| Newton Clinic Pc | |
|
300 N 4th Ave E Suite 200 Newton IA 50208-3155 | |
| (641) 792-2112 | |
| (641) 792-8484 |
| Full Name | Newton Clinic Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 300 N 4th Ave E, Newton, Iowa |
| Authorized Official Name and Position | Mark Thayer (CLINIC ADMINSTRATOR) |
| Authorized Official Contact | 6417922112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newton Clinic Pc 300 N 4th Ave E Suite 200 Newton IA 50208-3155 Ph: (641) 792-2112 | Newton Clinic Pc 300 N 4th Ave E Suite 200 Newton IA 50208-3155 Ph: (641) 792-2112 |
| NPI Number | 1730115213 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 06/13/2013 |
| Medicare PECOS PAC ID | 6608768676 |
|---|---|
| Medicare Enrollment ID | O20040325000962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730115213 | NPI | - | NPPES |
| 0282186 | Medicaid | IA |
| Provider Name | Luke R Perrin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407834740 PECOS PAC ID: 6406751676 Enrollment ID: I20031201000627 |
| Provider Name | Zacheriah Minton Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679525521 PECOS PAC ID: 0143218644 Enrollment ID: I20040504000516 |
| Provider Name | Dennis P Dornbier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306944525 PECOS PAC ID: 2264425586 Enrollment ID: I20040701000147 |
| Provider Name | Laurie Ann Siddall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003842592 PECOS PAC ID: 8820032295 Enrollment ID: I20050616000219 |
| Provider Name | Duane M Jolivette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134189764 PECOS PAC ID: 9931131562 Enrollment ID: I20050906000067 |
| Provider Name | Patrick J Cogley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417941717 PECOS PAC ID: 4284626672 Enrollment ID: I20080523000314 |
| Provider Name | Jodi F Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013163427 PECOS PAC ID: 8729148499 Enrollment ID: I20081125000723 |
| Provider Name | Tze Yan Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376579706 PECOS PAC ID: 5294815189 Enrollment ID: I20100309000691 |
| Provider Name | Steven C Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316976764 PECOS PAC ID: 8022198910 Enrollment ID: I20100309000730 |
| Provider Name | Patrick J Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740214873 PECOS PAC ID: 0840370730 Enrollment ID: I20100309000771 |
| Provider Name | Min S Pak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962438317 PECOS PAC ID: 8921188814 Enrollment ID: I20100309000834 |
| Provider Name | Orville W Bunker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902838527 PECOS PAC ID: 4385724277 Enrollment ID: I20100331000377 |
| Provider Name | Paul E Ruggle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437187077 PECOS PAC ID: 4587556550 Enrollment ID: I20100331000439 |
| Provider Name | Elizabeth M Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790721686 PECOS PAC ID: 3779610787 Enrollment ID: I20100423000044 |
| Provider Name | Andrew L Cope |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912134693 PECOS PAC ID: 2466649348 Enrollment ID: I20101203000828 |
| Provider Name | Mureema M Solberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609812064 PECOS PAC ID: 7012097900 Enrollment ID: I20131011000703 |
| Provider Name | Kelsey Angela Tish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467931535 PECOS PAC ID: 5890046023 Enrollment ID: I20180926002770 |
| Provider Name | Sarah Sue Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124580329 PECOS PAC ID: 9032452578 Enrollment ID: I20190523002376 |
| Provider Name | Nicole J Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194245506 PECOS PAC ID: 9234408196 Enrollment ID: I20200909001721 |
| Provider Name | Ben A Schwab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134743289 PECOS PAC ID: 3779908116 Enrollment ID: I20210813001105 |
| Provider Name | Tara Gravenstine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043698939 PECOS PAC ID: 7416218532 Enrollment ID: I20211201001449 |
| Provider Name | Kenzie Leanne Huyser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699407924 PECOS PAC ID: 5092197509 Enrollment ID: I20220801000352 |
| Provider Name | Stacy Jo Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891421202 PECOS PAC ID: 0446635478 Enrollment ID: I20220912002988 |
| Provider Name | Zachary J Bliek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982229845 PECOS PAC ID: 7810310356 Enrollment ID: I20230727001160 |
| Provider Name | Sydney J Rice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265008247 PECOS PAC ID: 6507265931 Enrollment ID: I20240622000188 |
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