Beau Waddell (NPI# 1053713636, PAC ID# 9830413913) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1053713636 |
PAC ID by PECOS | 9830413913 |
Professional Enrollment ID | I20150120001516 |
Full Name | Beau Waddell |
Organization Legal Name | HAWARDEN REGIONAL HEALTHCARE CLINICS LLC |
Address |
1111 11th St Hawarden IA 51023-1903 |
Phone Number | 7125513100 |
Gender | M |
Graduation Year | 2012 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 7517929532 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
161311 | HAWARDEN REGIONAL HEALTHCARE |
Address | Phone | Organization |
---|---|---|
1111 11th St, Hawarden, IA 51023-1903 | 7125513100 | HAWARDEN REGIONAL HEALTHCARE CLINICS LLC |
1122 Ave L, Hawarden, IA 51023-1928 | 7125513400 | HAWARDEN REGIONAL HEALTHCARE CLINICS LLC |
318 Main St, Ireton, IA 51027-7794 | 7122781011 | HAWARDEN REGIONAL HEALTHCARE CLINICS LLC |
Organization Legal Name | HAWARDEN REGIONAL HEALTHCARE CLINICS LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mindy Dejager | Nurse Practitioner | Hawarden Regional Healthcare Clinics LLC | 318 Main St, Ireton, IA 51027-7794 |
Street Address |
1111 11TH ST |
City | HAWARDEN |
State | IA |
Zip | 51023-1903 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard A Jongewaard | Family Medicine | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Thomas E Schryver | Family Medicine | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Daniel A Moore | Physician Assistant | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Heather R Kreber | Physician Assistant | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Nicola J Pike | Podiatry | 1111 11th St, Hawarden, IA 51023-1903 | |
Scott D Murray | Emergency Medicine | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Dale P Nystrom | General Practice | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Lukas M Sachau | Physician Assistant | Siouxland Urology Associates PC | 1111 11th St, Hawarden, IA 51023-1903 |
Said Sana | Emergency Medicine | Hawarden Regional Healthcare | 1111 11th St, Hawarden, IA 51023-1903 |
Name | Specialty | Organization | Address |
---|---|---|---|
Scott R Beecher | Optometry | Vision Care Clinic PC | 605 9th St, Hawarden, IA 51023-2220 |
Ryan P Schwiesow | Chiropractic | 827 Central Ave, Hawarden, IA 51023-2231 | |
Jessica L Daale | Chiropractic | 816 Central Ave, Hawarden, IA 51023-2232 | |
Nicolette Menke | Clinical Social Worker | Creative Living Center PC | 926 Ave F, Hawarden, IA 51023-2275 |
City | HAWARDEN |
Zip Code | 51023 |
Specialty | FAMILY MEDICINE |
City + Specialty | HAWARDEN + FAMILY MEDICINE |
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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.