WILLIAM PENN UNIVERSITY (NPI# 1902314156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902314156 |
| Entity Type | Organization |
| Organization Name | WILLIAM PENN UNIVERSITY |
| Other Organization Name | WILLIAM PENN SPORTS MEDICINE |
| Practice Address |
201 Trueblood Ave Oskaloosa IA 52577-1757 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |
| Authorized Official Name | MOUZON BASS III (ADMINISTRATOR) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | DO-05128 | IA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| William Penn Sports Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WILLIAM PENN UNIVERSITY | 201 Trueblood Ave, Oskaloosa, IA 52577-1757 |
| Iowa Business Entities | WILLIAM PENN UNIVERSITY | 201 Trueblood Avenue, Oskaloosa, IA 52577 |
| Street Address |
201 TRUEBLOOD AVE |
| City | OSKALOOSA |
| State | IA |
| Zip Code | 52577-1757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932167475 | Joshua Lee Erickson | Specialist | 201 Trueblood Ave, Oskaloosa, IA 52577-1757 | 2006-05-03 |
| 1932759610 | Natasha J Schmitter | Specialist/Technologist | 201 Trueblood Ave, Oskaloosa, IA 52577-1799 | 2019-09-16 |
| 1720630213 | Haili Jade Hansen | Specialist/Technologist | 201 Trueblood Ave, Oskaloosa, IA 52577-1799 | 2019-07-15 |
| 1487136677 | Rebecca J Deloach | Specialist/Technologist | 201 Trueblood Ave, Oskaloosa, IA 52577-1799 | 2018-09-04 |
| 1851898639 | Sam Dunnett | Specialist/Technologist | 201 Trueblood Ave, Oskaloosa, IA 52577-1757 | 2018-04-09 |
| 1285057513 | Abu Ibrahim | Specialist/Technologist | 201 Trueblood Ave, Oskaloosa, IA 52577-1757 | 2014-01-22 |
| 1295960292 | Chad Alan Derby | Specialist/Technologist | 201 Trueblood Ave, Oskaloosa, IA 52577-1757 | 2009-05-19 |
| 1982760070 | Thomas W.l. Potter | Counselor | 201 Trueblood Ave, Oskaloosa, IA 52577-1757 | 2006-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245870781 | Arthur Zacharjasz | Nurse Practitioner | 1229 C Ave E, Oskaloosa, Ia 52577, Oskaloosa, IA 52577 | 2020-01-13 |
| 1306373089 | Kristal Williams | Counselor | 114 N. Market St., Oskaloosa, IA 52577 | 2017-05-12 |
| 1801345830 | Kristi Lyn Foster | Hearing Instrument Specialist | 714 A Ave West, Oskaloosa, IA 52577 | 2016-10-03 |
| 1972811198 | Crossroads of Pella | Community/Behavioral Health | 103 North 3rd Street, Oskaloosa, IA 52577 | 2010-09-22 |
| 1184809477 | Carli Raye Hahn | Psychologist | 814 2nd Ave East, Oskaloosa, IA 52577 | 2008-01-04 |
| 1982824173 | Laura Adam | Dentist | 2335 Hwy 92 E, Oskaloosa, IA 52577 | 2007-04-27 |
| 1891910881 | Homestead of Oskaloosa Operations LLC | Assisted Living Facility | 2102 South Market Street, Oskaloosa, IA 52577 | 2007-04-16 |
| 1194891374 | Karen Anne Spahr | Internal Medicine | 1203 A Ave East, Oskaloosa, IA 52577 | 2006-11-28 |
| 1376626648 | Wal-mart Stores, Inc. | Technician/Technologist | 2203 Avenue A West, Oskaloosa, IA 52577 | 2006-10-23 |
| 1003913229 | Heartland Home Care Inc | Home Health | 212 North Market Street, Oskaloosa, IA 52577 | 2006-09-20 |
| Find all providers in zip 52577 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313124 | Larry Paul Welder | General Practice | 1217 K Ave, Nevada, IA 50201-1943 | 2020-10-12 |
| 1619594819 | Jeffrey Everett Simons | General Practice | 1600 Nw 114th St, Clive, IA 50325-7071 | 2020-07-03 |
| 1598305021 | Taffe Wellness Center PC | General Practice | 105 S Phillips St, Algona, IA 50511-2848 | 2020-01-13 |
| 1578124921 | Lmmc Des Moines Lllp | General Practice | 1300 37th St Ste 1, West Des Moines, IA 50266-1900 | 2019-06-26 |
| 1861951568 | Lmmc Council Bluffs Lllp | General Practice | 20 Power Dr Ste 5, Council Bluffs, IA 51501-7701 | 2019-03-13 |
| 1265919948 | Oelwein Community Healthcare Foundation | General Practice | 2405 Rock Island Road, Oelwein, IA 50662-5066 | 2018-07-25 |
| 1447638960 | Joel H Silver | General Practice | 2000 N Court St Trlr 4c, Fairfield, IA 52556-2078 | 2015-05-16 |
| 1619397288 | Deanna Mcgarity | General Practice | 4511 Crestmoor Dr, Des Moines, IA 50310-3794 | 2014-04-22 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| 1235475088 | New Leaf Wellness | General Practice | 12129 University Ave Ste 1500, Clive, IA 50325-8287 | 2012-12-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WILLIAM PENN UNIVERSITY.
| 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.