HEALTHSTAT ONSITE CLINIC AMSTED GW IOWA (NPI# 1205289733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205289733 |
Entity Type | Organization |
Organization Name | HEALTHSTAT ONSITE CLINIC AMSTED GW IOWA |
Practice Address |
416 Carbide Ln Keokuk IA 52632-2048 |
Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
Practice Telephone | 7049365546 |
Mailing Telephone | 7045296161 |
Enumeration Date | 2016-07-20 |
Last Update Date | 2016-07-20 |
Authorized Official Name | WARREN HUTTON (COO) |
Authorized Official Telephone | 7045296161 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
416 CARBIDE LN |
City | KEOKUK |
State | IA |
Zip Code | 52632-2048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265911721 | Eugenia Kay Petersen | Speech-Language Pathologist | 20 Village Circle, Keokuk Iowa, Keokuk, IA 52632 | 2018-08-07 |
1578984902 | Cody Kite-warth | Physical Therapy Assistant | 20 Village Circly, Keokuk, IA 52632 | 2014-01-03 |
1801228234 | Nicole Fett | Occupational Therapy Assistant | 20 Village Circle, Keokuk, IA 52632 | 2013-08-08 |
1033437140 | Teresa Dale Schenck | Nurse Practitioner | 400 N. 17th St, Teresa Schenck Dnp, Keokuk, IA 52632 | 2010-05-13 |
1225241052 | Kenneth Blaine Messer | Dentist | 1624 Morgan Street, Keokuk, IA 52632 | 2007-05-08 |
1417011024 | Donald Loren Steingreaber | Dentist | 307 N 17th, Keokuk, IA 52632 | 2006-12-20 |
1265501316 | John A Wilde | Dentist | 1626 Morgan St, Suite 3, Keokuk, IA 52632 | 2006-11-06 |
1639250293 | Charles F Eddingfield Md | General Practice | 1610 Morgan Street, Keokuk, IA 52632 | 2006-10-18 |
1861582835 | Nick John Daskalos | Dentist | 28 N 4th St, Keokuk, IA 52632 | 2006-10-13 |
1831209683 | Edward Martin Mcgreevey | Dentist | 1624 Morgan St, Keokuk, IA 52632 | 2006-08-30 |
Find all providers in zip 52632 |
Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629194139 | Donald G Harfst | Preventive Medicine | 11144 Aurora Ave, Urbandale, IA 50322-7903 | 2007-03-22 |
1871636530 | Lloyd John Luke | Preventive Medicine | 18600 S John Deere Rd, John Deere Dubuque Works Occupational Health Clinic, Dubuque, IA 52001-9746 | 2007-02-14 |
1427099266 | Occupational Health Center PC | Preventive Medicine | 320 Watson Powell Jr Way, Des Moines, IA 50309-1725 | 2006-06-10 |
1730167784 | Mary A Shook | Preventive Medicine | 1055 Jordan Creek Pkwy, Suite 100, West Des Moines, IA 50266-5821 | 2006-01-09 |
1386977205 | Sherman Jew | Preventive Medicine | 640 S 19th St, Nevada, IA 50201 | 2009-09-10 |
1740475839 | Allen Memorial Hospital Corp | Preventive Medicine | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2007-09-11 |
1669598181 | Jerry M Mccauley | Preventive Medicine | 2100 Dixon St, Suite C, Des Moines, IA 50316-2174 | 2007-03-22 |
1225154750 | Christopher D Schooley | Preventive Medicine | 5900 E University Ave, Suite 325, Pleasant Hill, IA 50327-8457 | 2007-03-22 |
1528176914 | Robin Lynn Epp | Preventive Medicine | 6000 University Ave, Suite 124, West Des Moines, IA 50266-8203 | 2006-08-27 |
1336100528 | Steven M. Olsen | Preventive Medicine | 1825 Logan Ave, Occupational Health, Waterloo, IA 50703-1916 | 2006-03-29 |
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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.