS PAC ID: 8123169950 Enrollment ID: I20150102001220 |
| Provider Name | Russell M Wolbers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255481875 PECOS PAC ID: 4385968569 Enrollment ID: I20150116000726 |
| Provider Name | Amer El Sayed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457745937 PECOS PAC ID: 2466771142 Enrollment ID: I20150430001024 |
| Provider Name | Shira S Black |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336467489 PECOS PAC ID: 1850611104 Enrollment ID: I20150528000176 |
| Provider Name | Jeffrey A Westpheling |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1538137690 PECOS PAC ID: 0244544658 Enrollment ID: I20150729009206 |
| Provider Name | Katherine Parker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396062170 PECOS PAC ID: 6507006459 Enrollment ID: I20150805006744 |
| Provider Name | Charles Parker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063738342 PECOS PAC ID: 3678713492 Enrollment ID: I20150806009742 |
| Provider Name | Donna M Lawlor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669405528 PECOS PAC ID: 0042402620 Enrollment ID: I20150817000957 |
| Provider Name | Tammi L Noonan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740657287 PECOS PAC ID: 8022326701 Enrollment ID: I20150929002869 |
| Provider Name | Brian A Silvia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124173034 PECOS PAC ID: 0547419277 Enrollment ID: I20151009001175 |
| Provider Name | Theresa M Hughes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437252335 PECOS PAC ID: 3971598301 Enrollment ID: I20160105002275 |
| Provider Name | Jill Marie Ballantine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073979555 PECOS PAC ID: 1456655687 Enrollment ID: I20160209002550 |
| Provider Name | Megan Kraciun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366809378 PECOS PAC ID: 3971808601 Enrollment ID: I20160218000150 |
| Provider Name | Kala N Ave-lallemant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235551656 PECOS PAC ID: 7012149016 Enrollment ID: I20160606002399 |
| Provider Name | Jacob A Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114281920 PECOS PAC ID: 9830337815 Enrollment ID: I20160706002395 |
| Provider Name | Matthew P Grade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093813750 PECOS PAC ID: 5395733182 Enrollment ID: I20161117001125 |
| Provider Name | Paige June Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588107221 PECOS PAC ID: 8729360789 Enrollment ID: I20170126002336 |
| Provider Name | Gene Crist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003866104 PECOS PAC ID: 3173654225 Enrollment ID: I20170131001711 |
| Provider Name | Dianna Bearse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770628612 PECOS PAC ID: 2961562418 Enrollment ID: I20170201000254 |
| Provider Name | Elizabeth Straub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598144628 PECOS PAC ID: 9537474036 Enrollment ID: I20170511000275 |
| Provider Name | Brittany Gosse-jesus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194279117 PECOS PAC ID: 3072891845 Enrollment ID: I20170616001141 |
| Provider Name | Karena A Sauser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487183281 PECOS PAC ID: 2466721469 Enrollment ID: I20170707000380 |
| Provider Name | Bridget Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902328057 PECOS PAC ID: 1951672161 Enrollment ID: I20170807002084 |
| Provider Name | Avraham D Levin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982096632 PECOS PAC ID: 6103197017 Enrollment ID: I20170810000606 |
| Provider Name | John Callahan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851704480 PECOS PAC ID: 2062638950 Enrollment ID: I20170811000797 |
| Provider Name | Joseph H Burds |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174900286 PECOS PAC ID: 6608148135 Enrollment ID: I20170818000560 |
| Provider Name | Martha Levy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487171526 PECOS PAC ID: 8921372012 Enrollment ID: I20170928002143 |
| Provider Name | Teresa M Donart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871558924 PECOS PAC ID: 3072605559 Enrollment ID: I20170929000507 |
| Provider Name | Amy Marie Winsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467867598 PECOS PAC ID: 0941426894 Enrollment ID: I20171229001600 |
| Provider Name | Shelby Kronlage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942609482 PECOS PAC ID: 1456663731 Enrollment ID: I20180123003086 |
| Provider Name | Sergiy Georgiyev |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821324831 PECOS PAC ID: 2163670241 Enrollment ID: I20180720001227 |
| Provider Name | Lee Berman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508271867 PECOS PAC ID: 7416205091 Enrollment ID: I20180731000329 |
| Provider Name | Michael S Peroski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689092454 PECOS PAC ID: 2062710288 Enrollment ID: I20180731000504 |
| Provider Name | Christopher David Healey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922444637 PECOS PAC ID: 9537307913 Enrollment ID: I20180815003737 |
| Provider Name | Mohammed O Peracha |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982606950 PECOS PAC ID: 1850351123 Enrollment ID: I20180823003239 |
| Provider Name | Saeed Abedin Ally |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609845460 PECOS PAC ID: 2466432968 Enrollment ID: I20180912000709 |
| Provider Name | Garrett Filas Mortensen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518233428 PECOS PAC ID: 9032469036 Enrollment ID: I20180913000288 |
| Provider Name | William C Scott |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487674784 PECOS PAC ID: 2466450879 Enrollment ID: I20190108002806 |
| Provider Name | Jennifer Elizabeth Marks |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033163647 PECOS PAC ID: 9133132467 Enrollment ID: I20190108002872 |
| Provider Name | Kelli M Lecher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255746525 PECOS PAC ID: 7911124540 Enrollment ID: I20190227002512 |
| Provider Name | Shivon N Abdullah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538394150 PECOS PAC ID: 2668793118 Enrollment ID: I20190507000104 |
| Provider Name | Jessica Ann Tartaglione |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801366067 PECOS PAC ID: 7719220714 Enrollment ID: I20190514002945 |
| Provider Name | Jacob Hiatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053773234 PECOS PAC ID: 3870886450 Enrollment ID: I20190611000903 |
| Provider Name | Jeffrey D Fogle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831545987 PECOS PAC ID: 4486945540 Enrollment ID: I20190709000707 |
| Provider Name | Emaad Basith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689025108 PECOS PAC ID: 7618269341 Enrollment ID: I20190723003068 |
| Provider Name | Alberto Rodriguez Hernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093178824 PECOS PAC ID: 9830485457 Enrollment ID: I20190726001317 |
| Provider Name | Kyle W Korth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194144600 PECOS PAC ID: 6507080504 Enrollment ID: I20190905002159 |
| Provider Name | Sara Elizabeth Croghan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457905424 PECOS PAC ID: 8628307352 Enrollment ID: I20190905002868 |
| Provider Name | Raymond Roewe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114346921 PECOS PAC ID: 0244569465 Enrollment ID: I20190912001116 |
| Provider Name | Tyrone Galbreath |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1356636245 PECOS PAC ID: 7416178199 Enrollment ID: I20190916000545 |
| Provider Name | Naomi M Hasselblad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205280468 PECOS PAC ID: 7517256100 Enrollment ID: I20190916003237 |
| Provider Name | Shiv Bhandari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417246877 PECOS PAC ID: 6103048954 Enrollment ID: I20191011002100 |
| Provider Name | Cheryl Morgan-ihrig |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235108036 PECOS PAC ID: 4688641756 Enrollment ID: I20200127001410 |
| Provider Name | Tyler J Willman Sr |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912393687 PECOS PAC ID: 4688987126 Enrollment ID: I20200617002703 |
| Provider Name | Alec Frederick Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265881791 PECOS PAC ID: 0749602514 Enrollment ID: I20200624001066 |
| Provider Name | Matthew K Kraciun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104356997 PECOS PAC ID: 8628340262 Enrollment ID: I20200709001696 |
| Provider Name | Alan Sutton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184150476 PECOS PAC ID: 3678828860 Enrollment ID: I20200720000875 |
| Provider Name | Sara S Vandegrift |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457979197 PECOS PAC ID: 1254757180 Enrollment ID: I20200821001749 |
| Provider Name | Kristen C Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558890202 PECOS PAC ID: 6608146584 Enrollment ID: I20200827002101 |
| Provider Name | Meghan Wendland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689109969 PECOS PAC ID: 8628349644 Enrollment ID: I20200901002481 |
| Provider Name | Emily Claire Kuhl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104451673 PECOS PAC ID: 4284054305 Enrollment ID: I20201012001098 |
| Provider Name | Stephanie Cluskey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326529025 PECOS PAC ID: 8325459860 Enrollment ID: I20201204001120 |
| Provider Name | Miranda Ashley Kieler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821521881 PECOS PAC ID: 7517370414 Enrollment ID: I20210114001271 |
| Provider Name | Adam James Susmarski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770896318 PECOS PAC ID: 2567723596 Enrollment ID: I20210428000973 |
| Provider Name | Karyn Andrea Kuennen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760067557 PECOS PAC ID: 0042629271 Enrollment ID: I20210429001241 |
| Provider Name | Christopher Omerza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063862712 PECOS PAC ID: 0345532388 Enrollment ID: I20210715003290 |
| Provider Name | Jenna Marie Hefel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770153058 PECOS PAC ID: 0345643284 Enrollment ID: I20210729001200 |
| Provider Name | Morgan Leigh Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952890196 PECOS PAC ID: 7517395049 Enrollment ID: I20210820000970 |
| Provider Name | Rahul Gobind Samtani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336535111 PECOS PAC ID: 8729385018 Enrollment ID: I20210824001615 |
| Provider Name | Christina Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306419510 PECOS PAC ID: 4486050655 Enrollment ID: I20210914001087 |
| Provider Name | Elias K Melly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811546559 PECOS PAC ID: 4880926997 Enrollment ID: I20210928001332 |
| Provider Name | Brian E Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356313985 PECOS PAC ID: 2466554167 Enrollment ID: I20220107002332 |
| Provider Name | Whitney A Weis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528467859 PECOS PAC ID: 8022404789 Enrollment ID: I20220405002103 |
| Provider Name | William R Canovan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811174626 PECOS PAC ID: 7911394663 Enrollment ID: I20220428001616 |
| Provider Name | Rashad Sirafi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396249694 PECOS PAC ID: 8022443571 Enrollment ID: I20220608002428 |
| Provider Name | Brian L Loc |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033599691 PECOS PAC ID: 0345554069 Enrollment ID: I20220727000210 |
| Provider Name | Cory R Baum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821664582 PECOS PAC ID: 8729460258 Enrollment ID: I20220801001242 |
| Provider Name | Christian Louis Menezes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992362396 PECOS PAC ID: 5496088056 Enrollment ID: I20220811000199 |
| Provider Name | Heather-lynn Menezes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336707991 PECOS PAC ID: 1052646668 Enrollment ID: I20220824003602 |
| Provider Name | Katelyn Marie Roussel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396472031 PECOS PAC ID: 6608251699 Enrollment ID: I20220912001406 |
| Provider Name | Stephanie Elise Finch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295394187 PECOS PAC ID: 1254667033 Enrollment ID: I20220916001470 |
| Provider Name | Emily C Haverland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790406510 PECOS PAC ID: 3476938911 Enrollment ID: I20220919003126 |
| Provider Name | Anshul Agarwala |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1679954812 PECOS PAC ID: 0042518086 Enrollment ID: I20221003001409 |
| Provider Name | Thomas Pierce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053381160 PECOS PAC ID: 6406800028 Enrollment ID: I20221012002581 |
| Provider Name | Nkechinyere Emejuaiwe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1952449894 PECOS PAC ID: 4981741667 Enrollment ID: I20221102002951 |
| Provider Name | Soniya Hanif |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548510324 PECOS PAC ID: 6204106495 Enrollment ID: I20221221003070 |
| Provider Name | Aaron Thomas Scott Whitney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003865569 PECOS PAC ID: 8022111681 Enrollment ID: I20230201000763 |
| Provider Name | Bojana Jovanovic |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962781807 PECOS PAC ID: 7911289673 Enrollment ID: I20230311000333 |
| Provider Name | Kimberly Idoko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003080896 PECOS PAC ID: 2769605344 Enrollment ID: I20230403002753 |
| Provider Name | Maria Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588721419 PECOS PAC ID: 2860411337 Enrollment ID: I20230420000937 |
| Provider Name | Susan M Trocciola |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831365345 PECOS PAC ID: 2769631183 Enrollment ID: I20230510000397 |
| Provider Name | Sarbjot S Dulai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013992593 PECOS PAC ID: 2769464619 Enrollment ID: I20230601001483 |
| Provider Name | James David Hall |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1972693018 PECOS PAC ID: 8527961648 Enrollment ID: I20230626000516 |
| Provider Name | Peter Mikhail |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518030535 PECOS PAC ID: 7810082096 Enrollment ID: I20230721001358 |
| Provider Name | Mitchell L Edwards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063036804 PECOS PAC ID: 8628491834 Enrollment ID: I20230822001047 |
| Provider Name | Sinan Simsir |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528142445 PECOS PAC ID: 5698728889 Enrollment ID: I20230828002524 |
| Provider Name | Melissa Dodds |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023512191 PECOS PAC ID: 7012337736 Enrollment ID: I20230829004173 |
| Provider Name | Juan J Arjona |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417312026 PECOS PAC ID: 7618325440 Enrollment ID: I20231204003240 |
| Provider Name | Haley Elizabeth Hoffmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255113361 PECOS PAC ID: 1254781941 Enrollment ID: I20231220003966 |
| Provider Name | Rosa Nieto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376191338 PECOS PAC ID: 2769868009 Enrollment ID: I20231220004054 |
| Provider Name | Saad George Ajja |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982709911 PECOS PAC ID: 0648329557 Enrollment ID: I20231228002366 |
| Provider Name | Jennifer N Milczarski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104234129 PECOS PAC ID: 5395962385 Enrollment ID: I20240117004295 |
| Provider Name | Bryony Mccollaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649468737 PECOS PAC ID: 9638209612 Enrollment ID: I20240213003114 |
Unitypoint Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 350 N Grandview Ave, Dubuque, IA 52001 Phone: 563-589-2612 Fax: 563-589-2648 | |
Balance Integrative Health & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4855 Asbury Rd, Ste #7, Dubuque, IA 52002 Phone: 563-284-2422 | |
Burger Chiropractic L.l.c Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 989 Langworthy St Ste 202, Dubuque, IA 52001 Phone: 563-582-1188 Fax: 563-582-1181 | |
Wellspring Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1550 University Ave, Dubuque, IA 52001 Phone: 563-900-8300 | |
Epic Health And Wellness Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1075 Cedar Cross Rd Ste 1, Dubuque, IA 52003 Phone: 563-582-1000 Fax: 563-582-1113 | |
Dr. Gene Noonan Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1641 Asbury Rd, Dubuque, IA 52001 Phone: 563-556-8464 Fax: 563-556-0879 | |
Hillcrest Family Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 W 7th St, Dubuque, IA 52001 Phone: 563-583-6431 Fax: 563-557-4447 |