DR. DALE G WULF (NPI# 1659323756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659323756 |
| Entity Type | Individual |
| Full Name | DR. DALE G WULF |
| Credential | M.D. |
| Practice Address |
915 13th Ave N Clinton IA 52732-5067 |
| Practice Telephone | 5632432511 |
| Practice Fax Number | 5632430817 |
| Mailing Telephone | 5632432511 |
| Mailing Fax Number | 5632430817 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 18136 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTH ALLIANCE | 018394 | 01 | |
| IA | WELLMARK BC/BS | 20823 | 01 |
| MIDLANDS CHOICE | 20979 | 01 | |
| JOHN DEERE HEALTH | IA0113 | 01 | |
| IA | 0085191 | 05 | |
| IA | IOWA HEALTH SOLUTIONS | 27174 | 01 |
| IL | 0180369123 | 05 |
| Street Address |
915 13TH AVE N |
| City | CLINTON |
| State | IA |
| Zip Code | 52732-5067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273772 | James W Roeder | Specialist | 915 13th Ave N, Clinton, IA 52732-5067 | 2005-05-23 |
| 1437764172 | Katie Flood | Nurse Practitioner | 915 13th Ave N, Clinton, IA 52732-5067 | 2020-09-10 |
| 1467088823 | Kara Christine Lutes | Family Medicine | 915 13th Ave N, Clinton, IA 52732-5067 | 2020-03-18 |
| 1861043010 | Aubrey Matthiesen | Nurse Practitioner | 915 13th Ave N, Clinton, IA 52732-5099 | 2019-09-27 |
| 1285288795 | Shanna Maureen Krogman | Nurse Practitioner | 915 13th Ave N, Clinton, IA 52732-5067 | 2019-08-01 |
| 1275197998 | Mercy Specialty Clinic | Family Medicine | 915 13th Ave N, Clinton, IA 52732-5067 | 2019-04-29 |
| 1881169548 | Norval Edson Hoffman IIi | Pharmacist | 915 13th Ave N, Clinton, IA 52732-5067 | 2018-10-09 |
| 1356827802 | Kristie A Rice-melvin | Nurse Practitioner | 915 13th Ave N, Clinton, IA 52732-5099 | 2018-07-18 |
| 1336642313 | Medical Analgesic Services Inc | Clinic/Center | 915 13th Ave N, Clinton, IA 52732-5067 | 2018-03-15 |
| 1770005001 | Ora Orthopedics PC | Registered Nurse | 915 13th Ave N, Clinton, IA 52732-5067 | 2017-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
| 1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
| Find all providers in zip 52732 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217978 | Springridge Medical Clinic | Family Medicine | 507 Springridge Rd Ste A, Clinton, MS 39056-5628 | 2019-10-20 |
| 1578125837 | Dana Fuller | Family Medicine | 600 Plaza Cir, Clinton, SC 29325-7555 | 2019-07-07 |
| 1477057966 | Strong Health & Wellness Center, LLC | Family Medicine | 130 Fairmont St Ste B, Clinton, MS 39056-4714 | 2018-03-20 |
| 1841650348 | St. Luke's Warren Physician Group, PC | Family Medicine | 22 Walmart Plaza, Clinton, NJ 08809 | 2016-02-26 |
| 1851762173 | Olive Tree Medical Associates Pllc | Family Medicine | 7505 Foote Rd, Clinton, NY 13323-3403 | 2015-10-13 |
| 1356789341 | Clinton Hmpn, LLC | Family Medicine | 129 S. 9th Street, Clinton, OK 73601 | 2013-06-12 |
| 1437458601 | Sally A Goodwin | Family Medicine | 3677 Woodland Hall Ln, Clinton, WA 98236-8628 | 2011-03-27 |
| 1578886610 | University Health System, Inc | Family Medicine | 2681 Andersonville Hwy, Ste 102, Clinton, TN 37716-6706 | 2010-03-03 |
| 1720313075 | Eva Cesnek Novak | Family Medicine | 54 Old Route 22, Clinton, NJ 08809-4137 | 2009-10-05 |
| 1437388055 | Scott Chasley Martin | Family Medicine | 732 Clinton Pkwy, Clinton, MS 39056-5227 | 2009-07-02 |
| Find all providers in CLINTON | ||||
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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.