Russell E Bandstra (NPI# 1619948098, PAC ID# 1951395631) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1619948098 |
| PAC ID by PECOS | 1951395631 |
| Professional Enrollment ID | I20040414000710 |
| Full Name | Russell E Bandstra |
| Organization Legal Name | SURGICAL ASSOCIATES, LLP |
| Address |
122 4th Ave Grinnell IA 50112-1829 |
| Phone Number | 6412364323 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 3375432016 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161367 | PELLA REGIONAL HEALTH CENTER |
| 160147 | GRINNELL REGIONAL MEDICAL CENTER |
| 160032 | SKIFF MEDICAL CENTER |
| 161355 | KNOXVILLE HOSPITAL & CLINICS |
| 161379 | MAHASKA HEALTH PARTNERSHIP |
| Address | Phone | Organization |
|---|---|---|
| 122 4th Ave, Grinnell, IA 50112-1829 | 6412364323 | SURGICAL ASSOCIATES, LLP |
| 210 4th Ave, Grinnell, IA 50112-1898 | 6412364323 | SURGICAL ASSOCIATES, LLP |
| 204 N 4th Ave E, Skiff Medical Center, Newton, IA 50208-3135 | 6412364323 | SURGICAL ASSOCIATES, LLP |
| 404 Jefferson St, Pella, IA 50219-1257 | 6412364323 | SURGICAL ASSOCIATES, LLP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | SURGICAL ASSOCIATES, LLP |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jarrod D Phelps | Physician Assistant | Surgical Associates, LLP | 122 4th Ave, Grinnell, IA 50112-1829 |
| Bridget M Baechtel | Clinical Social Worker | Surgical Associates, LLP | 122 4th Ave, Grinnell, IA 50112-1829 |
| Stefanie H Noun | Physician Assistant | Surgical Associates, LLP | 122 4th Ave, Grinnell, IA 50112-1829 |
| Aaron C Smith | Urology | Surgical Associates, LLP | 122 4th Ave, Grinnell, IA 50112-1829 |
| Street Address |
122 4TH AVE |
| City | GRINNELL |
| State | IA |
| Zip | 50112-1829 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan E Marsh | Clinical Social Worker | 122 4th Ave, Suite 200, Indialantic, FL 32903-3112 | |
| Jarrod D Phelps | Physician Assistant | Surgical Associates, LLP | 122 4th Ave, Grinnell, IA 50112-1829 |
| Patrick J Aragon | Psychologist, Clinical | 122 4th Ave, Suite 200, Indialantic, FL 32903-3112 | |
| Molly K Larson | Psychologist, Clinical | 122 4th Ave, Suite 200, Indialantic, FL 32903-3112 | |
| Bridget M Baechtel | Clinical Social Worker | Surgical Associates, LLP | 122 4th Ave, Grinnell, IA 50112-1829 |
| Stefanie H Noun | Physician Assistant | Surgical Associates, LLP | 122 4th Ave, Grinnell, IA 50112-1829 |
| Aaron C Smith | Urology | Surgical Associates, LLP | 122 4th Ave, Grinnell, IA 50112-1829 |
| Gail D Simon-boyd | Clinical Psychologist | 122 4th Ave, Suite 200, Indialantic, FL 32903-3112 | |
| Deirdre Eberhart | Clinical Social Worker | 122 4th Ave, Suite 200, Indialantic, FL 32903-3112 | |
| Kristi Sands Van Sickle | Clinical Psychologist | Kristi Van Sickle, Psyd, LLC | 122 4th Ave, Indialantic, FL 32903-3112 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon L Davis | Psychologist, Clinical | 809 5th Ave, Grinnell, IA 50112-1653 | |
| Ryan P Dahlby Albright | Family Medicine | Family Medicine | 224 3rd Ave, Grinnell, IA 50112-1817 |
| Laura M Ferguson | Family Medicine | Family Medicine | 224 3rd Ave, Grinnell, IA 50112-1817 |
| Michele M Walker | Clinical Social Worker | Capstone Behavioral Healthcare Inc | 200 4th Ave W, Grinnell, IA 50112-1833 |
| Jacquelyn A Stortenbecker | Physician Assistant | Capstone Behavioral Healthcare Inc | 200 4th Ave W, Grinnell, IA 50112-1833 |
| Suzanne J Rozendaal | Clinical Social Worker | Capstone Behavioral Healthcare Inc | 200 4th Ave W, Grinnell, IA 50112-1833 |
| Jennifer L Kramer | Clinical Social Worker | Capstone Behavioral Healthcare Inc | 200 4th Ave W, Grinnell, IA 50112-1833 |
| Felicia L Hoerner | Physician Assistant | Capstone Behavioral Healthcare Inc | 200 4th Ave W, Grinnell, IA 50112-1833 |
| Ara J Robinson | Psychiatry | Capstone Behavioral Healthcare Inc | 200 4th Ave W, Grinnell, IA 50112-1833 |
| Casie M Riney | Physician Assistant | Capstone Behavioral Healthcare Inc | 200 4th Ave W, Grinnell, IA 50112-1833 |
| Find all physicians in zip 50112 | |||
| City | GRINNELL |
| Zip Code | 50112 |
| Specialty | UROLOGY |
| City + Specialty | GRINNELL + UROLOGY |
Please comment or provide details below to improve the information on Russell E Bandstra.
| 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.