PHYSICIANS CLINIC, INC. (NPI# 1568773497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568773497 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS CLINIC, INC. |
| Other Organization Name | METHODIST PHYSICIANS CLINIC |
| Practice Address |
201 Ridge St Ste. 311 Council Bluffs IA 51503-4643 |
| Mailing Address |
8601 W Dodge Rd Ste 216 Omaha NE 68114-3495 |
| Practice Telephone | 7123964050 |
| Practice Fax Number | 7123281911 |
| Mailing Telephone | 4023545451 |
| Mailing Fax Number | 4023545454 |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-25 |
| Authorized Official Name | TODD D. GRAGES (PRESIDENT) |
| Authorized Official Telephone | 4023545609 |
| Is Organization Subpart | Y |
| Parent Organization Name | METHODIST HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Methodist Physicians Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770673923 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 8111 Dodge Street, Suite # 263, Omaha, NE 68114 | 2006-10-16 |
| 1124118385 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 10060 Regency Circle, Omaha, NE 68114 | 2006-10-16 |
| 1225125057 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 3353 L Street, Omaha, NE 68107 | 2006-10-05 |
| 1023105855 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 320 Ebaugh Street, Glenwood, IA 51534 | 2006-10-05 |
| 1760579593 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 1400 Senate Avenue, Red Oak, IA 51566 | 2006-10-05 |
| 1144317975 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 625 So Pine Street, Valley, NE 68064 | 2006-10-05 |
| 1386730109 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 107 East 4th Street, Malvern, IA 51551 | 2006-10-05 |
| 1013003839 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 5908 South 142nd Street, Omaha, NE 68137 | 2006-10-05 |
| 1497842223 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 1001 Risen Son Boulevard, Council Bluffs, IA 51503 | 2006-10-05 |
| 1962599712 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 101 East Centennial Road, Papillion, NE 68046 | 2006-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHYSICIANS CLINIC, INC. | 8511 W Dodge Rd System, Omaha, NE 68114 |
| Iowa Business Entities | PHYSICIANS CLINIC, INC. | One Edmundson Pl, Ste 310, Council Bluffs, IA 51503 |
| Street Address |
201 RIDGE ST STE. 311 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-4643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700878220 | Michael Zlomke | Surgery | 201 Ridge St, Suite 214, Council Bluffs, IA 51503-4643 | 2005-08-19 |
| 1366701955 | Katelyn Elizabeth Larsen | Physician Assistant | 201 Ridge St, Suite 201, Council Bluffs, IA 51503-4643 | 2012-05-16 |
| 1982975652 | Quinn M Schulte | Physician Assistant | 201 Ridge St, Ste 302, Council Bluffs, IA 51503-4643 | 2012-01-26 |
| 1497073761 | Kelly A Heine | Nurse Anesthetist, Certified Registered | 201 Ridge St, Suite 102, Council Bluffs, IA 51503-4643 | 2010-05-12 |
| 1598928376 | Emily Marie Lange | Obstetrics & Gynecology | 201 Ridge St, Ste 312, Council Bluffs, IA 51503-4643 | 2008-07-02 |
| 1598923484 | Lori Ann Platt | Obstetrics & Gynecology | 201 Ridge St, St. 312, Council Bluffs, IA 51503-4643 | 2008-05-28 |
| 1669648713 | Linda J Layton | Physician Assistant | 201 Ridge St, #307, Council Bluffs, IA 51503-4643 | 2008-05-07 |
| 1699986745 | Travis John Hayes | Anesthesiology | 201 Ridge St, Suite 102, Council Bluffs, IA 51503-4643 | 2007-05-24 |
| 1588794234 | Kara D Dostal | Nurse Anesthetist, Certified Registered | 201 Ridge St, Suite 21, Council Bluffs, IA 51503-4643 | 2007-03-06 |
| 1487783270 | Jill Renee Sobczyk | Physician Assistant | 201 Ridge St, Suite 201, Council Bluffs, IA 51503-4643 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205859170 | Michael Chen | Psychiatry & Neurology | 201 Ridge St, Ste. 311, Council Bluffs, IA 51503-4643 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073179784 | Brooke Kubat | Psychiatry & Neurology | 200 Hawkins Dr Dept of Neurology, Iowa City, IA 52242-1009 | 2019-05-17 |
| 1275069627 | Betsy Love | Psychiatry & Neurology | 1200 Sw State St, Suite 1d, Ankeny, IA 50023-2547 | 2017-05-04 |
| 1255712618 | Marie Chase | Psychiatry & Neurology | 2710 Saint Francis Dr Ste 201, Waterloo, IA 50702-5664 | 2015-06-11 |
| 1629463062 | Collin Kreple | Psychiatry & Neurology | 2631 Irving Ave, Iowa City, IA 52246-4127 | 2015-04-02 |
| 1497079545 | Michael J Stein | Psychiatry & Neurology | 611 S 28th St, West Des Moines, IA 50265-5559 | 2010-03-18 |
| 1245364728 | Teresa B Rosales | Psychiatry & Neurology | 1800 North 16th St., Clarinda, IA 51632 | 2007-03-15 |
| 1801922018 | Burlington Neurology and Sleep Clinic, Plc | Psychiatry & Neurology | 1225 S Gear Ave Ste 153, Mercy Plaza, West Burlington, IA 52655-1686 | 2007-02-24 |
| 1972646917 | Heike Schmolck | Psychiatry & Neurology | Mercy Ruan Neurology Clinic Central, 1111 6th Ave East Tower Suite A100, Des Moines, IA 50314 | 2007-02-15 |
| 1144329996 | Juan A Acosta | Psychiatry & Neurology | 1015 Duff Avenue, Mcfarland Clinic PC, Ames, IA 50010-3014 | 2006-09-21 |
| 1205945094 | Michael Leon Pogel | Psychiatry & Neurology | 2000 S Main St, Fairfield, IA 52556-9572 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
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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.