Alyssa K Blum (NPI# 1396208054, PAC ID# 5496097578) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1396208054 |
PAC ID by PECOS | 5496097578 |
Professional Enrollment ID | I20190422002330 |
Full Name | Alyssa K Blum |
Organization Legal Name | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IOWA |
Address |
809 Elm St Missouri Valley IA 51555-1140 |
Phone Number | 7126422794 |
Gender | F |
Graduation Year | 2018 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 3678482130 |
Number of Group Practice Members | 13 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
161309 | ALEGENT CREIGHTON HEALTH COMMUNITY MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
809 Elm St, Missouri Valley, IA 51555-1140 | 7126422794 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IOWA |
Organization Legal Name | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IOWA |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melissa K Klutts | Nurse Practitioner | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 118 S 1st Ave, Alegent Health Community Memorial, Logan, IA 51546-1306 |
Amy C Jackson | Nurse Practitioner | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 704 Iowa Ave, Dunlap, IA 51529-1336 |
Jennifer Jean Hall | Nurse Practitioner | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 631 N 8th St, Missouri Valley, IA 51555-1102 |
Enrique E Cohen | Family Practice | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 518 Lincoln Way, Alegent Creighton Clinic Woodbine, Woodbine, IA 51579-1238 |
Sharon Louise Pitt | Nurse Practitioner | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 631 N 8th St, Missouri Valley, IA 51555-1102 |
Ahmad Alchommali | Emergency Medicine | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 631 N 8th St, Alegent Health Cmh Practitioner Services, Missouri Valley, IA 51555-1102 |
Carrie L Grady | Family Medicine | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 118 S 1st Ave, Alegent Health Community Memorial, Logan, IA 51546-1306 |
Christopher J Jankovich | Physician Assistant | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 118 S 1st Ave, Alegent Health Community Memorial, Logan, IA 51546-1306 |
Daniel H Richter | Family Medicine | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 631 N 8th St, Alegent Creighton Clinic Missouri Valley, Missouri Valley, IA 51555-1102 |
Nathaniel V Alvis | Family Medicine | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 118 S 1st Ave, Alegent Health Community Memorial, Logan, IA 51546-1306 |
Street Address |
809 ELM ST |
City | MISSOURI VALLEY |
State | IA |
Zip | 51555-1140 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer Jean Hall | Nurse Practitioner | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 631 N 8th St, Missouri Valley, IA 51555-1102 |
Michael J Morrison | Orthopedic Surgery | Omaha Orthopedic Clinic and Sports Medicine PC | 631 N 8th St, Chi Missouri Valley Hospital, Missouri Valley, IA 51555-1102 |
Sharon Louise Pitt | Nurse Practitioner | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 631 N 8th St, Missouri Valley, IA 51555-1102 |
Ahmad Alchommali | Emergency Medicine | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 631 N 8th St, Alegent Health Cmh Practitioner Services, Missouri Valley, IA 51555-1102 |
Patricia Ellen Morrow | Qualified Audiologist | Central Plains Ent, PC | 631 N 8th St, Missouri Valley, IA 51555-1102 |
Richard P Bose Jr. | Anesthesiology | Midwest Pain Clinic PC | 631 N 8th St, Missouri Valley, IA 51555-1102 |
Daniel H Richter | Family Medicine | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 631 N 8th St, Alegent Creighton Clinic Missouri Valley, Missouri Valley, IA 51555-1102 |
Vanessa C Chen | Hospitalist | Alegent Creighton Clinic | 631 N 8th St, Missouri Valley, IA 51555-1102 |
Teena M Seguin | Clinical Social Worker | Alegent Creighton Health | 809 E Elm St, Alegent Creighton Health Psychiatric, Missouri Valley, IA 51555-1140 |
Micaela E Lee | Clinical Social Worker | Alegent Creighton Health | 809 E Elm St, Alegent Creighton Health Psychiatric, Missouri Valley, IA 51555-1140 |
Find all physicians in zip 51555 |
City | MISSOURI VALLEY |
Zip Code | 51555 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | MISSOURI VALLEY + PHYSICIAN ASSISTANT |
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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.