Taylor Odneal (NPI# 1053810374, PAC ID# 1658635693) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053810374 |
| PAC ID by PECOS | 1658635693 |
| Professional Enrollment ID | I20180427002375 |
| Full Name | Taylor Odneal |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Address |
3701 Lafayette Rd Evansdale IA 50707-1129 |
| Phone Number | 3192747060 |
| Gender | F |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729992318 |
| Number of Group Practice Members | 956 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160110 | ALLEN HOSPITAL |
| 160067 | COVENANT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3701 Lafayette Rd, Evansdale, IA 50707-1129 | 3192747060 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Physicians | 930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Ann Burgard | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 2515 Sw State St, 100 Internal Med Ankeny At Prairie Trai, Ankeny, IA 50023-7079 |
| Meredith Swenson | Family Medicine | Iowa Physicians Clinic Medical Foundation | 6010 Mills Civic Pkwy, Suite 200, West Des Moines, IA 50266-8345 |
| Aimee R Sarchet | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 3591 Griffin Ave, Pekin, IL 61554-6258 |
| Valerie Hannenberg | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 1824 W 8th St, Cedar Falls, IA 50613-2056 |
| Maged A Ghoprial | Family Medicine | Iowa Physicians Clinic Medical Foundation | 5401 44th Ave Dr, Suite 101, Moline, IL 61265-8126 |
| Emily A Grarup | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2140 Logan Ave, Suite C, Waterloo, IA 50703-1002 |
| Kyle P Kosman | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 801 Colonial Cir, Norwalk, IA 50211-9637 |
| Nicholas C Rains | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 111 Tower St, Denver, IA 50622-2201 |
| Kurtis A Lucas | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1825 Logan Ave, Waterloo, IA 50703-1999 |
| Christina L Aquino | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 830 4th Ave Se, 1 Family Medicine Medical District, Cedar Rapids, IA 52403-2445 |
| Street Address |
3701 LAFAYETTE RD |
| City | EVANSDALE |
| State | IA |
| Zip | 50707-1129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan M Kittleson | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 3701 Lafayette Rd, Evansdale, IA 50707-1129 |
| Quentin E Stenger | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 3701 Lafayette Rd, Evansdale, IA 50707-1129 |
| Marilyn J Lies | Family Medicine | Iowa Physicians Clinic Medical Foundation | 3701 Lafayette Rd, Evansdale, IA 50707-1129 |
| Christy M Weber | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 3701 Lafayette Rd, Evansdale, IA 50707-1129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela K Ames | Nurse Practitioner | Covenant Medical Center Inc | 3562 Lafayette Rd, Evansdale, IA 50707-1025 |
| Janet R Eimers | Clinical Social Worker | Covenant Medical Center Inc | 3562 Lafayette Rd, Evansdale, IA 50707-1025 |
| Duane A Widen | Chiropractic | Evansdale Chiropractic Clinic Plc | 209 S Evans Rd, Evansdale, IA 50707-1121 |
| Christopher Joe Fretheim | Chiropractic | Evansdale Chiropractic Clinic Plc | 209 S Evans Rd, Evansdale, IA 50707-1121 |
| City | EVANSDALE |
| Zip Code | 50707 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EVANSDALE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Taylor Odneal.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.