JILL VAN OTTERLOO (NPI# 1679980783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679980783 |
| Entity Type | Individual |
| Full Name | JILL VAN OTTERLOO |
| Credential | PA |
| Practice Address |
635 E Us Highway 9 Forest City IA 50436-1028 |
| Mailing Address |
621 S Illinois Ave Suite 103 Mason City IA 50401-5489 |
| Practice Telephone | 6415852904 |
| Practice Fax Number | 6415855417 |
| Mailing Telephone | 6414283041 |
| Mailing Fax Number | 6414283059 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 074615 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
635 E US HIGHWAY 9 |
| City | FOREST CITY |
| State | IA |
| Zip Code | 50436-1028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811003015 | North Iowa Mercy Clinics | Family Medicine | 635 E Us Highway 9, Forest City, IA 50436-1028 | 2006-08-21 |
| 1386282598 | Rebekah Blumenthal | Nurse Practitioner | 635 E Us Highway 9, Forest City, IA 50436-1028 | 2019-12-18 |
| 1073171591 | Megan Brewer | Physician Assistant | 635 E Us Highway 9, Forest City, IA 50436-1028 | 2019-05-30 |
| 1093299695 | Amy Leigh Eiden | Student in an Organized Health Care Education/Training Program | 635 E Us Highway 9, Forest City, IA 50436-1028 | 2018-09-19 |
| 1720515836 | Jessica Koppen | Nurse Practitioner | 635 E Us Highway 9, Forest City, IA 50436-1028 | 2017-05-19 |
| 1154779460 | Molly Eichenberger | Nurse Practitioner | 635 E Us Highway 9, Forest City, IA 50436-1028 | 2016-05-26 |
| 1215045539 | J&j Pharmacy Inc | Pharmacy | 635 E Us Highway 9, Forest City, IA 50436-1028 | 2006-08-27 |
| 1316053531 | James E Mcguire | Family Medicine | 635 E Us Highway 9, Forest City, IA 50436-1028 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184832628 | Robin Frances Charlson | Physical Therapist | 1144 Hwy 69 N, Area Education Agency 267, Forest City, IA 50436 | 2007-05-18 |
| 1700975422 | Laila A Buck | Dentist | 132 East J Street, Forest City, IA 50436 | 2006-10-12 |
| 1346334984 | James Lee Brockhohn | Chiropractor | 245 North Clark Street, Forest City, IA 50436 | 2006-10-03 |
| 1376585380 | Twyla D. Ostercamp | Family Medicine | 635 East Hwy 9, Forest City, IA 50436 | 2006-06-12 |
| 1144274440 | County of Winnebago | Public Health or Welfare | 216 South 4th Street, Forest City, IA 50436 | 2006-05-20 |
| 1699987586 | Forest Plaza Assisted Living | Assisted Living Facility | 635 Highway 9 East, Forest City, IA 50436 | 2007-05-04 |
| 1497862072 | Pamela E Keller | Family Medicine | 635 E Us Hwy, Forest City, IA 50436-0000 | 2006-08-23 |
| 1447368170 | Timothy L Ackarman | Physician Assistant | 635 E Us Hwy, Forest City, IA 50436-0000 | 2006-08-25 |
| 1548377120 | Byron H Carlson | Family Medicine | 635 E Us Hwy, Forest City, IA 50436-0000 | 2006-08-23 |
| 1851344352 | Shopko Stores Operating Co LLC | Pharmacy | 616 E Us Highway 9, Forest City, IA 50436-1012 | 2006-05-18 |
| Find all providers in zip 50436 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699823443 | Robert Charles Du Charme Jr. | Physician Assistant | 128 Hazelwood Dr, Forest City, NC 28043-6143 | 2007-01-08 |
| 1326044165 | Margaret Krusch | Physician Assistant | 136 Sparks Dr, Forest City, NC 28043-9021 | 2005-06-27 |
| 1073171591 | Megan Brewer | Physician Assistant | 635 E Us Highway 9, Forest City, IA 50436-1028 | 2019-05-30 |
| 1336606417 | Jessica Hatcher | Physician Assistant | 181 Daniel Rd, Ste A, Forest City, NC 28043-7151 | 2019-02-26 |
| 1508372137 | Ryan Michael Spurlin | Physician Assistant | 281 E Main St, Forest City, NC 28043-3126 | 2017-12-19 |
| 1366892333 | Savanna Yount Gary | Physician Assistant | 162 Commercial St, B, Forest City, NC 28043-2849 | 2016-06-20 |
| 1831407758 | Patrick Sammon | Physician Assistant | 181 Daniel Rd, Forest City, NC 28043-7151 | 2010-09-14 |
| 1922297365 | Angela H Welch | Physician Assistant | 162 Commercial St, Suite B, Forest City, NC 28043-2849 | 2007-10-22 |
| 1083738629 | Paul Layman | Physician Assistant | 181 Daniel Rd, Forest City, NC 28043-7151 | 2007-03-19 |
| 1043309669 | Gregory Wayne Goodwin | Physician Assistant | 1269 Us Highway 221a, Forest City, NC 28043-5921 | 2006-10-12 |
| Find all providers in FOREST CITY | ||||
| City | FOREST CITY |
| Zip Code | 50436 |
Please comment or provide details below to improve the information on JILL VAN OTTERLOO.
| 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.