OTTUMWA HEALTH GROUP LLC (NPI# 1386956290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386956290 |
| Entity Type | Organization |
| Organization Name | OTTUMWA HEALTH GROUP LLC |
| Practice Address |
1001 Pennsylvania Ave Ottumwa IA 52501-2186 |
| Practice Telephone | 6416827511 |
| Practice Fax Number | 6416843199 |
| Mailing Telephone | 6416827511 |
| Mailing Fax Number | 6416843199 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2014-01-24 |
| Authorized Official Name | STEPHEN L. PAGE (VICE PRESIDENT) |
| Authorized Official Telephone | 6158449849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801417449 | Ottumwa Health Group LLC | Clinic/Center | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2020-05-06 |
| 1962023663 | Ottumwa Health Group LLC | Clinic/Center | 107 N 3rd St, Eddyville, IA 52553-7709 | 2020-05-04 |
| 1649891722 | Ottumwa Health Group LLC | Clinic/Center | 2453 N Court St, Ottumwa, IA 52501-1217 | 2020-04-30 |
| 1063750586 | Ottumwa Health Group LLC | Family Medicine | 1005 Pennsylvania Ave, Ste 204, Ottumwa, IA 52501-6413 | 2013-01-17 |
| Street Address |
1001 PENNSYLVANIA AVE |
| City | OTTUMWA |
| State | IA |
| Zip Code | 52501-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659904399 | Natasha Ann Myers | Nurse Practitioner | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2020-02-21 |
| 1538709985 | Randall Craig Dieleman | Emergency Medicine | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2020-01-14 |
| 1922657337 | Yousef Ismael | Radiology | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2019-09-09 |
| 1477017663 | Emergency Services of Iowa LLC | Physician Assistant | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2019-01-22 |
| 1942793153 | Catherine Marie Hamburg | Nurse Practitioner | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2018-06-12 |
| 1467944298 | Kaylynn Charlotte Bland | Physical Therapist | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2018-06-06 |
| 1659877066 | Jennifer Lynne Cook | Anesthesiology | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2018-04-04 |
| 1447752464 | Peggy Sue Swank | Nurse Practitioner | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2018-03-06 |
| 1073038220 | Jamie Lee Hyde | Nurse Practitioner | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2017-08-09 |
| 1649794066 | Kathryn Barnes | Occupational Therapist | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2017-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327210 | Speer Family Chiropractic, LLC | Chiropractor | 635 Pennsylvania Ave, Ottumwa, IA 52501 | 2018-05-24 |
| 1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
| 1265957567 | Katie Marie Walz | Registered Nurse | 725 W. Second St., Ottumwa, IA 52501 | 2017-08-08 |
| 1033648431 | Cassadie Roberts | Occupational Therapy Assistant | 3 Pennsylvania Place, Ottumwa, IA 52501 | 2017-06-08 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1710258009 | Alcohol & Drug Dependency Services | Clinic/Center | 226 West Main St., Ottumwa, IA 52501 | 2012-01-19 |
| 1477832921 | Melissa Rohrssen | Physical Therapy Assistant | 13 Bear Creek Estates Drive, Ottumwa, IA 52501 | 2011-08-15 |
| 1578855201 | Brandy S.n. Jeansimon | Obstetrics & Gynecology | 1001 E. Pennsylvania Avenue, Ottumwa, IA 52501 | 2011-05-13 |
| 1801120399 | Frank Sam Harper | Counselor | 310 W. Main St., Ottumwa, IA 52501 | 2009-09-30 |
| 1902078439 | Sandro Younadam | Internal Medicine | 1013 Pennsylvania Avenue Suite A, Ottumwa Regional Health Center, Ottumwa, IA 52501 | 2008-03-25 |
| Find all providers in zip 52501 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952953812 | Comprehensive Women's Health, P.C. | Obstetrics & Gynecology | 227 E San Marnan Dr Ste 1, Waterloo, IA 50702-5829 | 2019-07-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1295713261 | Northwest Iowa Surgeons PC | Obstetrics & Gynecology | 1823 Highway Blvd Ste 5, Spencer, IA 51301-2226 | 2006-01-09 |
| 1811995517 | Douglas L Stanford | Obstetrics & Gynecology | 432 King Dr, Waterloo, IA 50702-5956 | 2005-07-07 |
| 1407147911 | Eugenia Mazur | Obstetrics & Gynecology | 200 Hawkins Dr, Iowa City, IA 52242-1007 | 2011-05-02 |
| 1265608244 | Albert J Mintzer | Obstetrics & Gynecology | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2008-04-30 |
| 1770773509 | Elizabeth Bussewitz | Obstetrics & Gynecology | 855 A Ave Ne, Cedar Rapids, IA 52402-5050 | 2007-07-27 |
| 1811108558 | Mt. Pleasant Center for Women's Health, PC | Obstetrics & Gynecology | 407 S White St, Suite 104, Mt Pleasant, IA 52641-2262 | 2007-05-24 |
| 1174743389 | Diana Kay Kaufman | Obstetrics & Gynecology | 909 Sw Oralabor Rd, Ankeny, IA 50023-7004 | 2007-04-27 |
| 1760607394 | Kathleen Michele Dorcey Lafavor | Obstetrics & Gynecology | 1000 Jackson St, Sioux City, IA 51105-1431 | 2007-04-17 |
| 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.