| Milford Family Care | |
|
2004 Okoboji Ave Milford IA 51351-1271 | |
| (712) 338-2461 | |
| (712) 262-2310 |
| Full Name | Milford Family Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 2004 Okoboji Ave, Milford, Iowa |
| Authorized Official Name and Position | Brenda Tiefenthaler (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7122646111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milford Family Care 1200 1st Ave E Spencer IA 51301-4330 Ph: (712) 264-6111 | Milford Family Care 2004 Okoboji Ave Milford IA 51351-1271 Ph: (712) 338-2461 |
| NPI Number | 1396732186 |
|---|---|
| Provider Enumeration Date | 10/05/2005 |
| Last Update Date | 10/10/2023 |
| Medicare PECOS PAC ID | 4183533060 |
|---|---|
| Medicare Enrollment ID | O20040128000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396732186 | NPI | - | NPPES |
| 0270744 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 37H (Iowa) | Primary |
| Provider Name | Andrea Beth Jolley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154301463 PECOS PAC ID: 2668377656 Enrollment ID: I20031203000418 |
| Provider Name | Paul Henry Novak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992795496 PECOS PAC ID: 7214824556 Enrollment ID: I20040302000648 |
| Provider Name | William I Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356459903 PECOS PAC ID: 6800783044 Enrollment ID: I20040302000687 |
| Provider Name | Darrel Richard Forslund |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396783726 PECOS PAC ID: 4385531573 Enrollment ID: I20040302001039 |
| Provider Name | Jitendrakumar S Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285710764 PECOS PAC ID: 0749275790 Enrollment ID: I20040419000633 |
| Provider Name | Edward J Zajac |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265406060 PECOS PAC ID: 5991794380 Enrollment ID: I20040511000265 |
| Provider Name | Jon A Peacock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275507071 PECOS PAC ID: 6002704848 Enrollment ID: I20040511000459 |
| Provider Name | Deborah A Majerus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790759512 PECOS PAC ID: 4688663909 Enrollment ID: I20040511000570 |
| Provider Name | Daniel J Mcguire |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821090234 PECOS PAC ID: 7012908031 Enrollment ID: I20040520000104 |
| Provider Name | Mark Gregory Desautel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255338174 PECOS PAC ID: 4789596909 Enrollment ID: I20040608000652 |
| Provider Name | Daniel Rene Jimenez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528029352 PECOS PAC ID: 4789659699 Enrollment ID: I20040901001214 |
| Provider Name | James A Gamache |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619949872 PECOS PAC ID: 0547229072 Enrollment ID: I20041008000766 |
| Provider Name | Daniel L Jorgensen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588634794 PECOS PAC ID: 3173580594 Enrollment ID: I20041216000551 |
| Provider Name | Paul Olson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770538019 PECOS PAC ID: 4082668959 Enrollment ID: I20050303000931 |
| Provider Name | Riyad Mohama |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1194778738 PECOS PAC ID: 4284673104 Enrollment ID: I20050429000758 |
| Provider Name | Rick D Colwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396710497 PECOS PAC ID: 9537103023 Enrollment ID: I20050615000682 |
| Provider Name | Robert W Leach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770575391 PECOS PAC ID: 7012801301 Enrollment ID: I20050812000935 |
| Provider Name | Jamie C Westerman-billings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235229816 PECOS PAC ID: 0143245985 Enrollment ID: I20051011000148 |
| Provider Name | David A Nagelhout |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598718132 PECOS PAC ID: 2264452689 Enrollment ID: I20051130000766 |
| Provider Name | Joy L Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093763567 PECOS PAC ID: 7810940483 Enrollment ID: I20060607000161 |
| Provider Name | William R Wanner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154395937 PECOS PAC ID: 8123031598 Enrollment ID: I20060801000427 |
| Provider Name | Sherry D Dekeyser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518913540 PECOS PAC ID: 1658384912 Enrollment ID: I20060803000298 |
| Provider Name | Jason C Hough |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831155126 PECOS PAC ID: 4082617915 Enrollment ID: I20060816000055 |
| Provider Name | Anthony J Montegut |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306830013 PECOS PAC ID: 7618972076 Enrollment ID: I20061006000127 |
| Provider Name | John Adrian Leupold |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548290182 PECOS PAC ID: 2466480348 Enrollment ID: I20061011000801 |
| Provider Name | Scott D Miller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356384754 PECOS PAC ID: 0345248027 Enrollment ID: I20061113000008 |
| Provider Name | Steven G Lapke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710928817 PECOS PAC ID: 5799727889 Enrollment ID: I20061212000693 |
| Provider Name | Jeremy J Vande Zande |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679589303 PECOS PAC ID: 4082613393 Enrollment ID: I20061214000518 |
| Provider Name | Sean Clinton Halligan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174504658 PECOS PAC ID: 4486661410 Enrollment ID: I20070521000023 |
| Provider Name | Clark L Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710911417 PECOS PAC ID: 0749173151 Enrollment ID: I20070521000078 |
| Provider Name | Raymond Herbert Allen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396733705 PECOS PAC ID: 8729095856 Enrollment ID: I20070807000737 |
| Provider Name | Nathaniel A Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649250390 PECOS PAC ID: 4183718786 Enrollment ID: I20070913000089 |
| Provider Name | Jeffrey S Sykes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649244682 PECOS PAC ID: 6406940998 Enrollment ID: I20070914000037 |
| Provider Name | James R Stone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760572713 PECOS PAC ID: 3375529852 Enrollment ID: I20071018000408 |
| Provider Name | Amanda E Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366553893 PECOS PAC ID: 3577659721 Enrollment ID: I20071018000592 |
| Provider Name | Kurt Andre Rosenkrans |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790760262 PECOS PAC ID: 9638267941 Enrollment ID: I20071121000049 |
| Provider Name | Beta J Hamon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376553040 PECOS PAC ID: 8224026349 Enrollment ID: I20071219000004 |
| Provider Name | Johnathan L Colling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598788416 PECOS PAC ID: 6507962016 Enrollment ID: I20080222000605 |
| Provider Name | Victoria J Siemers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124016076 PECOS PAC ID: 2961580097 Enrollment ID: I20080415000479 |
| Provider Name | Tarek H Mahrous |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225046436 PECOS PAC ID: 1557397486 Enrollment ID: I20080602000683 |
| Provider Name | Thong Pham |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1538188057 PECOS PAC ID: 4789596107 Enrollment ID: I20080729000311 |
| Provider Name | Craig Edward Cantrall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881891794 PECOS PAC ID: 0941360606 Enrollment ID: I20081125000574 |
| Provider Name | Craig G Simons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073568846 PECOS PAC ID: 4082506050 Enrollment ID: I20090312000395 |
| Provider Name | Robert Lester Whitmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346358991 PECOS PAC ID: 1254436413 Enrollment ID: I20090313000447 |
| Provider Name | Amy Kathryn Krie |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083648075 PECOS PAC ID: 3779539705 Enrollment ID: I20090416000018 |
| Provider Name | Lindsey J Keonin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700020203 PECOS PAC ID: 3173673662 Enrollment ID: I20090603000447 |
| Provider Name | Scott Daniel Murray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457435760 PECOS PAC ID: 4183751126 Enrollment ID: I20100422000455 |
| Provider Name | Bruce A Feldmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801876685 PECOS PAC ID: 7517095201 Enrollment ID: I20100518000238 |
| Provider Name | David P Robison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144290313 PECOS PAC ID: 7012046733 Enrollment ID: I20100518000689 |
| Provider Name | Brian J Dvorak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942280193 PECOS PAC ID: 2365571080 Enrollment ID: I20100518000710 |
| Provider Name | Sonia A Sather |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285614883 PECOS PAC ID: 0941339667 Enrollment ID: I20100518000774 |
| Provider Name | Joseph E Hart |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649224411 PECOS PAC ID: 8729131552 Enrollment ID: I20100519000450 |
| Provider Name | John E Hilsabeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174503957 PECOS PAC ID: 9234268467 Enrollment ID: I20100527000084 |
| Provider Name | Sherry L Kolacia Tighe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972583573 PECOS PAC ID: 1759410988 Enrollment ID: I20100527000121 |
| Provider Name | Steven F Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700847365 PECOS PAC ID: 1153451380 Enrollment ID: I20100614000607 |
| Provider Name | Susan T Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447230081 PECOS PAC ID: 5193855351 Enrollment ID: I20100615000019 |
| Provider Name | Ronald J Creswell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255311833 PECOS PAC ID: 1456482207 Enrollment ID: I20100623000632 |
| Provider Name | Kenneth R Hunziker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700866589 PECOS PAC ID: 2567593221 Enrollment ID: I20100624000965 |
| Provider Name | Michael David Hibbard |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629026422 PECOS PAC ID: 0244247377 Enrollment ID: I20100817000075 |
| Provider Name | Timothy D Blankers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902869803 PECOS PAC ID: 2264572064 Enrollment ID: I20100817000696 |
| Provider Name | Bruce Watt |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922052075 PECOS PAC ID: 4082621115 Enrollment ID: I20100818000504 |
| Provider Name | Christopher J Paa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265486138 PECOS PAC ID: 5294894556 Enrollment ID: I20100901000867 |
| Provider Name | Paul Lynn Carpenter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598723603 PECOS PAC ID: 5698782720 Enrollment ID: I20100902000975 |
| Provider Name | Eric Timothy Hogan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144343435 PECOS PAC ID: 5193894301 Enrollment ID: I20101022000760 |
| Provider Name | Steven R Gorsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972579548 PECOS PAC ID: 9032304738 Enrollment ID: I20101108000854 |
| Provider Name | Sarah E Goodchild |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114233905 PECOS PAC ID: 0244425700 Enrollment ID: I20101109001525 |
| Provider Name | Hillel Peltz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881622074 PECOS PAC ID: 6103876099 Enrollment ID: I20101208000672 |
| Provider Name | Kent S Herbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629044169 PECOS PAC ID: 6709881766 Enrollment ID: I20110315000268 |
| Provider Name | Melissa A Horkey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558662924 PECOS PAC ID: 5597948521 Enrollment ID: I20110329000071 |
| Provider Name | Brian Patrick Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871572404 PECOS PAC ID: 8325221195 Enrollment ID: I20110524000435 |
| Provider Name | Joshua J Espelund |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225158819 PECOS PAC ID: 8123206414 Enrollment ID: I20110711000613 |
| Provider Name | Jeremy Wade Scott |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629045828 PECOS PAC ID: 1951327907 Enrollment ID: I20110912000119 |
| Provider Name | Farzad Jamshidian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841439239 PECOS PAC ID: 9931370061 Enrollment ID: I20110922000166 |
| Provider Name | Andrew O Obamwonyi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184607384 PECOS PAC ID: 5799748042 Enrollment ID: I20120227000103 |
| Provider Name | Ojiaku B Ikezuagu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174672026 PECOS PAC ID: 4587811781 Enrollment ID: I20120823000086 |
| Provider Name | Matthew D Bogard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225356470 PECOS PAC ID: 8921273418 Enrollment ID: I20121005000649 |
| Provider Name | Laura A Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699019323 PECOS PAC ID: 9335392372 Enrollment ID: I20121227000044 |
| Provider Name | Herbert A Hartman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699980565 PECOS PAC ID: 7911151402 Enrollment ID: I20130211000076 |
| Provider Name | Glenn Preston |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194796243 PECOS PAC ID: 9032121611 Enrollment ID: I20130305000038 |
| Provider Name | Marshall K Hinds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780792911 PECOS PAC ID: 9335164862 Enrollment ID: I20130715000083 |
| Provider Name | David S Keith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669793808 PECOS PAC ID: 4082863592 Enrollment ID: I20130805000146 |
| Provider Name | Christopher James Rierson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912173741 PECOS PAC ID: 0244473585 Enrollment ID: I20130905000406 |
| Provider Name | Anmol Kharbanda |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265608343 PECOS PAC ID: 3678716834 Enrollment ID: I20130909000082 |
| Provider Name | Travis J Witt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124344833 PECOS PAC ID: 0446413124 Enrollment ID: I20131029001982 |
| Provider Name | Jessica Lynn Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043526403 PECOS PAC ID: 3870789472 Enrollment ID: I20131102000200 |
| Provider Name | Jonathan H Engbers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114243078 PECOS PAC ID: 6406081058 Enrollment ID: I20131107000014 |
| Provider Name | Milton German Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033160163 PECOS PAC ID: 7810994019 Enrollment ID: I20140122001236 |
| Provider Name | Lisa J Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871929471 PECOS PAC ID: 4486882297 Enrollment ID: I20140123001929 |
| Provider Name | Gordon D Kaplan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588606735 PECOS PAC ID: 7911948757 Enrollment ID: I20140205001107 |
| Provider Name | Emad F Beshai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528069598 PECOS PAC ID: 3072614833 Enrollment ID: I20140328001211 |
| Provider Name | Steven Murrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457540445 PECOS PAC ID: 0042344475 Enrollment ID: I20140408001313 |
| Provider Name | Michael Marks |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184711228 PECOS PAC ID: 7810952314 Enrollment ID: I20140509002037 |
| Provider Name | James Wickerath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780610915 PECOS PAC ID: 5991928962 Enrollment ID: I20140520000454 |
| Provider Name | Hilary L Kerrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386938926 PECOS PAC ID: 8123258357 Enrollment ID: I20140722001454 |
| Provider Name | Venketraman Sahasranaman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710142039 PECOS PAC ID: 3779709761 Enrollment ID: I20140728002675 |
| Provider Name | Luke K Espelund |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558599936 PECOS PAC ID: 1254581382 Enrollment ID: I20140806002401 |
| Provider Name | Julie L Dolphin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447668371 PECOS PAC ID: 2769601137 Enrollment ID: I20140917000618 |
| Provider Name | Owais Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184911695 PECOS PAC ID: 7810136769 Enrollment ID: I20140926001023 |
| Provider Name | Michael L Hogan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033134432 PECOS PAC ID: 8921910332 Enrollment ID: I20141002001963 |
| Provider Name | Orietta Girard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396000337 PECOS PAC ID: 0143456277 Enrollment ID: I20141008001399 |
| Provider Name | Aruntha R Swampillai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518228683 PECOS PAC ID: 3375797350 Enrollment ID: I20141117000386 |
| Provider Name | Roque B Arteaga |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164545505 PECOS PAC ID: 9234200569 Enrollment ID: I20150204002272 |
| Provider Name | Jodee B Meddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699934240 PECOS PAC ID: 6406024926 Enrollment ID: I20150225001591 |
| Provider Name | Jonathon C Adams |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1578683249 PECOS PAC ID: 2961594296 Enrollment ID: I20150227000876 |
| Provider Name | Zia A Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457396921 PECOS PAC ID: 2062453400 Enrollment ID: I20150317000115 |
| Provider Name | Amanda J Rausch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073912200 PECOS PAC ID: 4688991284 Enrollment ID: I20150319000689 |
| Provider Name | Obinna E Nwadibia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790940658 PECOS PAC ID: 0547431470 Enrollment ID: I20150406000768 |
| Provider Name | Seth William Harrer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194036525 PECOS PAC ID: 8820245715 Enrollment ID: I20150708001232 |
| Provider Name | Prerak Navinchandra Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992060230 PECOS PAC ID: 8123254422 Enrollment ID: I20150709002551 |
| Provider Name | Tu Anh Thi Luong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528320991 PECOS PAC ID: 2567603830 Enrollment ID: I20150813010406 |
| Provider Name | Daniel V Irwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033524681 PECOS PAC ID: 9830315233 Enrollment ID: I20151028002181 |
| Provider Name | Richard Alan Kinder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972616886 PECOS PAC ID: 9032216189 Enrollment ID: I20151123002036 |
| Provider Name | Navin Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457344673 PECOS PAC ID: 8729028089 Enrollment ID: I20151202001071 |
| Provider Name | Jason R Gold |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730509340 PECOS PAC ID: 9133420169 Enrollment ID: I20151217000186 |
| Provider Name | Paul Trites |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447348040 PECOS PAC ID: 9931173143 Enrollment ID: I20151231000823 |
| Provider Name | Robert W Harms |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942210687 PECOS PAC ID: 1557541448 Enrollment ID: I20151231001911 |
| Provider Name | Sarah E Walker Loring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699130807 PECOS PAC ID: 5294030805 Enrollment ID: I20160219000082 |
| Provider Name | Anand Mahesh Joshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801187794 PECOS PAC ID: 3072743806 Enrollment ID: I20160307000114 |
| Provider Name | Andrew G Pick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306144464 PECOS PAC ID: 6204125941 Enrollment ID: I20160518002647 |
| Provider Name | Ryan Luong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225320583 PECOS PAC ID: 0941449771 Enrollment ID: I20160525002335 |
| Provider Name | Anupam S Boparai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225390420 PECOS PAC ID: 7911229596 Enrollment ID: I20160615001072 |
| Provider Name | Kathi K Heckert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003046939 PECOS PAC ID: 6305991803 Enrollment ID: I20160713001537 |
| Provider Name | Ashley E Betz Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841744166 PECOS PAC ID: 3476848219 Enrollment ID: I20160818001331 |
| Provider Name | Ameen Taleb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104230218 PECOS PAC ID: 6305065921 Enrollment ID: I20161004000611 |
| Provider Name | John A Lothrop |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780024489 PECOS PAC ID: 1759512254 Enrollment ID: I20161108000937 |
| Provider Name | Mahmoud A Sharaf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356677447 PECOS PAC ID: 1254479371 Enrollment ID: I20170224001241 |
| Provider Name | Christopher M Stanton |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1457323081 PECOS PAC ID: 0749246809 Enrollment ID: I20170410000790 |
| Provider Name | Robert W King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760495477 PECOS PAC ID: 2961399712 Enrollment ID: I20170612000724 |
| Provider Name | Nathan J Rohling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043475866 PECOS PAC ID: 7719264027 Enrollment ID: I20170725000899 |
| Provider Name | Laura A Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548782964 PECOS PAC ID: 7911278189 Enrollment ID: I20170807000621 |
| Provider Name | Jonathan C Hood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467471003 PECOS PAC ID: 5193734614 Enrollment ID: I20171012002480 |
| Provider Name | Shannon N Hoos-thompson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720201502 PECOS PAC ID: 6002916566 Enrollment ID: I20171204001070 |
| Provider Name | John C Jackson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992065445 PECOS PAC ID: 6800179821 Enrollment ID: I20180817001677 |
| Provider Name | William J Bensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750768339 PECOS PAC ID: 9739483041 Enrollment ID: I20181113002197 |
| Provider Name | Susan Renee Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265883466 PECOS PAC ID: 2567759400 Enrollment ID: I20181121001883 |
| Provider Name | Angus Y Ng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053355198 PECOS PAC ID: 7416996582 Enrollment ID: I20190118002040 |
| Provider Name | Michael A Heniser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457382251 PECOS PAC ID: 6002845815 Enrollment ID: I20190212002460 |
| Provider Name | Rachel F Hoffman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689913865 PECOS PAC ID: 7416295498 Enrollment ID: I20190218001279 |
| Provider Name | Sergio Plucker-billups |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275060865 PECOS PAC ID: 6608148044 Enrollment ID: I20190326001782 |
| Provider Name | David Thomas Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437715646 PECOS PAC ID: 9739413352 Enrollment ID: I20190701002051 |
| Provider Name | Jesse R Wolfe |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467802595 PECOS PAC ID: 6901135300 Enrollment ID: I20190910003657 |
| Provider Name | Thomas M Waterbury |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225392160 PECOS PAC ID: 2062658909 Enrollment ID: I20191031001262 |
| Provider Name | Morgan E Spielman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548810625 PECOS PAC ID: 1759713118 Enrollment ID: I20191123000056 |
| Provider Name | Samantha Joy Sheffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982259214 PECOS PAC ID: 9830522671 Enrollment ID: I20191209001251 |
| Provider Name | Mohammed Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154674786 PECOS PAC ID: 6406150838 Enrollment ID: I20200114003404 |
| Provider Name | Sherrie Marie Brooks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720060858 PECOS PAC ID: 1355247362 Enrollment ID: I20200304001906 |
| Provider Name | Amy C Jochims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013328483 PECOS PAC ID: 8820218985 Enrollment ID: I20200422002466 |
| Provider Name | Kayla A Vanderhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922642552 PECOS PAC ID: 4284064684 Enrollment ID: I20200427002453 |
| Provider Name | Yelena O Coffield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437681152 PECOS PAC ID: 0749519759 Enrollment ID: I20200807000290 |
| Provider Name | Albert Ndzengue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851692420 PECOS PAC ID: 2668607227 Enrollment ID: I20200811000732 |
| Provider Name | John Francis Wagener |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972879161 PECOS PAC ID: 5496003949 Enrollment ID: I20200812002287 |
| Provider Name | Brianne R Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164049680 PECOS PAC ID: 6305263229 Enrollment ID: I20200824002392 |
| Provider Name | Robert Matthew Baltes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316561970 PECOS PAC ID: 3577980960 Enrollment ID: I20200831002214 |
| Provider Name | Manish Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548557275 PECOS PAC ID: 2062662588 Enrollment ID: I20201104001099 |
| Provider Name | Collin W Vaughn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104933068 PECOS PAC ID: 4183760770 Enrollment ID: I20210303002113 |
| Provider Name | Sara A Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003401720 PECOS PAC ID: 9537576079 Enrollment ID: I20210329001053 |
| Provider Name | Robert Wise |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093861890 PECOS PAC ID: 1951372960 Enrollment ID: I20210331000571 |
| Provider Name | Mark T Hepworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487232302 PECOS PAC ID: 2567870710 Enrollment ID: I20210428000627 |
| Provider Name | Jolyn M Threlkeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588257695 PECOS PAC ID: 7810396355 Enrollment ID: I20210603000182 |
| Provider Name | Michael J Dirkx |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427408582 PECOS PAC ID: 1759674443 Enrollment ID: I20210609002749 |
| Provider Name | John J Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740209154 PECOS PAC ID: 1850343542 Enrollment ID: I20210730001556 |
| Provider Name | Meghan E Ludwig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952074908 PECOS PAC ID: 3779987417 Enrollment ID: I20210803002206 |
| Provider Name | Drew Garret Messerschmidt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467848655 PECOS PAC ID: 0749560118 Enrollment ID: I20210824000627 |
| Provider Name | Bethany Scholten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013559202 PECOS PAC ID: 4486050622 Enrollment ID: I20210914000168 |
| Provider Name | Raymond W Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194727685 PECOS PAC ID: 4486559986 Enrollment ID: I20211028000313 |
| Provider Name | Alicia Heuton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881261402 PECOS PAC ID: 2466842000 Enrollment ID: I20211214000997 |
| Provider Name | Garry J Brown |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043366925 PECOS PAC ID: 0446202725 Enrollment ID: I20220112000266 |
| Provider Name | Raza A Kazmi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548764962 PECOS PAC ID: 5890198485 Enrollment ID: I20220504000322 |
| Provider Name | Jeffrey Long |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629177936 PECOS PAC ID: 9335146398 Enrollment ID: I20220722000554 |
| Provider Name | Anthony M Kollasch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235863515 PECOS PAC ID: 6608257613 Enrollment ID: I20220722000631 |
| Provider Name | Dung B Nguyen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891736625 PECOS PAC ID: 3375537590 Enrollment ID: I20220806000463 |
| Provider Name | Stephanie Newkirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427783828 PECOS PAC ID: 6204207194 Enrollment ID: I20230201002182 |
| Provider Name | Marion T Chirayath |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760438139 PECOS PAC ID: 4587652375 Enrollment ID: I20230517001746 |
| Provider Name | Amber K Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144755786 PECOS PAC ID: 0941667257 Enrollment ID: I20230601000584 |
| Provider Name | Carole Spickerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225293673 PECOS PAC ID: 7214004241 Enrollment ID: I20230605002125 |
| Provider Name | Peter Rubin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912950411 PECOS PAC ID: 4688659980 Enrollment ID: I20230613001629 |
| Provider Name | Morgan J Mills |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265138382 PECOS PAC ID: 4688032147 Enrollment ID: I20230615002449 |
| Provider Name | Mohamed H Elbasha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982732483 PECOS PAC ID: 4789776162 Enrollment ID: I20230615002487 |
| Provider Name | Lucas S Van Oeveren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740487172 PECOS PAC ID: 8022132778 Enrollment ID: I20230905000491 |
| Provider Name | Luis J Cuervo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306004270 PECOS PAC ID: 7416090196 Enrollment ID: I20230928000659 |
| Provider Name | Laurie R Lahr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366049116 PECOS PAC ID: 3375956675 Enrollment ID: I20231016003356 |
| Provider Name | Courtney B Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316722366 PECOS PAC ID: 1850746405 Enrollment ID: I20231017002048 |
| Provider Name | Diego Armando Marquez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730716838 PECOS PAC ID: 7810303716 Enrollment ID: I20231130000405 |
| Provider Name | Gabriel V Skiba |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184286510 PECOS PAC ID: 4183012032 Enrollment ID: I20231207000574 |
| Provider Name | Emily C Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902689763 PECOS PAC ID: 2961848866 Enrollment ID: I20240314000557 |
Ingwersen Family Chiropractic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2207 Okoboji Ave, Suite F, Milford, IA 51351 Phone: 712-338-2225 Fax: 712-338-2578 |