HAWKEYE EMERGENCY PHYSICIANS (NPI# 1104930791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104930791 |
| Entity Type | Organization |
| Organization Name | HAWKEYE EMERGENCY PHYSICIANS |
| Practice Address |
800 S Fillmore St Osceola IA 50213-1619 |
| Mailing Address |
Po Box 8120 Philadelphia PA 19101-8120 |
| Practice Telephone | 6413422184 |
| Mailing Telephone | 8004447009 |
| Mailing Fax Number | 8003053233 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | JAMES L. MURPHY (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 8004447009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0448506 | 05 | |
| IA | BLUE SHIELD | 37119 | 01 |
| Street Address |
800 S FILLMORE ST |
| City | OSCEOLA |
| State | IA |
| Zip Code | 50213-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982698650 | Michele Marie Evink | Pharmacist | 800 S Fillmore St, Osceola, IA 50213-1619 | 2005-09-08 |
| 1952814980 | Karrie Marie Lisboa | Nurse Practitioner | 800 S Fillmore St, Osceola, IA 50213-1694 | 2017-11-13 |
| 1063962801 | Sarah A Davis | Dietitian, Registered | 800 S Fillmore St, Osceola, IA 50213-1619 | 2016-10-05 |
| 1871995373 | Brian Jacobs | Nurse Anesthetist, Certified Registered | 800 S Fillmore St, Osceola, IA 50213-1619 | 2014-09-16 |
| 1609291038 | Professional Physical Therapy Sevices, Inc. | Clinic/Center | 800 S Fillmore St, Osceola, IA 50213-1619 | 2014-02-21 |
| 1497196505 | Kristine A Oksendahl | Dietary Manager | 800 S Fillmore St, Osceola, IA 50213-1619 | 2013-07-17 |
| 1760719314 | Valerie Ann Knedler | Nurse Practitioner | 800 S Fillmore St, Osceola, IA 50213-1619 | 2009-11-03 |
| 1053536961 | Clarke County Homemakers | Home Health | 800 S Fillmore St, Osceola, IA 50213-1619 | 2007-04-16 |
| 1881749018 | Richard W. Gannon | Emergency Medicine | 800 S Fillmore St, Osceola, IA 50213-1619 | 2007-01-25 |
| 1740291087 | Emcare Physician Providers Inc. | Emergency Medicine | 800 S Fillmore St, Osceola, IA 50213-1619 | 2006-08-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336769579 | Mark J Good Sr. | Pharmacist | 510 West Mcclane St., Osceola, IA 50213 | 2020-04-17 |
| 1255990743 | Breann Mckenzie Goodall | Social Worker | 105 E. Mcclane, Suite 400, Osceola, IA 50213 | 2019-06-10 |
| 1255649505 | Homestead of Osceola Operations LLC | Assisted Living Facility | 334 North West View Drive, Osceola, IA 50213 | 2010-09-21 |
| 1447389507 | John W Meyer, Dds, P.C. | Dentist | 423 S Main Street, Clarke County Dental Health Center, Osceola, IA 50213 | 2007-03-05 |
| 1699822254 | Clarke C.s.d. | Local Education Agency (LEA) | 104 & Half S Fillmore, Osceola, IA 50213 | 2007-01-05 |
| 1740342005 | Bruce Alan Harris | Dentist | 148 West Jefferson, Bruce A Harris Dds PC, Osceola, IA 50213 | 2006-12-14 |
| 1336213859 | Dutchmen Incorporated | Pharmacy | 214 S. Main, Osceola, IA 50213 | 2006-11-17 |
| 1861815276 | Don Henderson | Counselor | 131 W Washington St, Osceola, IA 50213 | 2014-01-22 |
| 1972650471 | Mosaic | Intermediate Care Facility, Mentally Retarded | 517 East Ayers, Osceola, IA 50213-0000 | 2007-01-05 |
| 1750438461 | Mosaic | Intermediate Care Facility, Mentally Retarded | 209 East Mc Lane, Osceola, IA 50213-0000 | 2007-01-04 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467560441 | Maryruth Garcia Salazar-tier | Emergency Medicine | 301 River Street, Osceola, WI 54020 | 2006-08-29 |
| 1043553860 | East Arkansas Emergency Physicians, Pllc | Emergency Medicine | 611 W Lee Ave, Osceola, AR 72370-3001 | 2013-03-29 |
| 1871872846 | West Lee Emergency Physicians | Emergency Medicine | 611 W Lee Ave, Osceola, AR 72370-3001 | 2011-08-09 |
| 1881749018 | Richard W. Gannon | Emergency Medicine | 800 S Fillmore St, Osceola, IA 50213-1619 | 2007-01-25 |
| 1740291087 | Emcare Physician Providers Inc. | Emergency Medicine | 800 S Fillmore St, Osceola, IA 50213-1619 | 2006-08-11 |
| 1336182955 | Sharon M Wolters | Emergency Medicine | 2600 65th Avenue, Osceola, WI 54020-3024 | 2006-06-13 |
| 1386634731 | Kara Lee A. Thompson | Emergency Medicine | 800 S Fillmore St, Osceola, IA 50213-1619 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151003 | Linn County Emergency Medicine PC | Emergency Medicine | 1195 Boyson Rd Ste 101, Hiawatha, IA 52233-2218 | 2020-07-08 |
| 1245795087 | Gabriel Alejandro Hernandez Roman | Emergency Medicine | 200 Hawkins Dr Dept of Emergency Medicine, Iowa Cit, IA 52242-1009 | 2019-02-06 |
| 1821527862 | Ashley Nicole Evans | Emergency Medicine | 420 Community Dr, North Liberty, IA 52317-6706 | 2017-06-04 |
| 1457715047 | Benjamin Rezny | Emergency Medicine | 200 Hawkins Dr Dept of Anesthesia, Iowa City, IA 52242-1009 | 2016-04-08 |
| 1407293236 | Austin Koch | Emergency Medicine | 200 Hawkins Drive, 1008 Rcp, Uihc - Emergency Medicine, Iowa City, IA 52242 | 2013-06-03 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1336403419 | William E Kettelkamp | Emergency Medicine | 2760 E Robins Rd, Marion, IA 52302-9525 | 2012-07-03 |
| 1578827465 | Sandy Kay Clayton | Emergency Medicine | 901 Montgomery St., Medical Staff Services, Decorah, IA 52101-2325 | 2012-06-26 |
| 1821356015 | Brandon Charles Whalen | Emergency Medicine | 200 Hawkins Dr, 1008 Rcp, Iowa City, IA 52242 | 2012-04-25 |
| 1730407545 | Randall Glen Wood | Emergency Medicine | 2720 Stone Park Blvd., Sioux City, IA 51104 | 2010-05-04 |
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| 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.