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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 19748 | IA | Allopathic & Osteopathic Physicians |
Street Address |
1501 4TH ST SW |
City | MASON CITY |
State | IA |
Zip Code | 50401-2737 |
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 |
Find all providers in the same location |
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 | 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 |
---|---|---|---|---|
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 |
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.