Jamie Michelle Wallace Smith (NPI# 1013144674, PAC ID# 4789871591) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013144674 |
| PAC ID by PECOS | 4789871591 |
| Professional Enrollment ID | I20101206001086 |
| Full Name | Jamie Michelle Wallace Smith |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Address |
200 Virgil Ave Se Family Medicine Mount Vernon Mount Vernon IA 52314-1589 |
| Phone Number | 3198958841 |
| Gender | F |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8729992318 |
| Number of Group Practice Members | 956 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160045 | ST LUKES HOSPITAL |
| 161306 | JONES REGIONAL MEDICAL CENTER |
| 160079 | MERCY MEDICAL CENTER - CEDAR RAPIDS |
| Address | Phone | Organization |
|---|---|---|
| 4480 Utica Ridge Rd, Suite 160, Bettendorf, IA 52722-1637 | 5637425950 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| 4480 Utica Ridge Rd, Bettendorf, IA 52722-1644 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION | |
| 200 Virgil Ave Se, Family Medicine Mount Vernon, Mount Vernon, IA 52314-1589 | 3198958841 | 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 |
200 VIRGIL AVE SE FAMILY MEDICINE MOUNT VERNON |
| City | MOUNT VERNON |
| State | IA |
| Zip | 52314-1589 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clayton T Schuett | Family Medicine | Iowa Physicians Clinic Medical Foundation | 200 Virgil Ave Se, Family Medicine Mount Vernon, Mount Vernon, IA 52314-1589 |
| Steven L Young | Family Medicine | Iowa Physicians Clinic Medical Foundation | 200 Virgil Ave Se, Family Medicine Mount Vernon, Mount Vernon, IA 52314-1589 |
| Brittney A Balik | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 200 Virgil Ave Se, Family Medicine Mount Vernon, Mount Vernon, IA 52314-1589 |
| Tiernie J Kluver | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 200 Virgil Ave Se, Family Medicine Mount Vernon, Mount Vernon, IA 52314-1589 |
| Carissa M Kelley | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 200 Virgil Ave Se, Family Medicine Mount Vernon, Mount Vernon, IA 52314-1589 |
| Benjamin H Daniels | Family Medicine | Iowa Physicians Clinic Medical Foundation | 200 Virgil Ave Se, Family Medicine Mount Vernon, Mount Vernon, IA 52314-1589 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brad Allen Kluver | Chiropractic | 111 1st St Ne, Mount Vernon, IA 52314-1422 | |
| Matthew J Margheim | Physical Therapy | Iowa Physical Therapy PC | 108 1st St Se, Suite 3, Mount Vernon, IA 52314-1465 |
| Stephanie A Meier | Physical Therapy | Iowa Physical Therapy PC | 108 1st St Se, Suite 3, Mount Vernon, IA 52314-1465 |
| Kristin Meyer | Physical Therapy | Iowa Physical Therapy PC | 108 1st St Se, Suite 3, Mount Vernon, IA 52314-1465 |
| Susan Ernst | Clinical Social Worker | Julianna Gondek Lisw LLC | 204 Glenn St Se, 2 Eastern Iowa Family Counseling, Mount Vernon, IA 52314-1501 |
| Julianna Marie Gondek | Clinical Social Worker | Julianna Gondek Lisw LLC | 204 Glenn St Se, 2 Eastern Iowa Family Counseling, Mount Vernon, IA 52314-1501 |
| Steven J Sindt | Optometry | Mt Vernon Eye Clinic Plc | 202 Glenn St Se, Mount Vernon, IA 52314-1588 |
| Richard J Skotowski | Optometry | Mt Vernon Eye Clinic Plc | 202 Glenn St Se, Mount Vernon, IA 52314-1588 |
| Jason R Salier | Chiropractic | Mount Vernon Chiropractic | 216 2nd St Sw, Mount Vernon, IA 52314-1630 |
| Randi J Grafft | Chiropractic | Mount Vernon Chiropractic | 216 2nd St Sw, Mount Vernon, IA 52314-1630 |
| Find all physicians in zip 52314 | |||
| City | MOUNT VERNON |
| Zip Code | 52314 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MOUNT VERNON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jamie Michelle Wallace Smith.
| 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.