PHYSICIANS CLINIC, INC. (NPI# 1942408117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942408117 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS CLINIC, INC. |
| Other Organization Name | METHODIST PHYSICIANS CLINIC |
| Practice Address |
1400 Senate Ave Suite # 105 Red Oak IA 51566-1271 |
| Mailing Address |
8601 W Dodge Rd Suite # 216 Omaha NE 68114-3457 |
| Practice Telephone | 7126237250 |
| Practice Fax Number | 7126237257 |
| Mailing Telephone | 4023544822 |
| Mailing Fax Number | 4023545454 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TODD D. GRAGES (PRESIDENT) |
| Authorized Official Telephone | 4023545601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0415257 | 05 | |
| IA | BCBS-IA | 42585 | 01 |
| 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 |
1400 SENATE AVE SUITE # 105 |
| City | RED OAK |
| State | IA |
| Zip Code | 51566-1271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508863341 | Eric L Paulson | Internal Medicine | 1400 Senate Ave, Ste 108, Red Oak, IA 51566-1271 | 2005-07-07 |
| 1609257518 | Melanne Hilderbrand | Physical Therapist | 1400 Senate Ave, Red Oak, IA 51566-1271 | 2015-06-16 |
| 1003153636 | Claudia M. Balta | Physician Assistant | 1400 Senate Ave, Ste. 105, Red Oak, IA 51566-1271 | 2013-01-16 |
| 1700140266 | Michael Oliver Zamora Roxas | Emergency Medicine | 1400 Senate Ave, Suite 108, Red Oak, IA 51566-1271 | 2012-06-29 |
| 1942444864 | Adrienne A Rochleau | Nurse Anesthetist, Certified Registered | 1400 Senate Ave, Red Oak, IA 51566-1271 | 2009-04-22 |
| 1245488543 | Lila J Lassen | Nurse Practitioner | 1400 Senate Ave, Ste. 105, Red Oak, IA 51566-1271 | 2008-08-29 |
| 1679729479 | Eduard Grass Garcia | Surgery | 1400 Senate Ave, Suite 103, Red Oak, IA 51566-1271 | 2008-08-12 |
| 1386806263 | Peggy S Hayes | Pharmacist | 1400 Senate Ave, Suite 104, Red Oak, IA 51566-1271 | 2008-07-01 |
| 1356446876 | Fountain Square Pharmacy Inc | Pharmacy | 1400 Senate Ave, Ste 104, Red Oak, IA 51566-1271 | 2006-09-13 |
| 1932215274 | Warren C Hayes | Family Medicine | 1400 Senate Ave, Suite 105, Red Oak, IA 51566-1271 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841726 | Shenandoah Medical Center | Internal Medicine | 101 E Reed St, Red Oak, IA 51566 | 2015-01-09 |
| 1528477379 | Marcela Ivette Pineda Molina | Obstetrics & Gynecology | 1400 Senate Ave Ste 102, Red Oak, IA 51566 | 2014-08-06 |
| 1538397468 | Etta Murphy | Counselor | 1101 Summit St. Ste. 2, Red Oak, IA 51566 | 2009-06-30 |
| 1871799387 | Jeffrey Alan Hulne | Physical Therapist | 2301 Eastern Ave., Red Oak, IA 51566 | 2007-06-22 |
| 1154469385 | Mills County | Case Management | 105 Coolbaugh, Red Oak, IA 51566 | 2007-02-01 |
| 1356415624 | James Forest Wyatt | Obstetrics & Gynecology | 1905 East Summit Street, Red Oak, IA 51566 | 2006-11-20 |
| 1851487664 | Janet K Wheat | Chiropractor | 401 E Park Ave, Red Oak, IA 51566 | 2006-10-05 |
| 1760579593 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 1400 Senate Avenue, Red Oak, IA 51566 | 2006-10-05 |
| 1730192394 | Michael Patrick Mccormack | Dentist | 1700 Summit Ave, Red Oak, IA 51566 | 2006-08-14 |
| 1194796763 | Dr. Robert H. Sharp, P.C. | Optometrist | 514 4th St., Red Oak, IA 51566 | 2006-01-31 |
| Find all providers in zip 51566 | ||||
| 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 |
|---|---|---|---|---|
| 1871956268 | Rupinder Kaur Guryan | Family Medicine | 301 E Ovilla Rd Ste 100, Red Oak, TX 75154-3830 | 2016-04-01 |
| 1457513954 | Parker & Chamblee LLC | Family Medicine | 119 S Highway 342, Suite 401, Red Oak, TX 75154-6419 | 2008-06-26 |
| 1780753897 | Michael Parker | Family Medicine | 119 S Highway 342 Ste 401, Red Oak, TX 75154-6406 | 2006-11-06 |
| 1205949302 | William G Artherholt | Family Medicine | 4 Oak Knoll Rd, Suite 105, Red Oak, IA 51566-1271 | 2006-08-16 |
| 1083649859 | Edwin Earl Hitt | Family Medicine | 114 Woodhaven Ct, Red Oak, TX 75154-6008 | 2006-07-11 |
| 1427086016 | Ronald Bryce | Family Medicine | 326 Pierce Rd, Box 2220, Red Oak, TX 75154-6418 | 2006-06-30 |
| 1588692594 | Ferne N Cummings | Family Medicine | 273 E Ovilla Rd Ste 4, Red Oak, TX 75154-2605 | 2006-06-29 |
| 1710914114 | Moses Herrera | Family Medicine | 606 Roaring Creek Ct, Red Oak, TX 75154-3945 | 2006-06-28 |
| 1982648366 | Alexander Joseph Hollub | Family Medicine | 301 E. Ovilla Road, Suite 100, Red Oak, TX 75154-3833 | 2006-06-15 |
| 1881674521 | Harold D Marshall | Family Medicine | 420 Century Way, Suite 300, Red Oak, TX 75154-4470 | 2006-01-19 |
| Find all providers in RED OAK | ||||
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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.