JCHC PHYSICIAN SERVICES (NPI# 1760785984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760785984 |
| Entity Type | Organization |
| Organization Name | JCHC PHYSICIAN SERVICES |
| Practice Address |
2000 S Main St Fairfield IA 52556-9572 |
| Practice Telephone | 6414724111 |
| Practice Fax Number | 6414724375 |
| Mailing Telephone | 6414724111 |
| Mailing Fax Number | 6414724375 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |
| Authorized Official Name | DEBORAH CARDIN (CEO) |
| Authorized Official Telephone | 6414694303 |
| Is Organization Subpart | Y |
| Parent Organization Name | JEFFERSON COUNTY HEALTH CENTER |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2000 S MAIN ST |
| City | FAIRFIELD |
| State | IA |
| Zip Code | 52556-9572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205945094 | Michael Leon Pogel | Psychiatry & Neurology | 2000 S Main St, Fairfield, IA 52556-9572 | 2006-08-29 |
| 1528676699 | Dustin C Lane | Pharmacist | 2000 S Main St, Fairfield, IA 52556-9572 | 2020-07-15 |
| 1891318564 | Taylor Madison Buch | Nurse Practitioner | 2000 S Main St, Fairfield, IA 52556-9572 | 2020-05-28 |
| 1164990537 | Rachel N Shaw | Occupational Therapy Assistant | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-11-05 |
| 1982188918 | Suzane Moore | Speech-Language Pathologist | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-09-15 |
| 1558840553 | Eric Dwayne Held | Physical Therapist | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-08-09 |
| 1952889628 | Katherine Page Mccloney | Physical Therapist | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-08-03 |
| 1982106712 | Raelee Lynn Bird | Registered Nurse | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-03-07 |
| 1013416486 | Karly Matlick | Physical Therapist | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-02-12 |
| 1255849626 | Jacob Wilson | Physical Therapist | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376175315 | Sarah Jo Chaney | Speech-Language Pathologist | 402 W Burlington Ave, Ste 200, Fairfield, IA 52556 | 2020-02-07 |
| 1588191290 | Kirk D. Condon | Counselor | 201 South 23rd, Fairfield, IA 52556 | 2017-05-12 |
| 1740644483 | Felicity Kelly | Acupuncturist | 206 E Burlington Ave #2, Fairfield, IA 52556 | 2016-04-08 |
| 1275964686 | Donna J Besick | Physical Therapy Assistant | 2000 S. Main St., Fairfield, IA 52556 | 2013-12-11 |
| 1568894731 | Mary Helen Gartin | Family Medicine | 2000c South Main, Fairfield, IA 52556 | 2013-07-30 |
| 1699016287 | Sarah Elizabeth Brooks | Acupuncturist | 1825 Okra Blvd, Fairfield, IA 52556 | 2013-03-07 |
| 1265755631 | Robert H. Schneider | Preventive Medicine | 2100 Mansion Drive, Suite 211 - Inmp, Maharishi Vedic City, IA 52556 | 2010-03-12 |
| 1033346127 | Madison County Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1401 S Main St Ste 101, Fairfield, IA 52556 | 2009-06-16 |
| 1144490178 | Southeastern Renal Dialysis L.c. | Clinic/Center | 2000 A S Main St, Fairfield, IA 52556 | 2008-03-05 |
| 1497933741 | Rochelle Marie Phelps | Social Worker | 301 W. Burlington, Fairfield, IA 52556 | 2008-02-07 |
| Find all providers in zip 52556 | ||||
| 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 |
|---|---|---|---|---|
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1366822199 | House Calls and Virtual Visits, LLC | Family Medicine | 36 Sanford St, Fairfield, CT 06824-5917 | 2015-06-06 |
| 1093133746 | Simone Alicia Douge | Family Medicine | 700 Route 46 E Ste 450, Fairfield, NJ 07004 | 2014-03-31 |
| 1629499801 | Joseph John Sciarrillo | Family Medicine | 20 Paisley Ln, Fairfield, CT 06825-1158 | 2013-12-14 |
| 1568894731 | Mary Helen Gartin | Family Medicine | 2000c South Main, Fairfield, IA 52556 | 2013-07-30 |
| 1689013195 | Marikit B Parker | Family Medicine | 1101 B Gale Wilson Blvd Ste 101c, Fairfield, CA 94533-3771 | 2013-06-18 |
| 1538459821 | Samuel C. Docena, Md.,inc | Family Medicine | 1244 Nilles Rd Ste 10, Fairfield, OH 45014-2788 | 2011-04-08 |
| 1467759746 | Richard Marie Valeriote | Family Medicine | 3350 Blackhawk Place, Fairfield, CA 94534 | 2011-02-22 |
| 1861655466 | Antonela Barbu | Family Medicine | 2238 Black Rock Tpke, Fairfield, CT 06825-3219 | 2008-07-03 |
| 1477744290 | Ahmad Shariff Vonschlegell | Family Medicine | 541 Cement Hill Rd, Fairfield, CA 94533-1329 | 2007-08-06 |
| Find all providers in FAIRFIELD | ||||
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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.