NORTH IOWA MERCY CLINICS (NPI# 1093720708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093720708 |
| Entity Type | Organization |
| Organization Name | NORTH IOWA MERCY CLINICS |
| Other Organization Name | MERCYONE CLEAR LAKE PEDIATRIC & ADOLESCENT CLINIC |
| Practice Address |
401 S 15th St Clear Lake IA 50428-2303 |
| Mailing Address |
621 S Illinois Ave Suite 103 Mason City IA 50401-5489 |
| Practice Telephone | 6413577442 |
| Practice Fax Number | 6413576020 |
| Mailing Telephone | 6414943041 |
| Mailing Fax Number | 6414943059 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | DANETTE A ZOOK (VP FINANACE) |
| Authorized Official Telephone | 6414287989 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MERCY PEDIATRIC AND ADOLESCENT CLINIC-CLEAR LAKE | Other Name - Individual/Organization |
| MercyOne Clear Lake Pediatric & Adolescent Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1801147269 | North Iowa Mercy Clinics | Surgery | 250 S Crescent Dr Ste 200, Mason City, IA 50401-2911 | 2012-09-26 |
| 1376709873 | North Iowa Mercy Clinics | Nurse Practitioner | 1413 S Grand Ave, Charles City, IA 50616 | 2008-08-04 |
| 1447413703 | North Iowa Mercy Clinics | Family Medicine | 1624 S Grand Ave, Charles City, IA 50616-3653 | 2008-07-08 |
| 1558478420 | North Iowa Mercy Clinics | Family Medicine | 505 S 1st Ave E, Lake Mills, IA 50450-1425 | 2006-08-24 |
| 1922114792 | North Iowa Mercy Clinics | Family Medicine | 1010 4th St Sw Ste 120, Mason City, IA 50401-2856 | 2006-08-22 |
| 1811003015 | North Iowa Mercy Clinics | Family Medicine | 635 E Us Highway 9, Forest City, IA 50436-1028 | 2006-08-21 |
| 1215948252 | North Iowa Mercy Clinics | Family Medicine | 705 Elm St E, Rockwell, IA 50469-0000 | 2006-08-11 |
| 1306857347 | North Iowa Mercy Clinics | Obstetrics & Gynecology | 1010 4th St Sw Ste 220, Mason City, IA 50401-2856 | 2006-08-11 |
| 1972513026 | North Iowa Mercy Clinics | Family Medicine | 203 S 2nd St, Sheffield, IA 50475-5008 | 2006-08-09 |
| Street Address |
401 S 15TH ST |
| City | CLEAR LAKE |
| State | IA |
| Zip Code | 50428-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710415005 | Kristin Avery | Pediatrics | 401 S 15th St, Clear Lake, IA 50428-2303 | 2017-05-31 |
| 1770849333 | Tate Allen Lage | Pediatrics | 401 S 15th St, Clear Lake, IA 50428-2303 | 2012-04-09 |
| 1093990285 | Zwiefel Chiropractic Inc. | Chiropractor | 401 S 15th St, Clear Lake, IA 50428-2303 | 2008-01-07 |
| 1609843283 | Korey J Zwiefel | Chiropractor | 401 S 15th St, Clear Lake, IA 50428 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912528266 | One Vision | Intermediate Care Facility, Mentally Retarded | 755 Pebblestone Lane, Garner, IA 50428 | 2020-04-28 |
| 1780228270 | Laura Lee Wilcke | Behavioral Analyst | 1020 Buddy Holly Place, Clear Lake, IA 50428 | 2019-10-29 |
| 1578120978 | Jon Secory | Pharmacist | 20 S. 4th St, Clear Lake, IA 50428 | 2019-05-22 |
| 1285109207 | Julie Livingston | Registered Nurse | Thrifty White Drug, 1907 Us Highway 18 East, Clear Lake, IA 50428 | 2018-10-05 |
| 1720580277 | Kelly Nieman | Nurse Practitioner | 1410 6th Ave South, Clear Lake, IA 50428 | 2018-03-01 |
| 1427439892 | Christopher Fischer | Physical Therapist | 7 S 8th St Ste C, Clear Lake, IA 50428 | 2015-06-11 |
| 1609114958 | Hasco Inc. | Pharmacy | 8 North 4th St, Clear Lake, IA 50428 | 2013-01-22 |
| 1295097970 | Alexander Macrae Harvin | Radiology | 5095 S Shore Dr, Clear Lake, IA 50428 | 2012-06-08 |
| 1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
| 1326204686 | Anjali S. Henry | Pediatrics | 418 North Shore Drive, Clear Lake, IA 50428 | 2008-08-05 |
| Find all providers in zip 50428 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518039460 | Lilanganie Weerasinghe | Pediatrics | 2353 Se 14 St, Des Moines, IA 50320-1109 | 2006-11-15 |
| 1366546004 | Adel F Makar | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-12 |
| 1730172040 | Paul Andrew Rozeboom | Pediatrics | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2005-08-23 |
| 1861908089 | Grand View University | Pediatrics | 1200 Grandview Ave, Johnson Wellness Center, Des Moine, IA 50316-1529 | 2017-12-26 |
| 1164602553 | Mercy Clinics, Inc | Pediatrics | 800 E 1st St Ste 2200, Ankeny, IA 50021-2077 | 2007-11-14 |
| 1407036262 | Mercy Clinics Inc | Pediatrics | 330 Laurel St, Suite 2100, Des Moines, IA 50314-3034 | 2007-11-09 |
| 1588863518 | Sunita Tarun Kumar | Pediatrics | 330 Laurel St, Suite 2100, Des Moines, IA 50314-3034 | 2007-07-11 |
| 1144309188 | Central Iowa Hospital Corporation | Pediatrics | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2006-11-02 |
| 1952409716 | Martin G Meindl | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-20 |
| 1841398609 | Tami R Wiegmann | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
| City | CLEAR LAKE |
| Zip Code | 50428 |
Please comment or provide details below to improve the information on NORTH IOWA MERCY CLINICS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.