RENEE STAUDACHER (NPI# 1851309082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851309082 |
| Entity Type | Individual |
| Full Name | RENEE STAUDACHER |
| Credential | DO |
| Practice Address |
108 N Jefferson Way Indianola IA 50125-2616 |
| Mailing Address |
1055 6th Ave Suite 200 Des Moines IA 50314-2607 |
| Practice Telephone | 5159618448 |
| Practice Fax Number | 5156439100 |
| Mailing Telephone | 5156438672 |
| Mailing Fax Number | 5156432784 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 02422 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0057687 | 05 |
| Street Address |
108 N JEFFERSON WAY |
| City | INDIANOLA |
| State | IA |
| Zip Code | 50125-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316583107 | Mach3 Physical Therapy and Wellness | Clinic/Center | 938 East Hillcrest Ave, Suite A, Indianola, IA 50125 | 2019-11-27 |
| 1023667995 | Bonnie Dufault | Technician | 2402 West Euclid Ave, Indiana, IA 50125 | 2019-09-04 |
| 1407307499 | Traci Rudolf-hanrahan | Social Worker | 310 North Buxton Street, Indianola, IA 50125 | 2016-10-14 |
| 1548544216 | Long Term Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 126 N Howard St, Suite 102, Indianola, IA 50125 | 2011-09-29 |
| 1629272836 | Michael James Hadden | Specialist/Technologist | Simpson College, 701 North C Street, Indianola, IA 50125 | 2007-06-12 |
| 1245440221 | Indianola Ia Assisted Living | Assisted Living Facility | 608 South 15th St., Indianola, IA 50125 | 2007-05-22 |
| 1689769432 | Michele Tingle | Emergency Medicine | 9128 87th Ln, Indianola, IA 50125 | 2006-10-04 |
| 1538114764 | Sue Marie Peterson | Specialist/Technologist | 1507 N 1st St, Indianola, IA 50125 | 2006-05-24 |
| 1124079934 | Jonathan P Anderson | Optometrist | 225 W Ashland, Ste 1, Indianola, IA 50125 | 2006-05-15 |
| 1528025533 | Jessica A Espenmiller | Occupational Therapist | 1507 North 1st St, Indianola, IA 50125 | 2006-04-26 |
| Find all providers in zip 50125 | ||||
| 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 |
|---|---|---|---|---|
| 1760005110 | Barbra Ellen Faux | Family Medicine | 1007 W 3rd Ave Apt 115, Indianola, IA 50125-3172 | 2020-05-20 |
| 1104213107 | Katie Kay Dunbar | Family Medicine | 1501 N 1st St, Indianola, IA 50125-3703 | 2015-04-17 |
| 1912915257 | Robert Moran | Family Medicine | 307 E. Scenic Valley Avenue, Indianola, IA 50125-4865 | 2006-08-03 |
| 1265458723 | Mercy Clinics Inc | Family Medicine | 112 E Detroit Ave, Indianola, IA 50125-1860 | 2006-07-15 |
| 1942298088 | Chris Robert Jensen | Family Medicine | 301 E Hillcrest Ave, Indianola, IA 50125-9027 | 2005-10-12 |
| 1841285764 | William Wade Dowell | Family Medicine | 122 E Baker St, Indianola, MS 38751-2451 | 2005-09-16 |
| 1568464220 | Scott D. Hoffman | Family Medicine | 307 E Scenic Valley Ave, Indianola, IA 50125-4865 | 2005-08-12 |
| 1336709872 | Hadonica H Murphy | Family Medicine | 121 E Baker St, Indianola, MS 38751-2450 | 2019-06-17 |
| 1912358862 | Geoffrey Mark Dankle | Family Medicine | 307 E Scenic Valley Ave, Indianola, IA 50125-4865 | 2016-06-22 |
| 1881088342 | Megan Lehr | Family Medicine | 1504 N 1st St, Indianola, IA 50125 | 2015-03-23 |
| Find all providers in INDIANOLA | ||||
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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.