| Ottumwa Health Group Llc | |
|
1001 Pennsylvania Ave Ottumwa IA 52501-2186 | |
| (641) 682-7511 | |
| (641) 684-3199 |
| Full Name | Ottumwa Health Group Llc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 1001 Pennsylvania Ave, Ottumwa, Iowa |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ottumwa Health Group Llc 1001 Pennsylvania Ave Ottumwa IA 52501-2186 Ph: (641) 682-7511 | Ottumwa Health Group Llc 1001 Pennsylvania Ave Ottumwa IA 52501-2186 Ph: (641) 682-7511 |
| NPI Number | 1386956290 |
|---|---|
| Provider Enumeration Date | 07/08/2010 |
| Last Update Date | 09/26/2024 |
| Medicare PECOS PAC ID | 3971629924 |
|---|---|
| Medicare Enrollment ID | O20100927001257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386956290 | NPI | - | NPPES |
| Provider Name | Shawn C Dawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306834577 PECOS PAC ID: 2769394295 Enrollment ID: I20031213000065 |
| Provider Name | Edward B Ortell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346236940 PECOS PAC ID: 8123914827 Enrollment ID: I20040227000242 |
| Provider Name | Carol L Mcintyre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649223728 PECOS PAC ID: 2466442033 Enrollment ID: I20040514001175 |
| Provider Name | Steven M Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598724767 PECOS PAC ID: 1951382613 Enrollment ID: I20040527001025 |
| Provider Name | Alan L Billsby |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871530766 PECOS PAC ID: 0345216172 Enrollment ID: I20040902001375 |
| Provider Name | Jeffrey A Brannen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972616316 PECOS PAC ID: 6305898917 Enrollment ID: I20050211000315 |
| Provider Name | Alicia D Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194888024 PECOS PAC ID: 3173568425 Enrollment ID: I20050627000978 |
| Provider Name | Joanne M Harbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053418194 PECOS PAC ID: 4880693514 Enrollment ID: I20061207000098 |
| Provider Name | David L Paustian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841289311 PECOS PAC ID: 3476552043 Enrollment ID: I20061208000063 |
| Provider Name | Judith A Book-davin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578540944 PECOS PAC ID: 7214025519 Enrollment ID: I20071120000678 |
| Provider Name | Jeffrey W Bittner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780688713 PECOS PAC ID: 8426012311 Enrollment ID: I20080115000861 |
| Provider Name | Mudassir I Malik |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1457553653 PECOS PAC ID: 0840362984 Enrollment ID: I20080707000075 |
| Provider Name | Gary G Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699853390 PECOS PAC ID: 0042249716 Enrollment ID: I20080929000519 |
| Provider Name | Dominic Augustine Formaro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740444058 PECOS PAC ID: 0446327621 Enrollment ID: I20080930000668 |
| Provider Name | Mark A Tannenbaum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033191861 PECOS PAC ID: 9537205331 Enrollment ID: I20091008000373 |
| Provider Name | Eric G Garner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922092915 PECOS PAC ID: 7315089695 Enrollment ID: I20100125000689 |
| Provider Name | Steven Goldstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083722219 PECOS PAC ID: 0749272003 Enrollment ID: I20100312000191 |
| Provider Name | Gerald M Wait |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467493510 PECOS PAC ID: 9436289253 Enrollment ID: I20100604000650 |
| Provider Name | Melisa A Coaker |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1164623393 PECOS PAC ID: 1557414588 Enrollment ID: I20100806000628 |
| Provider Name | Diane Nutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295708113 PECOS PAC ID: 7214920107 Enrollment ID: I20120123000833 |
| Provider Name | Stanley Hahn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619977758 PECOS PAC ID: 0648210898 Enrollment ID: I20120301000460 |
| Provider Name | Bradley A Scott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821284183 PECOS PAC ID: 8921259078 Enrollment ID: I20121119000277 |
| Provider Name | Laura Waddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326392259 PECOS PAC ID: 3173778420 Enrollment ID: I20130313000007 |
| Provider Name | Jennifer L Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912258344 PECOS PAC ID: 5193968576 Enrollment ID: I20130904000536 |
| Provider Name | Joni R Hanshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396083531 PECOS PAC ID: 0345476495 Enrollment ID: I20131119000630 |
| Provider Name | Lori A Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861829186 PECOS PAC ID: 7618104878 Enrollment ID: I20131213000266 |
| Provider Name | Jackson Scott Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982702155 PECOS PAC ID: 1658500665 Enrollment ID: I20140213001563 |
| Provider Name | Jessica A Hicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407167869 PECOS PAC ID: 2769613702 Enrollment ID: I20140315000150 |
| Provider Name | Becky E Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619394236 PECOS PAC ID: 4587896824 Enrollment ID: I20140421000380 |
| Provider Name | Akinbode Solomon Egbelakin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104117522 PECOS PAC ID: 3577780626 Enrollment ID: I20140813001256 |
| Provider Name | Sandra E Leaders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629150669 PECOS PAC ID: 2365537164 Enrollment ID: I20141103001277 |
| Provider Name | Eric L Dodson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851384465 PECOS PAC ID: 5890717177 Enrollment ID: I20141112000388 |
| Provider Name | Nancie Nordwick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952380404 PECOS PAC ID: 1355237181 Enrollment ID: I20141203001447 |
| Provider Name | Gilbert M Simas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497802383 PECOS PAC ID: 3274684071 Enrollment ID: I20150106001014 |
| Provider Name | Rebecca L. Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760510440 PECOS PAC ID: 4981509973 Enrollment ID: I20150223000983 |
| Provider Name | Angela Jo Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285046516 PECOS PAC ID: 3072832047 Enrollment ID: I20150427000137 |
| Provider Name | Shelley Bechtel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245601087 PECOS PAC ID: 3577864651 Enrollment ID: I20151215000032 |
| Provider Name | Johanna Delacroix |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689807315 PECOS PAC ID: 7214238856 Enrollment ID: I20151223001734 |
| Provider Name | Miles Tommeraasen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295733905 PECOS PAC ID: 2062536873 Enrollment ID: I20160303001624 |
| Provider Name | Case C Everett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144481441 PECOS PAC ID: 8820270218 Enrollment ID: I20160307000041 |
| Provider Name | George M Adam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134109150 PECOS PAC ID: 9335150408 Enrollment ID: I20160420000762 |
| Provider Name | Melissa L Gingrich |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1528378957 PECOS PAC ID: 0840446373 Enrollment ID: I20160510000458 |
| Provider Name | Richard Pardilla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467879619 PECOS PAC ID: 6901022847 Enrollment ID: I20160606001345 |
| Provider Name | Cyndi J Mccormick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356754337 PECOS PAC ID: 2365660867 Enrollment ID: I20160623001916 |
| Provider Name | Colleen Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700293859 PECOS PAC ID: 3577781475 Enrollment ID: I20160726000398 |
| Provider Name | Misty Dawn Bowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881038834 PECOS PAC ID: 7618279837 Enrollment ID: I20160810001199 |
| Provider Name | William N Oduro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720177488 PECOS PAC ID: 5294716007 Enrollment ID: I20161010000472 |
| Provider Name | Joyce L Chouinard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770033888 PECOS PAC ID: 8224316112 Enrollment ID: I20161027001550 |
| Provider Name | Cynthia Y Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255731303 PECOS PAC ID: 7214158732 Enrollment ID: I20161103001963 |
| Provider Name | Mary M Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821545898 PECOS PAC ID: 4082993407 Enrollment ID: I20161108000100 |
| Provider Name | Bertrand Bezanchong Fonji |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073764403 PECOS PAC ID: 9739378456 Enrollment ID: I20161227001672 |
| Provider Name | Catherine P Mcneill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003824822 PECOS PAC ID: 3476736000 Enrollment ID: I20170210000526 |
| Provider Name | David Burrows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407156458 PECOS PAC ID: 7618154956 Enrollment ID: I20170329002058 |
| Provider Name | Rebecca A Belschner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295833085 PECOS PAC ID: 4284635822 Enrollment ID: I20170515001443 |
| Provider Name | Nathan A Nicholson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972860476 PECOS PAC ID: 0244479335 Enrollment ID: I20170713003138 |
| Provider Name | Jamie Lee Hyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073038220 PECOS PAC ID: 7113299868 Enrollment ID: I20170816000801 |
| Provider Name | Emily Ann Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861901621 PECOS PAC ID: 3375818586 Enrollment ID: I20171013000549 |
| Provider Name | Ann M Cadwalader |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922196351 PECOS PAC ID: 6305737131 Enrollment ID: I20171020003035 |
| Provider Name | Brandy Jeansimon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578855201 PECOS PAC ID: 0345559852 Enrollment ID: I20171215001372 |
| Provider Name | Jennifer R Mazza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366968968 PECOS PAC ID: 6204194939 Enrollment ID: I20171229000595 |
| Provider Name | Andrew Hall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417196254 PECOS PAC ID: 7113159948 Enrollment ID: I20180109003458 |
| Provider Name | Peggy Sue Swank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447752464 PECOS PAC ID: 0143582635 Enrollment ID: I20180321001272 |
| Provider Name | Michelle D Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639418635 PECOS PAC ID: 3274771175 Enrollment ID: I20180322000759 |
| Provider Name | Laura M Medanic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508305541 PECOS PAC ID: 3072875418 Enrollment ID: I20180322000837 |
| Provider Name | Mahmoud Alameddine |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730595778 PECOS PAC ID: 1052667854 Enrollment ID: I20180710000816 |
| Provider Name | Jasmine Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982194874 PECOS PAC ID: 3678822848 Enrollment ID: I20180821002798 |
| Provider Name | Mariah E Skelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629506829 PECOS PAC ID: 4082988688 Enrollment ID: I20180831001585 |
| Provider Name | Shane Rainey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588041164 PECOS PAC ID: 4688989304 Enrollment ID: I20190404002841 |
| Provider Name | Gregory R Renck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20200203001266 |
| Provider Name | Jourdan Aromin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598150955 PECOS PAC ID: 4082942776 Enrollment ID: I20200215000206 |
| Provider Name | James C Lamousin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043227606 PECOS PAC ID: 8022000215 Enrollment ID: I20200413000424 |
| Provider Name | Allison Judge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326679937 PECOS PAC ID: 9638596216 Enrollment ID: I20200827001160 |
| Provider Name | Natasha Ann Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659904399 PECOS PAC ID: 9032402086 Enrollment ID: I20200916001373 |
| Provider Name | Stephanie Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265051239 PECOS PAC ID: 3072932961 Enrollment ID: I20200925001437 |
| Provider Name | Susan Andrea Waterman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376749333 PECOS PAC ID: 9537588819 Enrollment ID: I20201204000497 |
| Provider Name | Jessica Zaret |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437376373 PECOS PAC ID: 7618155011 Enrollment ID: I20210114001181 |
| Provider Name | Robert T Howard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689649204 PECOS PAC ID: 0143366740 Enrollment ID: I20210526001298 |
| Provider Name | Heather Lynn Worth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134716483 PECOS PAC ID: 4486053071 Enrollment ID: I20210602001463 |
| Provider Name | Sabreen R Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689833824 PECOS PAC ID: 4688857543 Enrollment ID: I20220711002240 |
| Provider Name | Ernest Spiotto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902331747 PECOS PAC ID: 2961772314 Enrollment ID: I20220711002470 |
| Provider Name | Dallas Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760156665 PECOS PAC ID: 9931577590 Enrollment ID: I20221201002845 |
| Provider Name | Yezan Hesham Abderrahman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215460878 PECOS PAC ID: 0244655967 Enrollment ID: I20221214002800 |
| Provider Name | Olivia Catherine Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710645601 PECOS PAC ID: 3173993144 Enrollment ID: I20230109001251 |
| Provider Name | Amanda J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861136897 PECOS PAC ID: 3779953773 Enrollment ID: I20230109002485 |
| Provider Name | Paige M. Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104532357 PECOS PAC ID: 3678948288 Enrollment ID: I20230413001240 |
| Provider Name | Shelli Slaughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588149108 PECOS PAC ID: 6507101664 Enrollment ID: I20230821003841 |
| Provider Name | Jennifer Ann Nelsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053098285 PECOS PAC ID: 5698138972 Enrollment ID: I20230905001172 |
| Provider Name | Brian Quigley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063617033 PECOS PAC ID: 6507966207 Enrollment ID: I20230905003113 |
| Provider Name | Aisha Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942737069 PECOS PAC ID: 9234408881 Enrollment ID: I20230911002282 |
| Provider Name | Maria Alvarado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881822385 PECOS PAC ID: 1153556212 Enrollment ID: I20230914001763 |
| Provider Name | Danielle Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114147006 PECOS PAC ID: 7618020611 Enrollment ID: I20231005002711 |
| Provider Name | Diana Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194930917 PECOS PAC ID: 0244410181 Enrollment ID: I20231130002019 |
| Provider Name | Samantha Jo Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992560643 PECOS PAC ID: 7517309172 Enrollment ID: I20240528002754 |
| Provider Name | Scotlan Raeann Peterson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356195812 PECOS PAC ID: 6608218052 Enrollment ID: I20240530002066 |
| Provider Name | Abigail Rae Storto |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184472557 PECOS PAC ID: 2961933858 Enrollment ID: I20241002003157 |
| Provider Name | Nedal Alkhatib |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760156962 PECOS PAC ID: 9830595065 Enrollment ID: I20241213001203 |
Jefferson County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Wildwood Dr Ste 1, Ottumwa, IA 52501 Phone: 641-472-4111 | |
Ottumwa Health Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Pennsylvania Ave, Ste 204, Ottumwa, IA 52501 Phone: 641-682-8761 | |
River Hills Community Health Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 216 S Market St, Ottumwa, IA 52501 Phone: 641-683-5773 Fax: 641-226-5759 | |
Mercy Medical Center-centerville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 522 N Hancock St, Ottumwa, IA 52501 Phone: 641-683-0800 Fax: 641-683-0801 | |
Ottumwa Regional Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Pennsylvania Ave, Central Clinic Billing, Ottumwa, IA 52501 Phone: 641-684-3053 Fax: 641-683-2855 | |
Bloom Pediatrics Of Southern Iowa Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Church St, Ottumwa, IA 52501 Phone: 641-814-5437 | |
River Hills Community Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 S Market St, Ottumwa, IA 52501 Phone: 641-684-6896 Fax: 641-226-5759 |