Laci A Dykstra (NPI# 1699176297, PAC ID# 3870715303) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1699176297 |
| PAC ID by PECOS | 3870715303 |
| Professional Enrollment ID | I20141117000920 |
| Full Name | Laci A Dykstra |
| Organization Legal Name | KNOXVILLE COMMUNITY HOSPITAL INC |
| Address |
615 Washington St Red Rock Healthcare Pella IA 50219-1538 |
| Phone Number | 6416282222 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6608787056 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161355 | KNOXVILLE HOSPITAL & CLINICS |
| 161367 | PELLA REGIONAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 615 Washington St, Red Rock Healthcare, Pella, IA 50219-1538 | 6416282222 | KNOXVILLE COMMUNITY HOSPITAL INC |
| Organization Legal Name | KNOXVILLE COMMUNITY HOSPITAL INC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kate M Ripperger | Nurse Practitioner | Knoxville Community Hospital Inc | 1202 W Howard St, Knoxville, IA 50138-3103 |
| Michael D Vannatta | Family Medicine | Knoxville Community Hospital Inc | 615 Washington St, Red Rock Healthcare, Pella, IA 50219-1538 |
| Eman R Boulis | Rheumatology | Knoxville Community Hospital Inc | 1202 W Howard St, Knoxville, IA 50138-3103 |
| Bhama Jayaveerpandian | Internal Medicine | Knoxville Community Hospital Inc | 1202 W Howard St, Knoxville, IA 50138-3103 |
| Thomas B Hoehns | Family Medicine | Knoxville Community Hospital Inc | 1202 W Howard St, Knoxville, IA 50138-3103 |
| Terry L Waddell | Nurse Practitioner | Knoxville Community Hospital Inc | 1002 S Lincoln St, Knoxville, IA 50138-3121 |
| Dale Vander Broek | Emergency Medicine | Knoxville Community Hospital Inc | 1002 S Lincoln St, Knoxville, IA 50138-3121 |
| Earl J Mckeever | Family Medicine | Knoxville Community Hospital Inc | 1202 W Howard St, Knoxville, IA 50138-3103 |
| Jennifer L Coxe | Nurse Practitioner | Knoxville Community Hospital Inc | 1202 W Howard St, Knoxville, IA 50138-3103 |
| Naveen Penmasta | Family Medicine | Knoxville Community Hospital Inc | 1002 S Lincoln St, Knoxville, IA 50138-3121 |
| Street Address |
615 WASHINGTON ST RED ROCK HEALTHCARE |
| City | PELLA |
| State | IA |
| Zip | 50219-1538 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Vannatta | Family Medicine | Knoxville Community Hospital Inc | 615 Washington St, Red Rock Healthcare, Pella, IA 50219-1538 |
| Martha C Errthum | Family Medicine | Knoxville Community Hospital Inc | 615 Washington St, Red Rock Healthcare, Pella, IA 50219-1538 |
| Kurt R Vanderploeg | Family Practice | Kurt R. Vander Ploeg, M.d., P.C. | 615 Washington St, Pella, IA 50219-1538 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Ravn Andersen | Chiropractic | 1910 Washington St, Suite 100, Pella, IA 50219-0062 | |
| Angela Kay Conley | Physician Assistant | Iowa Orthopaedic Center, P.C. | 500 Jefferson St, Pella, IA 50219-1255 |
| Joseph F Galles Jr. | Orthopedic Surgery | Iowa Orthopaedic Center, P.C. | 500 Jefferson St, Pella, IA 50219-1255 |
| Eric Dolash | Physician Assistant | Iowa Orthopaedic Center, P.C. | 500 Jefferson St, Pella, IA 50219-1255 |
| Melissa A Snyder | Certified Registered Nurse Anesthetist (crna) | Anesthesia Iowa Plc | 404 Jefferson St, Pella, IA 50219-1257 |
| Mary L Lamar | Certified Registered Nurse Anesthetist (crna) | Anesthesia Iowa Plc | 404 Jefferson St, Pella, IA 50219-1257 |
| Greggory C Sutton | Certified Registered Nurse Anesthetist (crna) | Anesthesia Iowa Plc | 404 Jefferson St, Pella, IA 50219-1257 |
| Alison J Smith | Diagnostic Radiology | Pella Imaging Consultants, Inc | 404 Jefferson St, Pella, IA 50219-1257 |
| Joel David Shaw | Certified Registered Nurse Anesthetist (crna) | Anesthesia Iowa Plc | 404 Jefferson St, Pella, IA 50219-1257 |
| Susan E Pair | Certified Registered Nurse Anesthetist (crna) | Anesthesia Iowa Plc | 404 Jefferson St, Pella, IA 50219-1257 |
| Find all physicians in zip 50219 | |||
| City | PELLA |
| Zip Code | 50219 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PELLA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Laci A Dykstra.
| 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.