SHELBY L LUEDERS (NPI# 1902211170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902211170 |
Entity Type | Individual |
Full Name | SHELBY L LUEDERS |
Credential | PA-C |
Practice Address |
2400 Lillian Way Clinton IA 52732-2001 |
Mailing Address |
915 13th Ave N Clinton IA 52732-5067 |
Practice Telephone | 5632431200 |
Practice Fax Number | 5632420671 |
Mailing Telephone | 5632432511 |
Mailing Fax Number | 5632430817 |
Enumeration Date | 2014-06-26 |
Last Update Date | 2016-05-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
074722 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2400 LILLIAN WAY |
City | CLINTON |
State | IA |
Zip Code | 52732-2001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790199701 | Calene Lynette Woodhouse | Nurse Practitioner | 2400 Lillian Way, Clinton, IA 52732-2001 | 2014-06-17 |
1528622131 | Mercy Specialty Clinic | Family Medicine | 2400 Lillian Way, Clinton, IA 52732-2001 | 2019-04-29 |
1063921245 | Medical Associates of Clinton, Iowa, P.l.c. | Family Medicine | 2400 Lillian Way, Clinton, IA 52732-2001 | 2017-09-20 |
1205373610 | Serena Arancibia | Physician Assistant | 2400 Lillian Way, Clinton, IA 52732-2001 | 2017-01-23 |
1184006272 | Darcie Scott | Nurse Practitioner | 2400 Lillian Way, Clinton, IA 52732-2001 | 2015-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
Find all providers in zip 52732 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336617059 | Micaela L Goebel | Physician Assistant | 120 Tanner Pl Bldg H, Clinton, TN 37716-6684 | 2018-11-12 |
1407944721 | Brent Ashley Westbrook | Physician Assistant | 48 Stillwater Ln, Clinton, NC 28328-6119 | 2006-10-11 |
1699881219 | Heather Lynn Beck | Physician Assistant | 10401 Hospital Dr Ste 101, Clinton, MD 20735-3150 | 2006-08-23 |
1760042782 | Alexandra Jo Burrini | Physician Assistant | 59 Old Highway 22, Clinton, NJ 08809-1342 | 2019-06-20 |
1801349279 | Sara Cobb | Physician Assistant | 59 Old Highway 22, Clinton, NJ 08809-1342 | 2016-08-02 |
1861844979 | Will Godfrey | Physician Assistant | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2016-07-13 |
1538526959 | Suzzette Van-lare | Physician Assistant | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2016-01-16 |
1811371685 | Dermone | Physician Assistant | 603 Beaman St, Clinton, NC 28328-2650 | 2015-07-12 |
1477940898 | Melissa Weeter | Physician Assistant | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2015-04-23 |
1982097085 | Mirella Cortez | Physician Assistant | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2015-03-13 |
Find all providers in CLINTON |
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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.