JARROD DUANE PHELPS (NPI# 1265692651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265692651 |
| Entity Type | Individual |
| Full Name | JARROD DUANE PHELPS |
| Credential | P.A. |
| Practice Address |
122 4th Ave Grinnell IA 50112-1829 |
| Practice Telephone | 6412364323 |
| Practice Fax Number | 6412360680 |
| Mailing Telephone | 6412364323 |
| Mailing Fax Number | 6412363411 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2018-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
122 4TH AVE |
| City | GRINNELL |
| State | IA |
| Zip Code | 50112-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588651129 | Stefanie Noun | Physician Assistant | 122 4th Ave, Grinnell, IA 50112-1829 | 2005-09-29 |
| 1215191523 | Mathew Severidt | Specialist | 122 4th Ave, Grinnell, IA 50112-1829 | 2008-07-16 |
| 1871614149 | Aaron Christopher Smith | Urology | 122 4th Ave, Grinnell, IA 50112-1829 | 2007-04-03 |
| 1538134275 | Stephen Merrill Sundberg | Surgery | 122 4th Ave, Grinnell, IA 50112-1829 | 2006-02-17 |
| 1033183884 | Surgical Associates, LLP | Surgery | 122 4th Ave, Grinnell, IA 50112-1829 | 2006-02-16 |
| 1780655191 | David D Coster | Surgery | 122 4th Ave, Grinnell, IA 50112-1829 | 2006-02-01 |
| 1619948098 | Russell Evan Bandstra | Urology | 122 4th Ave, Grinnell, IA 50112-1829 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912451642 | Renfrow Senior Care | Internal Medicine | 120 W. St., Grinnell, IA 50112 | 2016-08-11 |
| 1114324605 | Grinnell Health Care Center, LLC | Skilled Nursing Facility | 415 S 6th Street, Grinnell, IA 50112 | 2014-11-26 |
| 1972907061 | Katie M Little | Counselor | 821 5th Ave Ste 401, Grinnell, IA 50112 | 2014-10-17 |
| 1366606287 | Kara Collings | Optometrist | 619 6th Ave, Grinnell, IA 50112 | 2008-07-10 |
| 1053510123 | Jennifer Davis | Speech-Language Pathologist | 79 Sixth Ave, Grinnell, IA 50112 | 2007-07-17 |
| 1306059506 | Grinnell Regional Medical Center, Inc | Anesthesiology | 210 Fourth Avenue, Grinnell, IA 50112 | 2007-05-07 |
| 1609906510 | Poweshiek County Case Management | Case Management | 120 W. Street, Grinnell, IA 50112 | 2007-03-07 |
| 1982756284 | The Grinnell Institute for Bone Health | Orthopaedic Surgery | 810 Commercial St., Grinnell, IA 50112 | 2007-01-17 |
| 1689771412 | Brandon L Davis | Psychologist | 200 4th Ave West, Grinnell, IA 50112 | 2006-09-20 |
| 1740240456 | Beth Mi Gallegos | Social Worker | 807 4th, Grinnell, IA 50112 | 2006-03-25 |
| Find all providers in zip 50112 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932607009 | Margaret Mary Storbakken | Physician Assistant | 200 Hawkins Dr Ste 1562, Iowa City, IA 52242-1009 | 2018-01-24 |
| 1710406590 | Jordan Lee Reiner | Physician Assistant | 12499 University Ave Ste 210, Clive, IA 50325-8288 | 2017-09-13 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1629140041 | Joel E Rand | Physician Assistant | 411 Laurel St Ste 2100, Des Moines, IA 50314-3026 | 2006-11-14 |
| 1073511572 | Stephen Edward Gunn | Physician Assistant | 200 Hawkins Drive, Se 500 Gh, Iowa City, IA 52242 | 2005-07-08 |
| 1609473842 | Hannah Marissa Lester | Physician Assistant | 12499 University Ave Ste 210, Clive, IA 50325-8288 | 2020-10-01 |
| 1154937001 | Christopher Randall | Physician Assistant | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2020-09-16 |
| 1114580495 | Amanda C Mcdonagh | Physician Assistant | 788 8th Ave Se Ste 300, Cedar Rapids, IA 52401-2106 | 2019-04-22 |
| 1184182305 | Ryan E Anderson | Physician Assistant | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2019-03-06 |
| 1760952238 | Kyle J Kroymann | Physician Assistant | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-11-27 |
| Find all providers with the same taxonomy | ||||
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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.