Addie N Ketelsen (NPI# 1043519499, PAC ID# 7012195423) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043519499 |
| PAC ID by PECOS | 7012195423 |
| Professional Enrollment ID | I20110706000333 |
| Full Name | Addie N Ketelsen |
| Organization Legal Name | ST LUKES METHODIST HOSPITAL |
| Address |
931 8th Ave Se Unity Point Gastroenterology Cedar Rapids IA 52401-2121 |
| Phone Number | 3193668695 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6608786751 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160045 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 225 12th St Ne, Cedar Rapids, IA 52402-5077 | 3193698764 | ST LUKES METHODIST HOSPITAL |
| 931 8th Ave Se, Unity Point Gastroenterology, Cedar Rapids, IA 52401-2121 | 3193668695 | ST LUKES METHODIST HOSPITAL |
| Organization Legal Name | ST LUKES METHODIST HOSPITAL |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deepti S Kurra | Family Medicine | St Lukes Methodist Hospital | 225 12th St Ne, Cedar Rapids, IA 52402-5077 |
| Niyati Sharma | Internal Medicine | St Lukes Methodist Hospital | 4251 River Ctr Court Ne, Cedar Rapids, IA 52402-7549 |
| Leon L Qiao | Gastroenterology | St Lukes Methodist Hospital | 931 8th Ave Se, Unity Point Gastroenterology, Cedar Rapids, IA 52401-2121 |
| Lance S Krueger | Physician Assistant | St Lukes Methodist Hospital | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 |
| Ravneet K Gill | Hospice/palliative Care | St Lukes Methodist Hospital | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 |
| Boothapuri Venkatesh | Cardiovascular Disease (cardiology) | St Lukes Methodist Hospital | 202 10th St Se, 225 Unity Point Health Cedar Rapids Cardio Clinic, Cedar Rapids, IA 52403-2419 |
| Olivia L Knott | Internal Medicine | St Lukes Methodist Hospital | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 |
| Diane M Hoover | Nurse Practitioner | St Lukes Methodist Hospital | 202 10th St Se, 225 Unity Point Health Cedar Rapids Cardio Clinic, Cedar Rapids, IA 52403-2419 |
| John Herring | Anesthesiology | St Lukes Methodist Hospital | 202 10th St Se, 111 St Lukes Pre Op Clinic, Cedar Rapids, IA 52403-2424 |
| Ahmet Ersin Atay | Interventional Cardiology | St Lukes Methodist Hospital | 202 10th St Se, 225 Unity Point Health Cedar Rapids Cardio Clinic, Cedar Rapids, IA 52403-2419 |
| Street Address |
931 8TH AVE SE UNITY POINT GASTROENTEROLOGY |
| City | CEDAR RAPIDS |
| State | IA |
| Zip | 52401-2121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leon L Qiao | Gastroenterology | St Lukes Methodist Hospital | 931 8th Ave Se, Unity Point Gastroenterology, Cedar Rapids, IA 52401-2121 |
| Dean A Abramson | Gastroenterology | St Lukes Methodist Hospital | 931 8th Ave Se, Unity Point Gastroenterology, Cedar Rapids, IA 52401-2121 |
| Douglas J Purdy | Gastroenterology | St Lukes Methodist Hospital | 931 8th Ave Se, Unity Point Gastroenterology, Cedar Rapids, IA 52401-2121 |
| Molly A Garber | Nurse Practitioner | St Lukes Methodist Hospital | 931 8th Ave Se, Unity Point Gastroenterology, Cedar Rapids, IA 52401-2121 |
| Pavan Chepyala | Gastroenterology | St Lukes Methodist Hospital | 931 8th Ave Se, Unity Point Gastroenterology, Cedar Rapids, IA 52401-2121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marykathryn Corcoran | Nurse Practitioner | Psychiatry Solutions PC | 305 2nd Ave Se, Suite 200, Cedar Rapids, IA 52401-1207 |
| John H Wollner | Dermatology | 716 5th Ave Se, Cedar Rapids, IA 52401-1916 | |
| Mark E Valliere | Internal Medicine | Mercy Physician Associates Inc | 543 7th St Se, Cedar Rapids, IA 52401-1929 |
| Kristin L Orr | Obstetrics/gynecology | Cedar Rapids Ob-gyn Specialists, P.C. | 788 8th Ave Se, Suite 100, Cedar Rapids, IA 52401-2106 |
| Imran Hassan | General Surgery | Mercy Medical Center | 788 8th Ave Se, Cedar Rapids, IA 52401-2106 |
| Stephen E Gunn | Physician Assistant | Mercy Medical Center | 788 8th Ave Se, Cedar Rapids, IA 52401-2106 |
| Melissa May Deer | Obstetrics/gynecology | Cedar Rapids Ob-gyn Specialists, P.C. | 788 8th Ave Se, Suite 100, Cedar Rapids, IA 52401-2106 |
| Amanda C Mcdonagh | Physician Assistant | Mercy Medical Center | 788 8th Ave Se, Cedar Rapids, IA 52401-2106 |
| Paula Diane Stultz | Nurse Practitioner | Mercy Medical Center | 788 8th Ave Se, Cedar Rapids, IA 52401-2106 |
| Christopher M Stauch | Gastroenterology | Mercy Medical Center | 788 8th Ave Se, Cedar Rapids, IA 52401-2106 |
| Find all physicians in zip 52401 | |||
| City | CEDAR RAPIDS |
| Zip Code | 52401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CEDAR RAPIDS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Addie N Ketelsen.
| 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.