| St Anthony Regional Hospital And Nursing Home | |
|
311 S Clark St Carroll IA 51401-3038 | |
| (712) 792-2222 | |
| (712) 792-3875 |
| Full Name | St Anthony Regional Hospital And Nursing Home |
|---|---|
| Speciality | Family Medicine |
| Location | 311 S Clark St, Carroll, Iowa |
| Authorized Official Name and Position | John Munson (CFO) |
| Authorized Official Contact | 7127945115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Anthony Regional Hospital And Nursing Home 311 S Clark St Po Box 628 Carroll IA 51401-3038 Ph: (712) 792-2222 | St Anthony Regional Hospital And Nursing Home 311 S Clark St Carroll IA 51401-3038 Ph: (712) 792-2222 |
| NPI Number | 1801815972 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 09/10/2015 |
| Medicare PECOS PAC ID | 4688586829 |
|---|---|
| Medicare Enrollment ID | O20031105000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801815972 | NPI | - | NPPES |
| 0276493 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard Walter Pretorius |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013900505 PECOS PAC ID: 4688561517 Enrollment ID: I20040303001216 |
| Provider Name | Tamara A Brownell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346201555 PECOS PAC ID: 9133100266 Enrollment ID: I20040525001744 |
| Provider Name | Scott D Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568464220 PECOS PAC ID: 8022099498 Enrollment ID: I20040601000517 |
| Provider Name | David J Koenig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811975469 PECOS PAC ID: 9133195613 Enrollment ID: I20040907000546 |
| Provider Name | Glen D Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710947130 PECOS PAC ID: 2163480351 Enrollment ID: I20041220000723 |
| Provider Name | Jedd A Hagen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831206234 PECOS PAC ID: 8527007541 Enrollment ID: I20050428001195 |
| Provider Name | Tracey G Wellendorf |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528057387 PECOS PAC ID: 5193710580 Enrollment ID: I20050608000669 |
| Provider Name | David Peter Nystrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356315311 PECOS PAC ID: 6406889286 Enrollment ID: I20050913000397 |
| Provider Name | Rajendra Singh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437267739 PECOS PAC ID: 2769491455 Enrollment ID: I20060407000051 |
| Provider Name | Steven G Lapke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710928817 PECOS PAC ID: 5799727889 Enrollment ID: I20061212000693 |
| Provider Name | Christina L Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386613487 PECOS PAC ID: 9537183611 Enrollment ID: I20070212000145 |
| Provider Name | Patty E Hildreth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679573893 PECOS PAC ID: 0345348850 Enrollment ID: I20070607000140 |
| Provider Name | Robert J Isaak |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1619197464 PECOS PAC ID: 6507929783 Enrollment ID: I20090114000463 |
| Provider Name | Joshua Tessier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023271087 PECOS PAC ID: 0143374108 Enrollment ID: I20090811000289 |
| Provider Name | Scott Carver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922085760 PECOS PAC ID: 9436043262 Enrollment ID: I20090902000062 |
| Provider Name | Daniel J Wegehaupt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992770010 PECOS PAC ID: 0042205825 Enrollment ID: I20091102000603 |
| Provider Name | Jacqueline L Crampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407189830 PECOS PAC ID: 6305986480 Enrollment ID: I20091222000020 |
| Provider Name | Michelle L Heim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356501795 PECOS PAC ID: 1355483181 Enrollment ID: I20100116000291 |
| Provider Name | Steven Goldstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083722219 PECOS PAC ID: 0749272003 Enrollment ID: I20100312000191 |
| Provider Name | Robert J Behrens |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215999800 PECOS PAC ID: 9032293402 Enrollment ID: I20100624000422 |
| Provider Name | Christopher M Hanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235309139 PECOS PAC ID: 3678644754 Enrollment ID: I20100716000427 |
| Provider Name | Mark W Westberg |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1952362394 PECOS PAC ID: 8123102597 Enrollment ID: I20100824000641 |
| Provider Name | David J Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609890607 PECOS PAC ID: 6507830809 Enrollment ID: I20100827000712 |
| Provider Name | Benjamin Md Woods |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225291487 PECOS PAC ID: 0143344036 Enrollment ID: I20100830000478 |
| Provider Name | Eric W Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205801917 PECOS PAC ID: 7012012131 Enrollment ID: I20100915000615 |
| Provider Name | Charles H Svensson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780767582 PECOS PAC ID: 7113950676 Enrollment ID: I20101013000417 |
| Provider Name | Michelle M Kroeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164644720 PECOS PAC ID: 8628257581 Enrollment ID: I20110124001121 |
| Provider Name | Corrine G Behrens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083717128 PECOS PAC ID: 3577455328 Enrollment ID: I20110719000072 |
| Provider Name | Debra Marie Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659659324 PECOS PAC ID: 2668646456 Enrollment ID: I20111111000681 |
| Provider Name | Heath W Paulsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639454697 PECOS PAC ID: 7416967781 Enrollment ID: I20120229000795 |
| Provider Name | Jason D Mohr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801909379 PECOS PAC ID: 7517122054 Enrollment ID: I20120706000252 |
| Provider Name | Cara E Vogl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710238027 PECOS PAC ID: 4183861578 Enrollment ID: I20130501000575 |
| Provider Name | Ryan M Brimeyer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245435379 PECOS PAC ID: 5294973483 Enrollment ID: I20130529000829 |
| Provider Name | James C Mallen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720372782 PECOS PAC ID: 1153568548 Enrollment ID: I20130725000061 |
| Provider Name | Bridget Marie Shariat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568787463 PECOS PAC ID: 7517109994 Enrollment ID: I20130814000705 |
| Provider Name | Obinna E Nwadibia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790940658 PECOS PAC ID: 0547431470 Enrollment ID: I20150406000768 |
| Provider Name | Genev J Calek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942561618 PECOS PAC ID: 9638335144 Enrollment ID: I20150814013836 |
| Provider Name | Heather J Cadwell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982072021 PECOS PAC ID: 2860701125 Enrollment ID: I20151028000042 |
| Provider Name | Brian A Dumstorff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477997708 PECOS PAC ID: 1456599257 Enrollment ID: I20160310001555 |
| Provider Name | Corey Mehlhaff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104179456 PECOS PAC ID: 9133371818 Enrollment ID: I20160928001972 |
| Provider Name | Richard B Goding |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962434852 PECOS PAC ID: 2668447863 Enrollment ID: I20161219002613 |
| Provider Name | Samuel D Andrews |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851508337 PECOS PAC ID: 5496940181 Enrollment ID: I20170112000946 |
| Provider Name | Alexander E Kalenak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831123496 PECOS PAC ID: 5395873145 Enrollment ID: I20170301001460 |
| Provider Name | Nicole I Hayworth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033508858 PECOS PAC ID: 5698094217 Enrollment ID: I20170321000376 |
| Provider Name | Derae A Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922347186 PECOS PAC ID: 6901105576 Enrollment ID: I20170602001083 |
| Provider Name | Joshua C Lukenbill |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1003089814 PECOS PAC ID: 0446475560 Enrollment ID: I20170724002499 |
| Provider Name | Chad Paul Millikan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407375736 PECOS PAC ID: 6709147218 Enrollment ID: I20180406002331 |
| Provider Name | Brian F Lothrop |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700230638 PECOS PAC ID: 1658662796 Enrollment ID: I20180706000616 |
| Provider Name | Amy A Canuso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992868590 PECOS PAC ID: 4385993989 Enrollment ID: I20180815000955 |
| Provider Name | Joseph P Lafeve |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972815314 PECOS PAC ID: 9133317134 Enrollment ID: I20180913000071 |
| Provider Name | Julie Ann Shryock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265918759 PECOS PAC ID: 7517210651 Enrollment ID: I20181019000656 |
| Provider Name | Adam Benjamin Althaus |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952660011 PECOS PAC ID: 7810219805 Enrollment ID: I20181206003453 |
| Provider Name | Damiun Bassandeh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417251232 PECOS PAC ID: 8325291297 Enrollment ID: I20190121000197 |
| Provider Name | Travis B Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316390974 PECOS PAC ID: 7214223890 Enrollment ID: I20190218002667 |
| Provider Name | Keith E Begeman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780142372 PECOS PAC ID: 3072854454 Enrollment ID: I20190411002884 |
| Provider Name | Randy E Kilnoski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669942074 PECOS PAC ID: 3870835093 Enrollment ID: I20190620001463 |
| Provider Name | Misty Kleinmeyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972034528 PECOS PAC ID: 1557698321 Enrollment ID: I20190816001498 |
| Provider Name | Mikala A Landon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073171468 PECOS PAC ID: 6507194214 Enrollment ID: I20190820000380 |
| Provider Name | Wendell Spencer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861593071 PECOS PAC ID: 3375688203 Enrollment ID: I20200120000476 |
| Provider Name | Alexandra S Witherspoon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871755678 PECOS PAC ID: 1557532454 Enrollment ID: I20200212000189 |
| Provider Name | Marcia K Maronn-johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063455418 PECOS PAC ID: 8527045558 Enrollment ID: I20200319000305 |
| Provider Name | Edward Miles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336311349 PECOS PAC ID: 3577700673 Enrollment ID: I20200501000524 |
| Provider Name | John R Sherrill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700383171 PECOS PAC ID: 8022432699 Enrollment ID: I20200716001038 |
| Provider Name | Jason T Lihs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669566758 PECOS PAC ID: 7618975335 Enrollment ID: I20210421000973 |
| Provider Name | Eric William Simons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598762577 PECOS PAC ID: 8820069222 Enrollment ID: I20210511000657 |
| Provider Name | Michael J Dirkx |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427408582 PECOS PAC ID: 1759674443 Enrollment ID: I20210609002749 |
| Provider Name | Lindsey R Pogge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679065387 PECOS PAC ID: 4486059391 Enrollment ID: I20210816001988 |
| Provider Name | Jillianne M Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962993956 PECOS PAC ID: 8820345887 Enrollment ID: I20210909000946 |
| Provider Name | Christie M Burnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174195408 PECOS PAC ID: 2769880848 Enrollment ID: I20211004001321 |
| Provider Name | Jenna Younker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013315282 PECOS PAC ID: 1254659360 Enrollment ID: I20211122000906 |
| Provider Name | Arnold J Feltoon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639124050 PECOS PAC ID: 6608765219 Enrollment ID: I20211201000140 |
| Provider Name | Brian L Boes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295784643 PECOS PAC ID: 1557350469 Enrollment ID: I20220216002269 |
| Provider Name | Craig John Bergh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780649715 PECOS PAC ID: 5890705917 Enrollment ID: I20220308002697 |
| Provider Name | Zak J Hinzmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063153294 PECOS PAC ID: 8022405497 Enrollment ID: I20220504000279 |
| Provider Name | Victor O Ogoti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902553332 PECOS PAC ID: 7810378163 Enrollment ID: I20220718001554 |
| Provider Name | David J Zelinskas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083935209 PECOS PAC ID: 0345487468 Enrollment ID: I20220823000959 |
| Provider Name | Danielle Coffey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851943856 PECOS PAC ID: 2860817368 Enrollment ID: I20220922000851 |
| Provider Name | Delaney Osborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073073177 PECOS PAC ID: 0547593097 Enrollment ID: I20220927003445 |
| Provider Name | Jessica M Borkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679209845 PECOS PAC ID: 4981070273 Enrollment ID: I20221011001393 |
| Provider Name | Walter Mogeni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548885791 PECOS PAC ID: 7517380256 Enrollment ID: I20221017000719 |
| Provider Name | Jennifer D Pavlisin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760996987 PECOS PAC ID: 3274894258 Enrollment ID: I20221104002461 |
| Provider Name | Frank Klanduch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245283241 PECOS PAC ID: 1951386333 Enrollment ID: I20221110000930 |
| Provider Name | Kendra R Freese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902522634 PECOS PAC ID: 0941678064 Enrollment ID: I20221122000386 |
| Provider Name | Sinjin Kyle Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841867744 PECOS PAC ID: 4981065414 Enrollment ID: I20230801001689 |
| Provider Name | John Wesley Ziebarth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174515506 PECOS PAC ID: 7911985882 Enrollment ID: I20230913002542 |
| Provider Name | Marie L Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962898254 PECOS PAC ID: 6305294406 Enrollment ID: I20231130000833 |
| Provider Name | Daniella P Dang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093006603 PECOS PAC ID: 1052605706 Enrollment ID: I20240226001431 |
| Provider Name | Matthew T Carpenter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043298334 PECOS PAC ID: 7618983479 Enrollment ID: I20240503003321 |
| Provider Name | David F Wilton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164195244 PECOS PAC ID: 8527462902 Enrollment ID: I20240621000788 |
| Provider Name | Stephanie Michelle Gustafson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043663719 PECOS PAC ID: 5294019394 Enrollment ID: I20240702000598 |
| Provider Name | Dora Sircher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053163733 PECOS PAC ID: 8123563186 Enrollment ID: I20240715000808 |
| Provider Name | Jennifer E Braaten |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891011466 PECOS PAC ID: 4082743281 Enrollment ID: I20240903000598 |
| Provider Name | Seth D Reiner |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1497887624 PECOS PAC ID: 2668546300 Enrollment ID: I20240909000524 |
| Provider Name | Alexinna C Johns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073731006 PECOS PAC ID: 0042381410 Enrollment ID: I20241016000156 |
| Provider Name | Carole Quiroz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205807674 PECOS PAC ID: 2466448451 Enrollment ID: I20241114003159 |
| Provider Name | Tamara Vern-gross |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679732036 PECOS PAC ID: 7719106624 Enrollment ID: I20241206001692 |
| Provider Name | Nguyen Duc Dinh Dang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447493986 PECOS PAC ID: 5890912083 Enrollment ID: I20250218002084 |
| Provider Name | Deanna Davidson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457317075 PECOS PAC ID: 0042396772 Enrollment ID: I20250506002627 |
New Opportunities, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23751 Highway 30, Carroll, IA 51401 Phone: 712-792-9266 Fax: 712-792-5723 | |
Christensen Chiropractic Clinic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 N Clark St Ste 2, Carroll, IA 51401 Phone: 712-775-2777 | |
Community Opportunities, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23751 Highway 30, Carroll, IA 51401 Phone: 712-792-9266 Fax: 712-792-1457 |