| The Iowa Clinic | |
|
5950 University Ave Ste 151 West Des Moines IA 50266-8234 | |
| (515) 875-9100 | |
| (515) 875-9101 |
| Full Name | The Iowa Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 5950 University Ave, West Des Moines, Iowa |
| Authorized Official Name and Position | Eric Barp (CHAIR) |
| Authorized Official Contact | 5158759100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Iowa Clinic Po Box 424 Des Moines IA 50302-0424 Ph: (515) 875-9100 | The Iowa Clinic 5950 University Ave Ste 151 West Des Moines IA 50266-8234 Ph: (515) 875-9100 |
| NPI Number | 1346233178 |
|---|---|
| Provider Enumeration Date | 08/26/2005 |
| Last Update Date | 12/20/2023 |
| Medicare PECOS PAC ID | 4082513742 |
|---|---|
| Medicare Enrollment ID | O20040102000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346233178 | NPI | - | NPPES |
| Provider Name | Amerlon L Enriquez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689668949 PECOS PAC ID: 0345143913 Enrollment ID: I20040130000336 |
| Provider Name | John G Piper |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740276773 PECOS PAC ID: 4486541604 Enrollment ID: I20040302001279 |
| Provider Name | Timothy L Schurman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1457347320 PECOS PAC ID: 9739075292 Enrollment ID: I20040310001558 |
| Provider Name | Lester J Yen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1568458396 PECOS PAC ID: 5890695522 Enrollment ID: I20040319001353 |
| Provider Name | Abbie Deanne Ruisch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003817073 PECOS PAC ID: 6901891092 Enrollment ID: I20040419000077 |
| Provider Name | David J Boarini |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205829819 PECOS PAC ID: 2062409071 Enrollment ID: I20040429001114 |
| Provider Name | Michael P Mohan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265427231 PECOS PAC ID: 7810971769 Enrollment ID: I20040617000153 |
| Provider Name | Patricia L Blackledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871586271 PECOS PAC ID: 6901881440 Enrollment ID: I20040621000377 |
| Provider Name | Mindy K Gingery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124026042 PECOS PAC ID: 9931188042 Enrollment ID: I20040714000275 |
| Provider Name | Tamra L Richardson Colby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518936897 PECOS PAC ID: 3971579459 Enrollment ID: I20040907000532 |
| Provider Name | Anna M Dewaay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598752990 PECOS PAC ID: 5395705164 Enrollment ID: I20041015000343 |
| Provider Name | Todd C Troll |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720074552 PECOS PAC ID: 1355301128 Enrollment ID: I20041015000371 |
| Provider Name | Daniel J Krejchi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689669780 PECOS PAC ID: 6608836192 Enrollment ID: I20041019000507 |
| Provider Name | Rodion Herrera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851385306 PECOS PAC ID: 2062473556 Enrollment ID: I20041019000552 |
| Provider Name | Gary L Haynes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477547917 PECOS PAC ID: 2860453354 Enrollment ID: I20041019000569 |
| Provider Name | Thomas G Klein |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1912070764 PECOS PAC ID: 6103883947 Enrollment ID: I20041214000444 |
| Provider Name | Charles O Lozier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972612166 PECOS PAC ID: 1850340779 Enrollment ID: I20050118000991 |
| Provider Name | Kayleen B Hornbrook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396706362 PECOS PAC ID: 7517910664 Enrollment ID: I20050301000342 |
| Provider Name | Jason R Augustine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528084654 PECOS PAC ID: 8325088867 Enrollment ID: I20050504000822 |
| Provider Name | Konstantinos P Lekkas |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1093700106 PECOS PAC ID: 7618904632 Enrollment ID: I20050721000470 |
| Provider Name | Timothy J Colby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891774550 PECOS PAC ID: 5698704633 Enrollment ID: I20050810000035 |
| Provider Name | Louis E Schneider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932195864 PECOS PAC ID: 3971533647 Enrollment ID: I20050812000986 |
| Provider Name | John D Berger |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1619960259 PECOS PAC ID: 7012942154 Enrollment ID: I20050928000383 |
| Provider Name | Joseph Sawhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871699751 PECOS PAC ID: 4284653080 Enrollment ID: I20051121000905 |
| Provider Name | Susan L Donahue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891797445 PECOS PAC ID: 5092707927 Enrollment ID: I20051202000784 |
| Provider Name | Cynthia G Marske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942297601 PECOS PAC ID: 3971525171 Enrollment ID: I20060103000284 |
| Provider Name | Joseph Sherrill |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407823131 PECOS PAC ID: 1456365808 Enrollment ID: I20060206000583 |
| Provider Name | Stephanie Powel Morgan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699760223 PECOS PAC ID: 8628088432 Enrollment ID: I20060424000598 |
| Provider Name | Scott D Hamling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275581456 PECOS PAC ID: 4385654128 Enrollment ID: I20060425000186 |
| Provider Name | George Lederhaas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053397083 PECOS PAC ID: 5294746384 Enrollment ID: I20060607000056 |
| Provider Name | Imad F Francis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396759163 PECOS PAC ID: 5496758823 Enrollment ID: I20060824000279 |
| Provider Name | Kathleen S Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548379746 PECOS PAC ID: 2062417967 Enrollment ID: I20060928000124 |
| Provider Name | Kelly M Brown Gross |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427060359 PECOS PAC ID: 4183620388 Enrollment ID: I20061011000446 |
| Provider Name | Allan P Latcham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932194040 PECOS PAC ID: 5496755183 Enrollment ID: I20070103000077 |
| Provider Name | Jill M Berg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447366158 PECOS PAC ID: 0244231264 Enrollment ID: I20070118000093 |
| Provider Name | Heather J Mohr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912010562 PECOS PAC ID: 0840393096 Enrollment ID: I20070308000691 |
| Provider Name | Matthew M Otis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184655904 PECOS PAC ID: 3678679164 Enrollment ID: I20070430000292 |
| Provider Name | Steven J Rosenberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861488785 PECOS PAC ID: 0345348363 Enrollment ID: I20070614000144 |
| Provider Name | Narasimha M Palagummi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336272103 PECOS PAC ID: 0840391058 Enrollment ID: I20070718000360 |
| Provider Name | Laura L Dakovich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992826432 PECOS PAC ID: 3375644966 Enrollment ID: I20070726000481 |
| Provider Name | Carl A Meyer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689887416 PECOS PAC ID: 0042311649 Enrollment ID: I20070726000531 |
| Provider Name | Melissa A Ehm Pote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720297716 PECOS PAC ID: 3072605898 Enrollment ID: I20070824000495 |
| Provider Name | Tara J Reinders |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922207331 PECOS PAC ID: 2062504624 Enrollment ID: I20070828000063 |
| Provider Name | Kiane R Goebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912186529 PECOS PAC ID: 5193815454 Enrollment ID: I20071226000489 |
| Provider Name | Kyle E Rogers |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1518994730 PECOS PAC ID: 3870664592 Enrollment ID: I20080624000040 |
| Provider Name | Peter M Tonui |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245439678 PECOS PAC ID: 5597836213 Enrollment ID: I20080624000053 |
| Provider Name | Justin C Rice |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528001724 PECOS PAC ID: 3476572843 Enrollment ID: I20080624000338 |
| Provider Name | Amy B Mcentaffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558586057 PECOS PAC ID: 3274605225 Enrollment ID: I20080708000274 |
| Provider Name | Eric Christopher Scott |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386812931 PECOS PAC ID: 1355415068 Enrollment ID: I20080729000617 |
| Provider Name | Dawn A Baldwin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659462125 PECOS PAC ID: 7810063195 Enrollment ID: I20080910000591 |
| Provider Name | Jeffrey J Dietzenbach |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306882527 PECOS PAC ID: 4587731567 Enrollment ID: I20080916000635 |
| Provider Name | Jennifer L Brown |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720179666 PECOS PAC ID: 3274600085 Enrollment ID: I20080920000057 |
| Provider Name | Laura M Tryon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376646265 PECOS PAC ID: 7416024849 Enrollment ID: I20080925000719 |
| Provider Name | Daniel Koos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033319256 PECOS PAC ID: 6305906405 Enrollment ID: I20081119000478 |
| Provider Name | Bridget A Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982885539 PECOS PAC ID: 9032279989 Enrollment ID: I20081121000285 |
| Provider Name | Jennifer Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720199276 PECOS PAC ID: 0941396139 Enrollment ID: I20081223000044 |
| Provider Name | Jill S Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134200280 PECOS PAC ID: 4082779608 Enrollment ID: I20090216000278 |
| Provider Name | Jeffrey D Defrancisco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568570398 PECOS PAC ID: 9638234040 Enrollment ID: I20090219000188 |
| Provider Name | Elizabeth L Jauron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619936382 PECOS PAC ID: 8426114075 Enrollment ID: I20090305000326 |
| Provider Name | Mallory J Swenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639348972 PECOS PAC ID: 7517023765 Enrollment ID: I20090313000049 |
| Provider Name | Jennifer M Abler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528159068 PECOS PAC ID: 1052311826 Enrollment ID: I20090415000697 |
| Provider Name | Timothy Ryken |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235122359 PECOS PAC ID: 9133277544 Enrollment ID: I20090423000114 |
| Provider Name | Steven A Elg |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1629068382 PECOS PAC ID: 7214972256 Enrollment ID: I20090817000749 |
| Provider Name | Therese H Tran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063609758 PECOS PAC ID: 9739233875 Enrollment ID: I20090824000625 |
| Provider Name | Sean D Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023001559 PECOS PAC ID: 9638218738 Enrollment ID: I20091203000096 |
| Provider Name | David L Groen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932193935 PECOS PAC ID: 0547301541 Enrollment ID: I20100113000606 |
| Provider Name | Eric A Barp |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467445064 PECOS PAC ID: 1456409291 Enrollment ID: I20100113000622 |
| Provider Name | Todd C Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952396616 PECOS PAC ID: 0648312488 Enrollment ID: I20100116000388 |
| Provider Name | Melissa J Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093702490 PECOS PAC ID: 6800938655 Enrollment ID: I20100118000077 |
| Provider Name | Kevin J Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003809831 PECOS PAC ID: 6406837236 Enrollment ID: I20100118000119 |
| Provider Name | Tiffany J Ketcham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699786962 PECOS PAC ID: 1153463864 Enrollment ID: I20100119000372 |
| Provider Name | Ramon S Reyes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609862663 PECOS PAC ID: 3577639152 Enrollment ID: I20100125000212 |
| Provider Name | Alvadore P Osborn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942295811 PECOS PAC ID: 5193867430 Enrollment ID: I20100125000288 |
| Provider Name | Robert J Casper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164415675 PECOS PAC ID: 6002958352 Enrollment ID: I20100125000294 |
| Provider Name | Richard A Sidwell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063407195 PECOS PAC ID: 9537201884 Enrollment ID: I20100125000313 |
| Provider Name | David K Lemon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801881917 PECOS PAC ID: 4486635216 Enrollment ID: I20100125000430 |
| Provider Name | Stephanie M Stitt Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023096518 PECOS PAC ID: 5193868826 Enrollment ID: I20100203000729 |
| Provider Name | Richard B Gloor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770577769 PECOS PAC ID: 9133262686 Enrollment ID: I20100205000080 |
| Provider Name | Douglas L Schulte |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730175605 PECOS PAC ID: 8123161338 Enrollment ID: I20100209000778 |
| Provider Name | Dennis M Fry |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1427042449 PECOS PAC ID: 7113060328 Enrollment ID: I20100209000785 |
| Provider Name | Angela S Collins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629061130 PECOS PAC ID: 4688709892 Enrollment ID: I20100312000702 |
| Provider Name | Neelima R Chennupati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093724460 PECOS PAC ID: 5294863478 Enrollment ID: I20100507000768 |
| Provider Name | Garrett G Losh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699888438 PECOS PAC ID: 0749260156 Enrollment ID: I20100625000108 |
| Provider Name | Qasim L Chaudhry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821252750 PECOS PAC ID: 3870624877 Enrollment ID: I20100707000414 |
| Provider Name | William Brandon Goble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063669968 PECOS PAC ID: 8426182346 Enrollment ID: I20100813001035 |
| Provider Name | Zachary J Fett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306165048 PECOS PAC ID: 5698809051 Enrollment ID: I20100820000320 |
| Provider Name | Pil S Kang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770558280 PECOS PAC ID: 7315942943 Enrollment ID: I20100903000823 |
| Provider Name | Joshua L Rosebrook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730128109 PECOS PAC ID: 8426056193 Enrollment ID: I20100908000111 |
| Provider Name | Sarah C Holland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316141146 PECOS PAC ID: 2668597907 Enrollment ID: I20100910000122 |
| Provider Name | John G Amspaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588647820 PECOS PAC ID: 9931198181 Enrollment ID: I20110628000628 |
| Provider Name | Anthony M Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609163922 PECOS PAC ID: 3476722133 Enrollment ID: I20110815000199 |
| Provider Name | Neetha P Molakala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003070921 PECOS PAC ID: 8820268980 Enrollment ID: I20110826000650 |
| Provider Name | Carlos A Pelaez Gil |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588952147 PECOS PAC ID: 6709056393 Enrollment ID: I20110909002748 |
| Provider Name | Lindsey R Aeschliman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770866642 PECOS PAC ID: 7416115712 Enrollment ID: I20120215000812 |
| Provider Name | Amy J Lynch |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174797278 PECOS PAC ID: 6507021664 Enrollment ID: I20120622000621 |
| Provider Name | Jason D Mohr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801909379 PECOS PAC ID: 7517122054 Enrollment ID: I20120706000252 |
| Provider Name | Jason M Kopp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568698736 PECOS PAC ID: 4385800895 Enrollment ID: I20120727000787 |
| Provider Name | Stephanie Henderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871728246 PECOS PAC ID: 5193971562 Enrollment ID: I20120820000256 |
| Provider Name | Rebecca A Blair Manges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538429865 PECOS PAC ID: 6406004662 Enrollment ID: I20120912000571 |
| Provider Name | Julia M Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780819391 PECOS PAC ID: 5193973386 Enrollment ID: I20120912000859 |
| Provider Name | Sarah C Tallman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487897294 PECOS PAC ID: 5193973212 Enrollment ID: I20120914000593 |
| Provider Name | Erica Ann Parrish Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073867958 PECOS PAC ID: 9032361522 Enrollment ID: I20121207000408 |
| Provider Name | Jessica L Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851689905 PECOS PAC ID: 7810142122 Enrollment ID: I20130402000236 |
| Provider Name | Ryan M Brimeyer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245435379 PECOS PAC ID: 5294973483 Enrollment ID: I20130529000829 |
| Provider Name | Eric C Donels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629362785 PECOS PAC ID: 1850532409 Enrollment ID: I20130725000044 |
| Provider Name | James C Mallen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720372782 PECOS PAC ID: 1153568548 Enrollment ID: I20130725000061 |
| Provider Name | Samantha J Danielson-jones |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891014122 PECOS PAC ID: 0840431243 Enrollment ID: I20130727000223 |
| Provider Name | Nicholas M Southard |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1124281902 PECOS PAC ID: 0840431276 Enrollment ID: I20130729000359 |
| Provider Name | Katherine C Sullivan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548298011 PECOS PAC ID: 9638310741 Enrollment ID: I20130731000766 |
| Provider Name | Shawn M Hancock |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467410720 PECOS PAC ID: 0840375267 Enrollment ID: I20130801000100 |
| Provider Name | Lucas P Groben |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932310018 PECOS PAC ID: 2163610999 Enrollment ID: I20130805000644 |
| Provider Name | Michael P Nicholson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407169097 PECOS PAC ID: 2769635911 Enrollment ID: I20130814000476 |
| Provider Name | Jenna S Kubat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437453321 PECOS PAC ID: 4880836022 Enrollment ID: I20130816000767 |
| Provider Name | Adam J Secory |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053391177 PECOS PAC ID: 3476795634 Enrollment ID: I20130819000083 |
| Provider Name | Ryan R Mertens |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487965372 PECOS PAC ID: 4385887447 Enrollment ID: I20130821000806 |
| Provider Name | Amanda L Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861711459 PECOS PAC ID: 2365685831 Enrollment ID: I20130830000766 |
| Provider Name | Cory M Oswald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093140287 PECOS PAC ID: 4587891056 Enrollment ID: I20131209001711 |
| Provider Name | Danielle R Valentine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598993461 PECOS PAC ID: 1153559653 Enrollment ID: I20140108000269 |
| Provider Name | Jonathan A Fahler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780905729 PECOS PAC ID: 5294963211 Enrollment ID: I20140120000132 |
| Provider Name | Heather D Back |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750545364 PECOS PAC ID: 4284794041 Enrollment ID: I20140313001455 |
| Provider Name | Matthew Trump |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538321054 PECOS PAC ID: 9739303124 Enrollment ID: I20140604001348 |
| Provider Name | Katherine A Maurer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861499162 PECOS PAC ID: 6709886989 Enrollment ID: I20140616000266 |
| Provider Name | Jennifer Petts |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1144455502 PECOS PAC ID: 9638309651 Enrollment ID: I20140707000394 |
| Provider Name | Shardul Poudyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689962284 PECOS PAC ID: 6608092424 Enrollment ID: I20140730002148 |
| Provider Name | Allison L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134531577 PECOS PAC ID: 9436376191 Enrollment ID: I20140805000188 |
| Provider Name | Eric William Temple |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831483676 PECOS PAC ID: 9638318322 Enrollment ID: I20140812002331 |
| Provider Name | Jessica A Greenley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598051831 PECOS PAC ID: 7113146432 Enrollment ID: I20140919000224 |
| Provider Name | Anne Kathleen Lehn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023427077 PECOS PAC ID: 8527280783 Enrollment ID: I20141104001523 |
| Provider Name | Stephanie A Miiller |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396917407 PECOS PAC ID: 1052480514 Enrollment ID: I20141111001458 |
| Provider Name | Kylea M Ryther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356762231 PECOS PAC ID: 0345563748 Enrollment ID: I20141215002417 |
| Provider Name | Robyn R Biehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114210895 PECOS PAC ID: 1951625763 Enrollment ID: I20150128000098 |
| Provider Name | Kimberly K Alton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821249475 PECOS PAC ID: 7012067044 Enrollment ID: I20150320000289 |
| Provider Name | Andrew N Stevenson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477743482 PECOS PAC ID: 8628232857 Enrollment ID: I20150331001921 |
| Provider Name | Nicholas Klauer Sullivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083841647 PECOS PAC ID: 0446570386 Enrollment ID: I20150518001038 |
| Provider Name | Daniel E Pelzer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255699443 PECOS PAC ID: 8022251560 Enrollment ID: I20150617003079 |
| Provider Name | Danney P Drewry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811162779 PECOS PAC ID: 4981764123 Enrollment ID: I20150629001107 |
| Provider Name | Tanya A Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063819282 PECOS PAC ID: 7012220270 Enrollment ID: I20150716001546 |
| Provider Name | Dianna M Oneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891173548 PECOS PAC ID: 2860705563 Enrollment ID: I20150724010071 |
| Provider Name | John Yung Netten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356637896 PECOS PAC ID: 8921322546 Enrollment ID: I20150730010732 |
| Provider Name | Kelsey C Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033593405 PECOS PAC ID: 5698089928 Enrollment ID: I20150730013663 |
| Provider Name | Marianne W Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578943726 PECOS PAC ID: 5991019739 Enrollment ID: I20150806011439 |
| Provider Name | Nicole C Stoecken |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932463635 PECOS PAC ID: 0648413419 Enrollment ID: I20150806011508 |
| Provider Name | Karla A Stapes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659747160 PECOS PAC ID: 9436466141 Enrollment ID: I20150914000469 |
| Provider Name | Alison M Weisheipl |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1457586422 PECOS PAC ID: 0042454936 Enrollment ID: I20150921000350 |
| Provider Name | Brittany Blythe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053781500 PECOS PAC ID: 3971813098 Enrollment ID: I20151102001838 |
| Provider Name | Lena K Rydberg Freese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124257019 PECOS PAC ID: 7214188192 Enrollment ID: I20151109002016 |
| Provider Name | Daniel L Dodge |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124466032 PECOS PAC ID: 2163666355 Enrollment ID: I20160212001700 |
| Provider Name | Abby R Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780041178 PECOS PAC ID: 2365746179 Enrollment ID: I20160215000918 |
| Provider Name | Matthew Nicholson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760898795 PECOS PAC ID: 5597981597 Enrollment ID: I20160510000020 |
| Provider Name | Ryan Scott Tomlinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497054662 PECOS PAC ID: 9032430418 Enrollment ID: I20160609001267 |
| Provider Name | Molly E Gross |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1386898872 PECOS PAC ID: 9830321900 Enrollment ID: I20160620002020 |
| Provider Name | William H Schupp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013229236 PECOS PAC ID: 7618110750 Enrollment ID: I20160810002619 |
| Provider Name | April N Kolb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811378086 PECOS PAC ID: 0941513451 Enrollment ID: I20160929000684 |
| Provider Name | Edna S Becht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962842872 PECOS PAC ID: 8224271101 Enrollment ID: I20161018002313 |
| Provider Name | Edward J Schneiders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992247696 PECOS PAC ID: 3274814975 Enrollment ID: I20170111000472 |
| Provider Name | Mary Jean Haas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255779054 PECOS PAC ID: 3577794536 Enrollment ID: I20170118002096 |
| Provider Name | Cory Wiederin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457803983 PECOS PAC ID: 7517249592 Enrollment ID: I20170127000505 |
| Provider Name | Naima Adeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356755045 PECOS PAC ID: 0840573457 Enrollment ID: I20170206001121 |
| Provider Name | Michelle Renee Harban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770033995 PECOS PAC ID: 0345523486 Enrollment ID: I20170215000748 |
| Provider Name | Amber Dvorak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275073108 PECOS PAC ID: 9133497142 Enrollment ID: I20170615002175 |
| Provider Name | Jennifer Lee Hall |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811303480 PECOS PAC ID: 2668698242 Enrollment ID: I20170707002000 |
| Provider Name | Amber Lynn Reighard Tierney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902191059 PECOS PAC ID: 3971743683 Enrollment ID: I20170707002013 |
| Provider Name | Benjamin Monson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962816512 PECOS PAC ID: 4789805078 Enrollment ID: I20170710000133 |
| Provider Name | Mccabe Clayton Kenny |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164721338 PECOS PAC ID: 7810217767 Enrollment ID: I20170718002047 |
| Provider Name | Danielle S Liudahl |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063770519 PECOS PAC ID: 4082854930 Enrollment ID: I20170726002498 |
| Provider Name | Alyssa Waddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578085932 PECOS PAC ID: 4880960962 Enrollment ID: I20171017001771 |
| Provider Name | Casey A Fitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285144212 PECOS PAC ID: 7315213972 Enrollment ID: I20171026000265 |
| Provider Name | Teresa M Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396254793 PECOS PAC ID: 7810254281 Enrollment ID: I20171121000517 |
| Provider Name | Christopher M Gibbs |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619021144 PECOS PAC ID: 4981506714 Enrollment ID: I20180423000396 |
| Provider Name | Ashley Marie Simpson Nedved |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215319272 PECOS PAC ID: 0840502613 Enrollment ID: I20180426000256 |
| Provider Name | Ian A Koch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225303415 PECOS PAC ID: 0042458861 Enrollment ID: I20180508000913 |
| Provider Name | Allison L Whitney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679951073 PECOS PAC ID: 0446564629 Enrollment ID: I20180521002309 |
| Provider Name | Jeannette M Capella |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245216720 PECOS PAC ID: 7911180237 Enrollment ID: I20180716000403 |
| Provider Name | Megan Lehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881088342 PECOS PAC ID: 8628381233 Enrollment ID: I20180716000487 |
| Provider Name | Safa Abukhalil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982084463 PECOS PAC ID: 2961716683 Enrollment ID: I20180716002420 |
| Provider Name | Trevor T Wild |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881969111 PECOS PAC ID: 9830419845 Enrollment ID: I20180718002372 |
| Provider Name | Ohmar P Coughlin |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1578825568 PECOS PAC ID: 9739327107 Enrollment ID: I20180726001853 |
| Provider Name | Nyi Nyi Kyaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376925776 PECOS PAC ID: 6901115906 Enrollment ID: I20180803002039 |
| Provider Name | Wanakee Jacoba Carr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255742557 PECOS PAC ID: 2961708649 Enrollment ID: I20180831000394 |
| Provider Name | Margaret R Lamparek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003302514 PECOS PAC ID: 0345591848 Enrollment ID: I20180921002909 |
| Provider Name | Douglas A Gorney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427544162 PECOS PAC ID: 6305199399 Enrollment ID: I20181020000748 |
| Provider Name | Emily K Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609356286 PECOS PAC ID: 1355694316 Enrollment ID: I20181022002980 |
| Provider Name | Curtis Lee Mccarty |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962670521 PECOS PAC ID: 2466636519 Enrollment ID: I20181107000977 |
| Provider Name | Tsung H Hsu |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1619001997 PECOS PAC ID: 7911007232 Enrollment ID: I20181115000161 |
| Provider Name | Stephanie D Alcorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649637224 PECOS PAC ID: 1052665692 Enrollment ID: I20181116001334 |
| Provider Name | Tyler J Green |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922554658 PECOS PAC ID: 7911258470 Enrollment ID: I20181127000790 |
| Provider Name | Tyler S Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326575317 PECOS PAC ID: 0547530487 Enrollment ID: I20190124001504 |
| Provider Name | Sarah B Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851857585 PECOS PAC ID: 3476893595 Enrollment ID: I20190327000794 |
| Provider Name | Javen R Wunschel |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1285049775 PECOS PAC ID: 1658592241 Enrollment ID: I20190709001805 |
| Provider Name | Michael James Valliere |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700291291 PECOS PAC ID: 9537384664 Enrollment ID: I20190710002660 |
| Provider Name | Jun Xu |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1568882934 PECOS PAC ID: 7113144494 Enrollment ID: I20190710002787 |
| Provider Name | Muhammad Umer Awan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306263736 PECOS PAC ID: 8628357993 Enrollment ID: I20190712001541 |
| Provider Name | Emilie Van Kooten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346802279 PECOS PAC ID: 8022343698 Enrollment ID: I20190718002228 |
| Provider Name | Lindsey Ann Calderon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811206485 PECOS PAC ID: 1355678764 Enrollment ID: I20190808000164 |
| Provider Name | Jason William Ostrander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386205979 PECOS PAC ID: 6002144623 Enrollment ID: I20190821000524 |
| Provider Name | Kelli Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235797770 PECOS PAC ID: 3375878416 Enrollment ID: I20190821002311 |
| Provider Name | Ashley R Taliaferro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912361338 PECOS PAC ID: 3779876826 Enrollment ID: I20191001000043 |
| Provider Name | James M Crane |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992865257 PECOS PAC ID: 9133133176 Enrollment ID: I20191217002944 |
| Provider Name | Angela N. Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982904900 PECOS PAC ID: 0042645186 Enrollment ID: I20200116003042 |
| Provider Name | Terra Cano |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1902315369 PECOS PAC ID: 7911273743 Enrollment ID: I20200204002376 |
| Provider Name | Antonio Martinez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316971047 PECOS PAC ID: 1456354083 Enrollment ID: I20200220002527 |
| Provider Name | Tyler David Aasen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740690205 PECOS PAC ID: 9931520251 Enrollment ID: I20200522000106 |
| Provider Name | Matthew Sutton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396979217 PECOS PAC ID: 1951567320 Enrollment ID: I20200618000663 |
| Provider Name | Clayton W. Jordan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518306323 PECOS PAC ID: 1355566597 Enrollment ID: I20200622000308 |
| Provider Name | Katherine L Billue |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1093080459 PECOS PAC ID: 9537302096 Enrollment ID: I20200622002027 |
| Provider Name | Christopher Thomas Bell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356723522 PECOS PAC ID: 6507178365 Enrollment ID: I20200625001882 |
| Provider Name | Joseph Bertroche |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902288673 PECOS PAC ID: 8123332806 Enrollment ID: I20200625001929 |
| Provider Name | Musab N Alqasrawi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235570128 PECOS PAC ID: 7911141965 Enrollment ID: I20200625002047 |
| Provider Name | Eric R, Reese |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003346107 PECOS PAC ID: 0547538373 Enrollment ID: I20200625002163 |
| Provider Name | Michael Sinklier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952831521 PECOS PAC ID: 1759651144 Enrollment ID: I20200706001645 |
| Provider Name | Arpan Patel |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1528453966 PECOS PAC ID: 2860784865 Enrollment ID: I20200708001334 |
| Provider Name | Joy Eleanor Hanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003296948 PECOS PAC ID: 2668774092 Enrollment ID: I20200710002089 |
| Provider Name | Christopher Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013303411 PECOS PAC ID: 2860780061 Enrollment ID: I20200723000181 |
| Provider Name | Tonya Shirrell Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114543048 PECOS PAC ID: 9537583265 Enrollment ID: I20200728000666 |
| Provider Name | Jaclyn Andrick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740662857 PECOS PAC ID: 3779896717 Enrollment ID: I20200729003697 |
| Provider Name | Huda M Jarmakani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891215257 PECOS PAC ID: 2567731417 Enrollment ID: I20200812002878 |
| Provider Name | Nathan A Lucs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114538261 PECOS PAC ID: 1052738374 Enrollment ID: I20200901003393 |
| Provider Name | Sarah A Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538412168 PECOS PAC ID: 5698928166 Enrollment ID: I20200918001782 |
| Provider Name | Rori Mankins |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215222542 PECOS PAC ID: 0547408916 Enrollment ID: I20210112002005 |
| Provider Name | Michael G Fazio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811123433 PECOS PAC ID: 4880914761 Enrollment ID: I20210419001044 |
| Provider Name | Craig E Moe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275512790 PECOS PAC ID: 4385612563 Enrollment ID: I20210604001398 |
| Provider Name | Kevin Cwach |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386037638 PECOS PAC ID: 5092005280 Enrollment ID: I20210608001141 |
| Provider Name | Nicolet L Newhoff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790316677 PECOS PAC ID: 4981025889 Enrollment ID: I20210628000469 |
| Provider Name | Katelyn Buhrow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073957395 PECOS PAC ID: 0749551752 Enrollment ID: I20210712001684 |
| Provider Name | Brett M Voigt |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942611371 PECOS PAC ID: 8921400060 Enrollment ID: I20210712002153 |
| Provider Name | Brooke M Welch |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265682041 PECOS PAC ID: 5890855944 Enrollment ID: I20210713001246 |
| Provider Name | Ally Jo Flesher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891380978 PECOS PAC ID: 5294137329 Enrollment ID: I20210713001272 |
| Provider Name | Timothy John Vandyke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295116192 PECOS PAC ID: 9335457944 Enrollment ID: I20210713001388 |
| Provider Name | Sarah J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336633031 PECOS PAC ID: 4981951464 Enrollment ID: I20210713003270 |
| Provider Name | Royce William Woodroffe |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285048249 PECOS PAC ID: 3072738129 Enrollment ID: I20210715004208 |
| Provider Name | Megan L Kippes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902245558 PECOS PAC ID: 1254575269 Enrollment ID: I20210723001493 |
| Provider Name | Kathryn Bartlett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568990869 PECOS PAC ID: 0840567426 Enrollment ID: I20210902000819 |
| Provider Name | Abbie L Wooten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356018279 PECOS PAC ID: 4284031915 Enrollment ID: I20210923001152 |
| Provider Name | Cristina Lynn Holtorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790440808 PECOS PAC ID: 8123419694 Enrollment ID: I20211217001357 |
| Provider Name | Nicholas A Warnken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558770198 PECOS PAC ID: 8123419991 Enrollment ID: I20220105001583 |
| Provider Name | Kasey Dougherty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881347375 PECOS PAC ID: 9537552856 Enrollment ID: I20220209002732 |
| Provider Name | Amber Bindner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326704792 PECOS PAC ID: 8527453406 Enrollment ID: I20220310001663 |
| Provider Name | Megan Riedesel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649920554 PECOS PAC ID: 2365838893 Enrollment ID: I20220408000775 |
| Provider Name | Noah E Kelm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356904205 PECOS PAC ID: 3173858099 Enrollment ID: I20220426000533 |
| Provider Name | Samuel Patrick Gastineau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265938336 PECOS PAC ID: 6608254503 Enrollment ID: I20220606001709 |
| Provider Name | Daniel Opheim |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1295821569 PECOS PAC ID: 9638327166 Enrollment ID: I20220609000902 |
| Provider Name | Kari Annette Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750954665 PECOS PAC ID: 6800274382 Enrollment ID: I20220613001694 |
| Provider Name | Shubha Deep Roy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689061095 PECOS PAC ID: 1355644139 Enrollment ID: I20220629002160 |
| Provider Name | Kevin Kremer |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1053725770 PECOS PAC ID: 7618193988 Enrollment ID: I20220707000981 |
| Provider Name | Evan Olson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386140911 PECOS PAC ID: 0547510893 Enrollment ID: I20220707003883 |
| Provider Name | Dylan J Peters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164001541 PECOS PAC ID: 6204236706 Enrollment ID: I20220718003517 |
| Provider Name | Matthew Jospeh Hartnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194384008 PECOS PAC ID: 0042546798 Enrollment ID: I20220726000981 |
| Provider Name | Juan C Mira |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1902245806 PECOS PAC ID: 0345475869 Enrollment ID: I20220805000326 |
| Provider Name | Mason Z Speer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538897384 PECOS PAC ID: 0749663938 Enrollment ID: I20220822001137 |
| Provider Name | Jessica Karwoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114204641 PECOS PAC ID: 0143609875 Enrollment ID: I20221013001535 |
| Provider Name | Kjersten A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679019178 PECOS PAC ID: 6002190402 Enrollment ID: I20221213001809 |
| Provider Name | Amanda Sue Gerst |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891185013 PECOS PAC ID: 9931570850 Enrollment ID: I20230131003102 |
| Provider Name | Jacob Carey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548966401 PECOS PAC ID: 4385016831 Enrollment ID: I20230209000116 |
| Provider Name | Matthew Thomas Wessling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225743875 PECOS PAC ID: 0345612404 Enrollment ID: I20230218000152 |
| Provider Name | Paul L Wesley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831548494 PECOS PAC ID: 2466745633 Enrollment ID: I20230317000724 |
| Provider Name | Chelsey Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992303762 PECOS PAC ID: 0042626152 Enrollment ID: I20230403000619 |
| Provider Name | Danielle N Weller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427758622 PECOS PAC ID: 7416312616 Enrollment ID: I20230421001874 |
| Provider Name | Katherine J Graham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649954629 PECOS PAC ID: 7618335969 Enrollment ID: I20230620001356 |
| Provider Name | Jacob G Murray |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700240579 PECOS PAC ID: 6901199702 Enrollment ID: I20230703000487 |
| Provider Name | Lindsey A Hohulin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225651912 PECOS PAC ID: 0244609048 Enrollment ID: I20230707001425 |
| Provider Name | Shauna Alexis Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134119241 PECOS PAC ID: 1759741655 Enrollment ID: I20230724000900 |
| Provider Name | Caleb Holder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336700830 PECOS PAC ID: 3072849728 Enrollment ID: I20230725000428 |
| Provider Name | Levi Goff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588288443 PECOS PAC ID: 4284057720 Enrollment ID: I20230725003576 |
| Provider Name | Kawsu Barry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861929226 PECOS PAC ID: 8123396082 Enrollment ID: I20230726000515 |
| Provider Name | John H Scott |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972982619 PECOS PAC ID: 5395034458 Enrollment ID: I20230811003235 |
| Provider Name | Taylor Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245855089 PECOS PAC ID: 8921421660 Enrollment ID: I20230816000880 |
| Provider Name | Adam D Miller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578068367 PECOS PAC ID: 4183008451 Enrollment ID: I20230927001788 |
| Provider Name | Payton C Stock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184192577 PECOS PAC ID: 3678927431 Enrollment ID: I20230927002318 |
| Provider Name | Marla Greiner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811336068 PECOS PAC ID: 8224264601 Enrollment ID: I20231004002708 |
| Provider Name | Brett J Baldwin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316212632 PECOS PAC ID: 4880971696 Enrollment ID: I20231114000680 |
| Provider Name | Taylor Deutmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740964840 PECOS PAC ID: 2264883545 Enrollment ID: I20240111000829 |
| Provider Name | Christopher G Katcherian |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1316106685 PECOS PAC ID: 4183918626 Enrollment ID: I20240124000845 |
Excellence In Adult Health Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 Westown Pkwy, Suite 220, West Des Moines, IA 50266 Phone: 515-326-0970 | |
West Grand Medical Associates,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 19th St, Ste 106, West Des Moines, IA 50265 Phone: 515-226-0112 Fax: 515-226-0208 | |
Dale M. Grunewald Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 S 68th St, Suite 1203, West Des Moines, IA 50266 Phone: 515-471-1800 Fax: 515-471-1801 | |
Tlc Laser Eye Centers Des Moines Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 Jordan Creek Pkwy, Ste. 104, West Des Moines, IA 50266 Phone: 515-697-0066 | |
Iowa Pain Management And Medicine Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 8th St, West Des Moines, IA 50265 Phone: 515-263-3236 Fax: 515-225-4048 | |
Mmci Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 Westown Pkwy, Suite 230, West Des Moines, IA 50266 Phone: 402-334-0177 | |
The Iowa Clinic Executive Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5950 University Ave Fl 3, West Des Moines, IA 50266 Phone: 515-875-9855 Fax: 515-875-9856 |