JAY D MIXDORF


Address: 1501 4th St Sw, Mason City, IA 50401-2737
Phone: 6414225244

JAY D MIXDORF (NPI# 1841331253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841331253
Entity Type Individual
Full Name JAY D MIXDORF
Credential MD
Practice Address 1501 4th St Sw
Mason City
IA 50401-2737
Mailing Address 621 S Illinois Ave
Suite 103
Mason City
IA 50401-5489
Practice Telephone 6414225244
Practice Fax Number 6414225370
Mailing Telephone 6414943041
Mailing Fax Number 6414943059
Enumeration Date 2007-02-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 19748 IA Allopathic & Osteopathic Physicians

Office Location

Street Address 1501 4TH ST SW
City MASON CITY
State IA
Zip Code 50401-2737

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164475224 Mercy Health Services- Iowa Corp Durable Medical Equipment & Medical Supplies 1501 4th St Sw, Mason City, IA 50401-2737 2006-05-18
1174091151 John Knapper Specialist/Technologist 1501 4th St Sw, Mason City, IA 50401-2737 2018-11-07
1932361847 Marc Andersen Nurse Practitioner 1501 4th St Sw, Mason City, IA 50401-2737 2008-07-01
1528261278 North Iowa Commmunity Action Organization Dentist 1501 4th St Sw, Mason City, IA 50401-2737 2007-06-08
1598867442 Marcia M Knutson Nurse Practitioner 1501 4th St Sw, Suite Wc, Mason City, IA 50401-2737 2006-09-02
1265534937 Debra K Groath Nurse Practitioner 1501 4th St Sw, Mason City, IA 50401-2737 2006-09-02
1912015181 Sharon R Enabnit Nurse Practitioner 1501 4th St Sw, Mason City, IA 50401-2737 2006-08-28
1265540330 Linda K Schluter Nurse Practitioner 1501 4th St Sw, Mason City, IA 50401-2737 2006-08-28
1245274745 Leslie W Smith Surgery 1501 4th St Sw, Mason City, IA 50401-2737 2006-06-15
1831142801 Mercy Health Services- Iowa Corp Durable Medical Equipment & Medical Supplies 1501 4th St Sw, Suite Mhc, Mason City, IA 50401-2737 2006-05-18
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295175271 Cherielynn S Wagner Family Medicine 621 S Illinois Ave Ste 100, Mason City, IA 50401 2013-07-05
1073951570 Patrick Alan Courtney Family Medicine 1010 4th St Sw Ste 240, Mason City, IA 50401-2856 2013-06-06
1689805517 Suraj George Pazhoor Family Medicine Mercyone North Iowa, Mason City, IA 50401 2009-07-27
1205936432 Lori L Lindstrom Family Medicine 1327 6th Sw, Mason City, IA 50401-4815 2006-09-25
1265532303 Stephanie C Seemuth Family Medicine 1327 6th St Sw, Mason City, IA 50401-4815 2006-09-25
1033220058 David H Hanson Family Medicine 101 S Taylor Ave, Mason City, IA 50401-2849 2006-08-31
1922114792 North Iowa Mercy Clinics Family Medicine 1010 4th St Sw Ste 120, Mason City, IA 50401-2856 2006-08-22
1891725834 Mark D Dankle Family Medicine 1631 4th St Sw Ste 114a, Mason City, IA 50401-1649 2006-07-04
1699717355 Susan Urbatsch Family Medicine 1627 7th Pl Sw, Mason City, IA 50401-4705 2006-06-10
1427028554 Mark A Mahoney Family Medicine 2800 4th St Sw, Suite 8, Mason City, IA 50401-1596 2006-01-23
Find all providers in MASON CITY

Competitor

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City MASON CITY
Zip Code 50401

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Dataset Information

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.

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