KEVAN SCOTT ZECHIN SR. (NPI# 1508869124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508869124 |
| Entity Type | Individual |
| Full Name | KEVAN SCOTT ZECHIN SR. |
| Credential | M.D. |
| Practice Address |
201 S Market St Ottumwa IA 52501-2924 |
| Mailing Address |
Po Box 458 Ottumwa IA 52501-0458 |
| Practice Telephone | 6416835773 |
| Practice Fax Number | 6412265759 |
| Mailing Telephone | 6416835773 |
| Mailing Fax Number | 6412265759 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2007-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
32842 | IA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0221176 | 05 | |
| IL | 421527584003 | 05 | |
| JOHN DEERE | 42152758410 | 01 | |
| BLUE CROSS BLUE SHIELD | 33686 | 01 |
| Street Address |
201 S MARKET ST |
| City | OTTUMWA |
| State | IA |
| Zip Code | 52501-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831710987 | Margaret Maeve Fuller | Nurse Practitioner | 201 S Market St, Ottumwa, IA 52501-2946 | 2020-04-29 |
| 1831738871 | Tracy Lynn Clawson | Nurse Practitioner | 201 S Market St, Ottumwa, IA 52501-2946 | 2019-12-21 |
| 1225687106 | Taunya Franklin | Nurse Practitioner | 201 S Market St, Ottumwa, IA 52501-2946 | 2019-09-04 |
| 1316591738 | Kyle Nicholson | Dentist | 201 S Market St, Ottumwa, IA 52501-2924 | 2019-07-25 |
| 1407415128 | Sondra Philips | Nurse Practitioner | 201 S Market St, Ottumwa, IA 52501-2946 | 2019-06-06 |
| 1619533965 | Erika Hillary Ellis | Social Worker | 201 S Market St, Ottumwa, IA 52501-2924 | 2019-05-13 |
| 1275009839 | Amanda Hart | Social Worker | 201 S Market St, Ottumwa, IA 52501-2924 | 2018-10-22 |
| 1679051486 | Angie Marie Catlin | Registered Nurse | 201 S Market St, Ottumwa, IA 52501-2924 | 2018-08-02 |
| 1538645163 | Jessica Williams | Dentist | 201 S Market St, Ottumwa, IA 52501-2946 | 2018-07-17 |
| 1912434044 | Raegan Renee Johns | Nurse Practitioner | 201 S Market St, Ottumwa, IA 52501-2924 | 2017-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327210 | Speer Family Chiropractic, LLC | Chiropractor | 635 Pennsylvania Ave, Ottumwa, IA 52501 | 2018-05-24 |
| 1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
| 1265957567 | Katie Marie Walz | Registered Nurse | 725 W. Second St., Ottumwa, IA 52501 | 2017-08-08 |
| 1033648431 | Cassadie Roberts | Occupational Therapy Assistant | 3 Pennsylvania Place, Ottumwa, IA 52501 | 2017-06-08 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1710258009 | Alcohol & Drug Dependency Services | Clinic/Center | 226 West Main St., Ottumwa, IA 52501 | 2012-01-19 |
| 1477832921 | Melissa Rohrssen | Physical Therapy Assistant | 13 Bear Creek Estates Drive, Ottumwa, IA 52501 | 2011-08-15 |
| 1578855201 | Brandy S.n. Jeansimon | Obstetrics & Gynecology | 1001 E. Pennsylvania Avenue, Ottumwa, IA 52501 | 2011-05-13 |
| 1801120399 | Frank Sam Harper | Counselor | 310 W. Main St., Ottumwa, IA 52501 | 2009-09-30 |
| 1902078439 | Sandro Younadam | Internal Medicine | 1013 Pennsylvania Avenue Suite A, Ottumwa Regional Health Center, Ottumwa, IA 52501 | 2008-03-25 |
| Find all providers in zip 52501 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245775832 | River Hills Community Health Center Inc | Clinic/Center | 201 S Market St, Ottumwa, IA 52501-2924 | 2017-01-05 |
| 1427308535 | River Hills Community Health Center Inc | Clinic/Center | 201 S Market St, Ottumwa, IA 52501-2924 | 2012-09-16 |
| 1912952367 | River Hills Community Health Center Inc. | Clinic/Center | 201 S Market St, Ottumwa, IA 52501-2924 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1174139158 | Primary Health Care, Inc. | Clinic/Center | 2401 Se 14th St, Des Moines, IA 50320-1111 | 2020-09-16 |
| 1932710407 | River Hills Community Health Center Inc | Clinic/Center | 509 S Jefferson St, Sigourney, IA 52591-1521 | 2020-08-10 |
| 1033729876 | River Hills Community Health Center Inc | Clinic/Center | 907 E Pleasant Valley St, Sigourney, IA 52591-1866 | 2020-08-06 |
| 1316565625 | Rural Health Care, Inc. | Clinic/Center | 600 9th Ave N Ste 1, Sibley, IA 51249-1012 | 2020-07-13 |
| 1780208280 | River Hills Community Health Center Inc | Clinic/Center | 1417 A Ave E Ste 100, Oskaloosa, IA 52577-4280 | 2020-06-01 |
| 1124672373 | River Hills Community Health Center Inc. | Clinic/Center | 1000 S 6th St, Fairfield, IA 52556-3940 | 2019-07-26 |
| 1215581467 | River Hills Community Health Center Inc. | Clinic/Center | 404 W Fillmore Ave, Fairfield, IA 52556-4005 | 2019-07-26 |
| 1568016970 | River Hills Community Health Center Inc. | Clinic/Center | 605 E Broadway Ave, Fairfield, IA 52556-2900 | 2019-07-25 |
| 1396270831 | Primary Health Care, Inc. | Clinic/Center | 7555 Hickman Rd, Urbandale, IA 50322-4620 | 2017-04-21 |
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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.