Kelli E Woltemath (NPI# 1285606731, PAC ID# 1951294982) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1285606731 |
| PAC ID by PECOS | 1951294982 |
| Professional Enrollment ID | I20051229000612 |
| Full Name | Kelli E Woltemath |
| Organization Legal Name | MEDICAL CLINIC P.C. |
| Address |
1219 Main St Hamburg IA 51640-1300 |
| Phone Number | 7128222626 |
| Gender | F |
| Credential | DO |
| Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 1988 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 5395634216 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161324 | GEORGE C GRAPE COMMUNITY HOSPITAL |
| 160047 | METHODIST JENNIE EDMUNDSON |
| 161366 | SHENANDOAH MEDICAL CENTER |
| 280013 | THE NEBRASKA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1219 Main St, Hamburg, IA 51640-1300 | 7128222626 | MEDICAL CLINIC P.C. |
| 710 Ctr St, Tabor, IA 51653-2069 | 7126292975 | MEDICAL CLINIC P.C. |
| Organization Legal Name | MEDICAL CLINIC P.C. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Ourada | Family Medicine | Medical Clinic P.C. | 1219 Main St, Hamburg, IA 51640-1300 |
| Jennifer Leigh Black | Nurse Practitioner | Medical Clinic P.C. | 1219 Main St, Hamburg, IA 51640-1300 |
| Jaylene Allyse Zanker | Physician Assistant | Medical Clinic P.C. | 1219 Main St, Hamburg, IA 51640-1300 |
| David Michael Owen | Nurse Practitioner | Medical Clinic P.C. | 1219 Main St, Hamburg, IA 51640-1300 |
| Street Address |
1219 MAIN ST |
| City | HAMBURG |
| State | IA |
| Zip | 51640-1300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah C Harmon | Physical Therapy | 1219 Main St, Thompson Falls, MT 59873-9355 | |
| Michael J Ourada | Family Medicine | Medical Clinic P.C. | 1219 Main St, Hamburg, IA 51640-1300 |
| Jennifer Leigh Black | Nurse Practitioner | Medical Clinic P.C. | 1219 Main St, Hamburg, IA 51640-1300 |
| Jaylene Allyse Zanker | Physician Assistant | Medical Clinic P.C. | 1219 Main St, Hamburg, IA 51640-1300 |
| David Michael Owen | Nurse Practitioner | Medical Clinic P.C. | 1219 Main St, Hamburg, IA 51640-1300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Gallagher | Chiropractic | 1108 Main St, Hamburg, IA 51640-1234 | |
| Jeremy M Baum | Diagnostic Radiology | Nebraska-iowa Radiology Consultants Inc | 2959 Us Hwy 275, Hamburg, IA 51640-5052 |
| Cheryle M Manasil | Diagnostic Radiology | Nebraska-iowa Radiology Consultants Inc | 2959 Us Hwy 275, Hamburg, IA 51640-5052 |
| Michelle L Peterson-jones | Diagnostic Radiology | Nebraska-iowa Radiology Consultants Inc | 2959 Us Hwy 275, Hamburg, IA 51640-5052 |
| Thomas H Largen | Family Practice | 2959 Us Hwy 275, Hamburg, IA 51640-5052 |
| City | HAMBURG |
| Zip Code | 51640 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | HAMBURG + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Kelli E Woltemath.
| 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.