NORTH IOWA MERCY CLINICS (NPI# 1982708566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982708566 |
| Entity Type | Organization |
| Organization Name | NORTH IOWA MERCY CLINICS |
| Other Organization Name | MERCYONE MASON CITY PEDIATRIC & ADOLESCENT CLINIC |
| Practice Address |
910 N Eisenhower Ave Mason City IA 50401-1525 |
| Mailing Address |
621 S Illinois Ave Suite 103 Mason City IA 50401-0000 |
| Practice Telephone | 6414285437 |
| Practice Fax Number | 6414285800 |
| Mailing Telephone | 6414943041 |
| Mailing Fax Number | 6414943059 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | DANETTE K ZOOK (VP FINANCE) |
| Authorized Official Telephone | 6414287989 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0199455 | 05 | |
| IA | WELLMARK | 12116 | 01 |
| Other Name | Type Code |
|---|---|
| MERCY PEDIATRIC & ADOLESCENT CLINIC | Doing Business As Name - Organization |
| MercyOne Mason City Pediatric & Adolescent Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1801147269 | North Iowa Mercy Clinics | Surgery | 250 S Crescent Dr Ste 200, Mason City, IA 50401-2911 | 2012-09-26 |
| 1376709873 | North Iowa Mercy Clinics | Nurse Practitioner | 1413 S Grand Ave, Charles City, IA 50616 | 2008-08-04 |
| 1447413703 | North Iowa Mercy Clinics | Family Medicine | 1624 S Grand Ave, Charles City, IA 50616-3653 | 2008-07-08 |
| 1558478420 | North Iowa Mercy Clinics | Family Medicine | 505 S 1st Ave E, Lake Mills, IA 50450-1425 | 2006-08-24 |
| 1922114792 | North Iowa Mercy Clinics | Family Medicine | 1010 4th St Sw Ste 120, Mason City, IA 50401-2856 | 2006-08-22 |
| 1811003015 | North Iowa Mercy Clinics | Family Medicine | 635 E Us Highway 9, Forest City, IA 50436-1028 | 2006-08-21 |
| 1215948252 | North Iowa Mercy Clinics | Family Medicine | 705 Elm St E, Rockwell, IA 50469-0000 | 2006-08-11 |
| 1306857347 | North Iowa Mercy Clinics | Obstetrics & Gynecology | 1010 4th St Sw Ste 220, Mason City, IA 50401-2856 | 2006-08-11 |
| 1972513026 | North Iowa Mercy Clinics | Family Medicine | 203 S 2nd St, Sheffield, IA 50475-5008 | 2006-08-09 |
| Street Address |
910 N EISENHOWER AVE |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104811041 | John C Justin | Pediatrics | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2005-09-16 |
| 1023622628 | Ashley Matern | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2020-09-02 |
| 1629690508 | Tara Nichols | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2020-05-13 |
| 1700424801 | Heather Ileane Ricklefs | Pharmacist | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2019-12-19 |
| 1770136194 | Benjamin Buffington | Pharmacist | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2019-07-24 |
| 1568014835 | Mahala Phillips | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2019-07-16 |
| 1811469364 | Lisa A Quigley | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2018-12-21 |
| 1861968737 | Jessica Lynn Reicks | Occupational Therapy Assistant | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2018-10-18 |
| 1922580125 | Kerri Conway | Occupational Therapist | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2018-09-04 |
| 1790214575 | Tina J Reid | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2017-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366546004 | Adel F Makar | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-12 |
| 1952409716 | Martin G Meindl | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-20 |
| 1841398609 | Tami R Wiegmann | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-20 |
| 1821196684 | Jaffar A Shaikh | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518039460 | Lilanganie Weerasinghe | Pediatrics | 2353 Se 14 St, Des Moines, IA 50320-1109 | 2006-11-15 |
| 1730172040 | Paul Andrew Rozeboom | Pediatrics | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2005-08-23 |
| 1861908089 | Grand View University | Pediatrics | 1200 Grandview Ave, Johnson Wellness Center, Des Moine, IA 50316-1529 | 2017-12-26 |
| 1164602553 | Mercy Clinics, Inc | Pediatrics | 800 E 1st St Ste 2200, Ankeny, IA 50021-2077 | 2007-11-14 |
| 1407036262 | Mercy Clinics Inc | Pediatrics | 330 Laurel St, Suite 2100, Des Moines, IA 50314-3034 | 2007-11-09 |
| 1588863518 | Sunita Tarun Kumar | Pediatrics | 330 Laurel St, Suite 2100, Des Moines, IA 50314-3034 | 2007-07-11 |
| 1144309188 | Central Iowa Hospital Corporation | Pediatrics | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2006-11-02 |
| 1093720708 | North Iowa Mercy Clinics | Pediatrics | 401 S 15th St, Clear Lake, IA 50428-2303 | 2006-07-30 |
| 1710939780 | Douglas Gregory Olk | Pediatrics | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2006-05-17 |
| 1053305086 | Ken L Cheyne | Pediatrics | 1212 Pleasant St, Suite 406, Des Moines, IA 50309-1453 | 2005-09-06 |
| Find all providers with the same taxonomy | ||||
| City | MASON CITY |
| Zip Code | 50401 |
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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.