NORTH IOWA MERCY CLINICS (NPI# 1801147269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801147269 |
| Entity Type | Organization |
| Organization Name | NORTH IOWA MERCY CLINICS |
| Other Organization Name | MERCYONE NORTH IOWA HEART CENTER |
| Practice Address |
250 S Crescent Dr Ste 200 Mason City IA 50401-2911 |
| Mailing Address |
621 S Illinois Ave Ste 103 Mason City IA 50401-5489 |
| Practice Telephone | 6414945300 |
| Practice Fax Number | 6414945329 |
| Mailing Telephone | 6414283041 |
| Mailing Fax Number | 6414283059 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | MRS. DANETTE K ZOOK (VP FINANCE) |
| Authorized Official Telephone | 6414287989 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mercy Heart Center and Vascular Institute | Doing Business As Name - Organization |
| MercyOne North Iowa Heart Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1376709873 | North Iowa Mercy Clinics | Nurse Practitioner | 1413 S Grand Ave, Charles City, IA 50616 | 2008-08-04 |
| 1447413703 | North Iowa Mercy Clinics | Family Medicine | 1624 S Grand Ave, Charles City, IA 50616-3653 | 2008-07-08 |
| 1558478420 | North Iowa Mercy Clinics | Family Medicine | 505 S 1st Ave E, Lake Mills, IA 50450-1425 | 2006-08-24 |
| 1922114792 | North Iowa Mercy Clinics | Family Medicine | 1010 4th St Sw Ste 120, Mason City, IA 50401-2856 | 2006-08-22 |
| 1811003015 | North Iowa Mercy Clinics | Family Medicine | 635 E Us Highway 9, Forest City, IA 50436-1028 | 2006-08-21 |
| 1215948252 | North Iowa Mercy Clinics | Family Medicine | 705 Elm St E, Rockwell, IA 50469-0000 | 2006-08-11 |
| 1306857347 | North Iowa Mercy Clinics | Obstetrics & Gynecology | 1010 4th St Sw Ste 220, Mason City, IA 50401-2856 | 2006-08-11 |
| 1972513026 | North Iowa Mercy Clinics | Family Medicine | 203 S 2nd St, Sheffield, IA 50475-5008 | 2006-08-09 |
| 1609881457 | North Iowa Mercy Clinics | Family Medicine | 702 E Main Ave, Rockford, IA 50468-1324 | 2006-07-30 |
| Street Address |
250 S CRESCENT DR STE 200 |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457701989 | North Iowa Mercy Clinics | Internal Medicine | 1000 4th St Sw, Mason City, IA 50401-2800 | 2016-06-15 |
| 1174962872 | Avaneesh Jakkoju | Internal Medicine | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2013-06-17 |
| 1306018122 | North Iowa Mercy Clinics | Internal Medicine | 250 S Crescent Dr, Suite Cv, Mason City, IA 50401-2926 | 2008-04-01 |
| 1043254055 | Mason City Clinic PC | Internal Medicine | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2006-06-16 |
| 1053398180 | Byron T Beasley | Internal Medicine | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2005-12-29 |
| 1326020454 | Matthew A Flemming | Internal Medicine | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2005-11-15 |
| 1295723468 | James Tatkon-coker | Internal Medicine | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2005-10-11 |
| 1154319358 | Michael J Sarik | Internal Medicine | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2005-10-11 |
| 1871589838 | James T Reeder Jr. | Internal Medicine | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2005-09-26 |
| 1609869254 | Samuel J Congello | Internal Medicine | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2005-08-30 |
| Find all providers in MASON CITY | ||||
| City | MASON CITY |
| Zip Code | 50401 |
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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.