JERRY WILLE (NPI# 1598733891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598733891 |
| Entity Type | Individual |
| Full Name | JERRY WILLE |
| Credential | MD |
| Practice Address |
402 Siegel St Tama IA 52339-2302 |
| Mailing Address |
Po Box 1824 Cedar Rapids IA 52406-1824 |
| Practice Telephone | 6414843333 |
| Practice Fax Number | 6414843208 |
| Mailing Telephone | 3193694505 |
| Mailing Fax Number | 3193694677 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2007-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 21193 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 4168401 | 05 |
| Street Address |
402 SIEGEL ST |
| City | TAMA |
| State | IA |
| Zip Code | 52339-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053398974 | Sherri Lynn Vesely | Nurse Practitioner | 402 Siegel St, Tama, IA 52339-2302 | 2005-12-30 |
| 1629478581 | Christa Slagle | Registered Nurse | 402 Siegel St, Tama, IA 52339-2302 | 2014-08-28 |
| 1578777231 | Amanda Heck | Nurse Practitioner | 402 Siegel St, Tama, IA 52339-2302 | 2007-05-10 |
| 1154490779 | Mercy Physician Associates, Inc | Clinic/Center | 402 Siegel St, Tama, IA 52339-2302 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689754285 | Nicholas Anthony Kubik | Dentist | 1311 Mcclellan St, Tama, IA 52339 | 2006-10-17 |
| 1497804272 | South Tama County Community School District | Local Education Agency (LEA) | 1702 Harding St, Tama, IA 52339-1028 | 2007-01-09 |
| 1558356386 | Tama Healthcare Enterprises, LLC | Skilled Nursing Facility | 1708 Harding St, Tama, IA 52339-1028 | 2005-09-19 |
| 1730469982 | Judith K Dale | Physical Therapist | 1708 Harding St, Tama, IA 52339-1028 | 2011-08-19 |
| 1346212719 | Barry Cullinan | Chiropractor | 1210 State St, Tama, IA 52339-1640 | 2006-02-01 |
| 1205807732 | Cullinan Chiropractic P C | Chiropractor | 1210 State St, Tama, IA 52339-1640 | 2006-02-01 |
| 1992721344 | City of Tama | Ambulance | 305 Siegel St, Tama, IA 52339-2317 | 2006-07-15 |
| 1700092368 | Tina J Nieland | Licensed Practical Nurse | 307 Meskwaki Rd, Tama, IA 52339-9634 | 2007-05-14 |
| 1922211846 | Scott Eric Strommer | Pharmacist | 303 Meskwaki Rd, Tama, IA 52339-9634 | 2007-05-07 |
| 1992707889 | Nicole Dawn Vos | Pharmacist | 1646 305th Street, Tama, IA 52339-9634 | 2005-08-11 |
| Find all providers in zip 52339 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194757310 | Lou Ann Mitchell | Family Medicine | 1646 305th St, Tama, IA 52339-9698 | 2006-07-07 |
| 1891825311 | Cindy Elaine Nielsen | Family Medicine | 1646 305th St, Tama, IA 52339-9634 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779283 | Melinda Heverly | Family Medicine | 6343 Sutton Dr, Urbandale, IA 50322-8053 | 2020-10-31 |
| 1215536636 | Darcie Marie Cook | Family Medicine | 8285 Turkey Valley Ln, Dubuque, IA 52003-9749 | 2020-10-19 |
| 1740896828 | Lisa Marie Swanson | Family Medicine | 1609 N Ankeny Blvd # 200, Ankeny, IA 50023-4159 | 2020-09-23 |
| 1003421959 | Elizabeth Ann Myhr | Family Medicine | 2680 Ne 102nd Ave, Ankeny, IA 50021-9224 | 2020-09-08 |
| 1407465917 | Qv Urgent Care Ia Pllc | Family Medicine | 801 North Grand Avenue, Mt. Pleasant, IA 52641 | 2020-07-30 |
| 1871101246 | Des Moines Regenerative Medicine Pllc | Family Medicine | 5901 Westown Pkwy Ste 220, West Des Moines, IA 50266-8297 | 2020-07-21 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1689291411 | Katie Weigel | Family Medicine | 635 W Washington St, Winthrop, IA 50682-9356 | 2020-06-27 |
| 1760005110 | Barbra Ellen Faux | Family Medicine | 1007 W 3rd Ave Apt 115, Indianola, IA 50125-3172 | 2020-05-20 |
| 1235764424 | Amber Dawn Hartman | Family Medicine | 20671 42nd St, Anamosa, IA 52205-7735 | 2020-03-08 |
| 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.