JYL L WONNELL (NPI# 1316933856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316933856 |
| Entity Type | Individual |
| Full Name | JYL L WONNELL |
| Credential | PA-C |
| Practice Address |
640 S 19th St Ste 100 Nevada IA 50201 |
| Mailing Address |
640 S 19th St Ste 100 Nevada IA 50201-2902 |
| Practice Telephone | 5153825413 |
| Practice Fax Number | 5153827107 |
| Mailing Telephone | 1553825413 |
| Mailing Fax Number | 1553827107 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2018-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
001551 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FEDERAL DEA# | MW0685757 | 01 | |
| IA | IA BCBS SEEN IN RI | 93389 | 01 |
| UPIN | Q23957 | 01 | |
| IA | CONTROLLED SUBSTANCE # | 5100837 | 01 |
| HEALTH ALLIANCE | 098863 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 403 1st St, Maxwell, IA 501617700 | 5153878815 | 5153878817 |
| 640 S 19th St, Nevada, IA 502012902 | 5153822111 | 5153827760 |
| Street Address |
640 S 19TH ST STE 100 |
| City | NEVADA |
| State | IA |
| Zip Code | 50201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386644227 | Timothy Gerard Leeds | Obstetrics & Gynecology | 640 S 19th St Ste 100, Nevada, IA 50201-2902 | 2005-07-21 |
| 1154951556 | Jacqueline Anne Wilson | Nurse Practitioner | 640 S 19th St Ste 100, Nevada, IA 50201-2902 | 2020-01-24 |
| 1508390352 | Story County Hospital | Clinic/Center | 640 S 19th St Ste 100, Nevada, IA 50201-2902 | 2017-04-19 |
| 1033569223 | Audra Leigh Poterucha | Emergency Medicine | 640 S 19th St Ste 100, Nevada, IA 50201-2902 | 2016-06-17 |
| 1295080364 | Rachel Lynn Frederick | Physician Assistant | 640 S 19th St Ste 100, Nevada, IA 50201 | 2012-07-16 |
| 1114991262 | Kelly L Check | Podiatrist | 640 S 19th St Ste 100, Nevada, IA 50201 | 2006-02-15 |
| 1760455323 | Arthur P Check | Family Medicine | 640 S 19th St Ste 100, Nevada, IA 50201 | 2006-02-13 |
| 1952374811 | Adrian L Palar | Family Medicine | 640 S 19th St Ste 100, Nevada, IA 50201 | 2006-02-10 |
| 1316922396 | Shane M Higgins | Physician Assistant | 640 S 19th St Ste 100, Nevada, IA 50201 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316295975 | Frideres Chiropractic Clinic P.C. | Chiropractor | 1229 South G Ave Bldg B, Nevada, IA 50201 | 2012-08-29 |
| 1164669271 | Debra S.l. Linderblood | Dietitian, Registered | 640 South 19th St, Nevada, IA 50201 | 2009-01-12 |
| 1932308814 | Jason E Grimm | Chiropractor | 510 South 11th St, West Suite, Nevada, IA 50201 | 2007-07-12 |
| 1396810339 | Stephenson Dental Inc | Dentist | 1400 Fawcett Parkway, Nevada, IA 50201 | 2006-11-22 |
| 1578587473 | Daniel R Hobt | Dentist | 936 Seventh St, Nevada, IA 50201 | 2006-07-26 |
| 1629344510 | Mosaic | Intermediate Care Facility, Mentally Retarded | 217 Maple Ave, Nevada, IA 50201 | 2012-03-26 |
| 1417251232 | Damiun Bassandeh | Nurse Anesthetist, Certified Registered | 640 S 19th St, Nevada, IA 50201 | 2011-01-08 |
| 1386977205 | Sherman Jew | Preventive Medicine | 640 S 19th St, Nevada, IA 50201 | 2009-09-10 |
| 1134389307 | Curtis Patrick O'loughlin | Emergency Medicine | 640 S 19th St, Nevada, IA 50201 | 2008-06-11 |
| 1508058223 | Nevada Family Chiropractic Inc | Chiropractor | 510 South 11th St, Suite 2, Nevada, IA 50201 | 2007-08-16 |
| Find all providers in zip 50201 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468434 | Nichole Marie Steffens | Physician Assistant | 2371 County Road B32, Fort Atkinson, IA 52144-7414 | 2020-05-12 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1295282325 | Courtney Lowy | Physician Assistant | 3850 Merle Hay Rd Ste 500, Des Moines, IA 50310-1322 | 2016-09-07 |
| 1447641618 | West Broadway Clinic, P.C. | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2015-02-10 |
| 1972858397 | Sarah Beth Nace | Physician Assistant | 2346 Mormon Trek Blvd Ste 1500, Iowa City, IA 52246-4368 | 2012-07-23 |
| 1528313350 | Stephanie Elaine Fangman | Physician Assistant | 709 W Main St Ste 3, Manchester, IA 52057-1526 | 2012-07-18 |
| 1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
| 1992960876 | Cass County Memorial Hospital Rhc | Physician Assistant | 1501 E 10th St Ste 100, Atlantic, IA 50022-1936 | 2008-07-21 |
| 1629265368 | Hannah Joy Lokenvitz | Physician Assistant | 700 2nd St Se Ste 101, Hampton, IA 50441-2655 | 2007-09-26 |
| 1568658532 | Angela K Grundmeyer | Physician Assistant | 1215 Pleasant St Ste 100, Des Moines, IA 50309-1409 | 2007-09-24 |
| 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.