PREMIER HEALTHCARE OF SHENANDOAH, P.C. (NPI# 1003308149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003308149 |
| Entity Type | Organization |
| Organization Name | PREMIER HEALTHCARE OF SHENANDOAH, P.C. |
| Practice Address |
813 Church St Shenandoah IA 51601-2301 |
| Practice Telephone | 7122465954 |
| Practice Fax Number | 7122463269 |
| Mailing Telephone | 7122465954 |
| Mailing Fax Number | 7122463269 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | JEFFREY P MCCOY (PRESIDENT/OWNER) |
| Authorized Official Telephone | 7122465954 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
IA | Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PREMIER HEALTHCARE OF SHENANDOAH, P.C. | 813 Church Street, Shenandoah, IA 51601 |
| Street Address |
813 CHURCH ST |
| City | SHENANDOAH |
| State | IA |
| Zip Code | 51601-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508804485 | Jeffrey P Mccoy | Chiropractor | 813 Church St, Shenandoah, IA 51601-2301 | 2006-06-03 |
| 1942845037 | Angela Sue Ledford | Chiropractor | 813 Church St, Shenandoah, IA 51601-2301 | 2019-11-12 |
| 1487922894 | Matthew Paul Potratz | Chiropractor | 813 Church St, Shenandoah, IA 51601-2301 | 2011-12-13 |
| 1366550915 | Millennium Chiropractic PC | Chiropractor | 813 Church St, Shenandoah, IA 51601-2301 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336589969 | Jenifer Ann Deziel | Nurse Practitioner | Shenandoah Medical Center, 300 Pershing Avenue, Shenandoah, IA 51601 | 2013-06-27 |
| 1154621282 | Md West One, PC | Neurological Surgery | 1 Jack Foster Drive, Shenandoah, IA 51601 | 2010-10-22 |
| 1912119124 | Swfac Plc | Podiatrist | 813 Church St., Shenandoah, IA 51601 | 2007-05-03 |
| 1134246895 | David Carroll Dickson | Pedorthist | 612 W. Sheridan Avenue, Shenandoah, IA 51601 | 2007-03-26 |
| 1558433037 | Joseph Patrick Emge | Dentist | 301 Maple St, Suite 3, Shenandoah, IA 51601 | 2006-11-14 |
| 1487766309 | Scott Richard King | Obstetrics & Gynecology | 300 Pershing Avenue, Shenandoah, IA 51601 | 2006-08-31 |
| 1801904933 | Marvin E Belknap | Dentist | 617 West Thomas, Shenandoah, IA 51601 | 2006-08-28 |
| 1083687636 | Charles J Peterson Dc PC | Chiropractor | 1203 W Sheridan Ave, Shenandoah, IA 51601 | 2006-02-13 |
| 1467692152 | Carol A Stehlik | Nutritionist | 300 Pershing Avenue, Shenandoah, IA 51601-0382 | 2009-02-20 |
| 1265526248 | Nishna Productions, Inc. | Community/Behavioral Health | 902 Day St, Shenandoah, IA 51601-1106 | 2006-10-03 |
| Find all providers in zip 51601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710521422 | Jamie Bruneau | Nurse Practitioner | 129 Vision Park Blvd Ste 109, Shenandoah, TX 77384-3024 | 2019-11-05 |
| 1841847498 | Claudia Castillo | Nurse Practitioner | 19675 I 45 S Ste 100, Shenandoah, TX 77385-8761 | 2019-08-19 |
| 1336602069 | Irene Ifesinachi Orioha | Nurse Practitioner | 150 Pine Forest Dr Ste 110, Shenandoah, TX 77384-5303 | 2019-04-09 |
| 1083184600 | Leslie Jane Ford | Nurse Practitioner | 150 Pine Forest Dr Ste 503, Shenandoah, TX 77384-5304 | 2018-11-26 |
| 1225514524 | Ann Renee Manuel | Nurse Practitioner | 17189 I H 45 S Ste 475, Shenandoah, TX 77385-3320 | 2018-07-19 |
| 1205322161 | Brandi Stull | Nurse Practitioner | 1120 Medical Plaza Dr Ste 335, Shenandoah, TX 77380-3254 | 2018-07-03 |
| 1609373992 | Joy Adaku Ekwueme | Nurse Practitioner | Main Street Medical Clinic, 1120 Medical Plaza Dr, Suite 335, Shenandoah, TX 77380 | 2018-04-12 |
| 1033617857 | Maria Ivy Claborn | Nurse Practitioner | 150 Pine Forest Dr Ste 101, Shenandoah, TX 77384-5302 | 2018-01-26 |
| 1730407552 | Matthew Michael Yoder | Nurse Practitioner | 422 1st St, Shenandoah, VA 22849-1504 | 2010-05-05 |
| 1245256262 | Shelly L. Huckaby | Nurse Practitioner | 17189 I H 45 S Ste 205, Shenandoah, TX 77385 | 2006-07-14 |
| Find all providers in SHENANDOAH | ||||
| City | SHENANDOAH |
| Zip Code | 51601 |
Please comment or provide details below to improve the information on PREMIER HEALTHCARE OF SHENANDOAH, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.