MR. BRADLEY R DIRKS (NPI# 1235194648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235194648 |
| Entity Type | Individual |
| Full Name | MR. BRADLEY R DIRKS |
| Credential | PAC |
| Practice Address |
1251 W Cedar Loop Cherokee IA 51012-1599 |
| Practice Telephone | 7122252594 |
| Practice Fax Number | 7122251684 |
| Mailing Telephone | 7122252594 |
| Mailing Fax Number | 7122251684 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2009-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001213 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1251 W CEDAR LOOP |
| City | CHEROKEE |
| State | IA |
| Zip Code | 51012-1599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093713307 | Human Services-cherokee | Psychiatric Hospital | 1251 W Cedar Loop, Cherokee, IA 51012-1566 | 2005-07-11 |
| 1144833880 | Rachel Ballard | Physician Assistant | 1251 W Cedar Loop, Cherokee, IA 51012-1566 | 2020-08-24 |
| 1346674660 | Layhla Keairns | Physician Assistant | 1251 W Cedar Loop, Cherokee, IA 51012-1566 | 2013-08-22 |
| 1659586584 | Human Services Cherokee | Psychiatric Hospital | 1251 W Cedar Loop, Cherokee, IA 51012-1566 | 2007-05-14 |
| 1942379557 | Janne L Johnson | Nurse Practitioner | 1251 W Cedar Loop, Cherokee, IA 51012-1566 | 2006-11-07 |
| 1952470130 | Gail Duane Vegter | Physician Assistant | 1251 W Cedar Loop, Cherokee, IA 51012-1572 | 2006-11-06 |
| 1801979257 | Mary Sue Benson | Nurse Practitioner | 1251 W Cedar Loop, Cherokee, IA 51012-1566 | 2006-10-21 |
| 1962467381 | Charles E Murphy | Psychiatry & Neurology | 1251 W Cedar Loop, Cherokee, IA 51012-1599 | 2006-04-19 |
| 1609830892 | Simrat S Sethi | Psychiatry & Neurology | 1251 W Cedar Loop, Cherokee, IA 51012-1599 | 2006-04-14 |
| 1285693929 | Stewart A Fern | Psychiatry & Neurology | 1251 W Cedar Loop, Cherokee, IA 51012-1566 | 2006-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154794337 | Sara Ann Schany | Chiropractor | 213 N. 2nd St., Suite A, Cherokee, IA 51012 | 2015-11-10 |
| 1083945703 | Kayla M Ludvigson | Chiropractor | 213 N 2nd, Suite A, Cherokee, IA 51012 | 2010-01-20 |
| 1366676116 | Family Vision Clinic | Optometrist | 208 West Bluff Street, Cherokee, IA 51012 | 2009-05-08 |
| 1699828962 | Jo Anne Burkhalter | Dermatology | 300 Sioux Valley Drive, True Medical Building, Cherokee, IA 51012 | 2007-01-19 |
| 1891848693 | Cherokee County Case Management | Case Manager/Care Coordinator | 119 So 4th Street, Suite 2, Cherokee, IA 51012 | 2007-01-18 |
| 1942307699 | Thomas Michael Irwin | Chiropractor | 701 S Second St, Cherokee, IA 51012 | 2006-09-17 |
| 1194108662 | Rebecca Jean Mogensen-kruger | Nurse Practitioner | 300 Sioux Valley Dr, Cherokee, IA 51012 | 2015-07-02 |
| 1093195331 | Seth Winterton | Family Medicine | 300 Sioux Valley Dr, Cherokee, IA 51012 | 2015-06-02 |
| 1740387497 | Michael Allen Kennedy | Chiropractor | 701 S Second St, Cherokee, IA 51012 | 2006-09-17 |
| 1396717930 | Thomas Michael Gary | Family Medicine | 212 W Bluff St, Cherokee, IA 51012 | 2006-02-07 |
| Find all providers in zip 51012 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679601249 | Mary Anne Baughman | Physician Assistant | 1200 W Cedar Loop, Cherokee Mental Health Institute, Cherokee, IA 51012-1573 | 2007-03-02 |
| 1568494037 | Linda Goller | Physician Assistant | 806 Acquoni Road, Suite 100, Cherokee, NC 28719 | 2006-07-07 |
| 1497714307 | Joan C Parks | Physician Assistant | 1570 Acquoni Rd, Suite 1, Cherokee, NC 28719 | 2006-03-20 |
| 1093717209 | Danielle Lita Cloutier | Physician Assistant | 1 Hospital Road, Caller Box C-268, Cherokee, NC 28719-9253 | 2005-06-01 |
| 1144833880 | Rachel Ballard | Physician Assistant | 1251 W Cedar Loop, Cherokee, IA 51012-1566 | 2020-08-24 |
| 1619433547 | Taylor Renea Carson | Physician Assistant | 405 S Oklahoma Ave, Cherokee, OK 73728-2545 | 2019-02-15 |
| 1346674660 | Layhla Keairns | Physician Assistant | 1251 W Cedar Loop, Cherokee, IA 51012-1566 | 2013-08-22 |
| 1649532599 | Lauren Alyssa Webb | Physician Assistant | 1 Hospital Rd, Cherokee, NC 28719-9253 | 2012-06-15 |
| 1700160272 | Rebecca J Ruf | Physician Assistant | 1 Hospital Road, Caller Box C-268, Cherokee, NC 28719 | 2011-10-03 |
| 1912046996 | Quana Marie Winstead | Physician Assistant | 1 Hospital Road, Cherokee, NC 28719 | 2007-02-06 |
| Find all providers in CHEROKEE | ||||
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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.