FAMILY MEDICINE CLINIC (NPI# 1992023642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992023642 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICINE CLINIC |
| Practice Address |
600 9th Ave N Sibley IA 51249-1012 |
| Mailing Address |
Po Box 277 Sibley IA 51249-0277 |
| Practice Telephone | 7127542900 |
| Practice Fax Number | 7127542634 |
| Mailing Telephone | 7127542900 |
| Mailing Fax Number | 7127542634 |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |
| Authorized Official Name | DR. DOUG J MIEDEMA (PARTNER) |
| Authorized Official Telephone | 7127542900 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 002069 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124026489 | Family Medicine Clinic | Family Medicine | 600 9th Ave N, Sibley, IA 51249-1012 | 2005-07-11 |
| 1114109923 | Family Medicine Clinic | Family Medicine | 2309 East Main Street, Suite 400, New Iberia, LA 70560 | 2007-12-04 |
| 1750563276 | Family Medicine Clinic | Health Maintenance Organization | 17203 Red Oak Dr, Suite 201, Houston, TX 77090-2640 | 2007-11-27 |
| 1760675698 | Family Medicine Clinic | General Practice | 100 W 4th St, Walsenburg, CO 81089-1910 | 2007-08-23 |
| 1164645479 | Family Medicine Clinic | Family Medicine | 404 Gilmore Dr, Amory, MS 38821-5414 | 2007-04-11 |
| 1588753453 | Family Medicine Clinic | Military Hospital | 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tamc, HI 96859-5001 | 2006-10-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Family Medicine Clinic | 100 West 4th Street, Walsenburg, CO 81089 |
| Colorado Business Entities | Family Medicine Clinic for Health Equity | 5250 Leetdale Dr, Suite 110, Denver, CO 80246 |
| Colorado Business Entities | Family Medicine Clinic LLC | 100 W 4th St, Walsenburg, CO 81089 |
| Washington State Corporations | FAMILY MEDICINE CLINIC OF FEDERAL WAY, LLC | 34618 11th Pl S, 100, Federal Way, WA 98003-6792 |
| Washington State Corporations | FAMILY MEDICINE CLINIC, PLLC | 31217 124th Ave Se Ste 5, Auburn, WA 98092-5217 |
| Oklahoma Business Registrations | FAMILY MEDICINE CLINICS INC. | 158 B Sunset Dr., Medford, OK 73759 |
| Street Address |
600 9TH AVE N |
| City | SIBLEY |
| State | IA |
| Zip Code | 51249-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124026489 | Family Medicine Clinic | Family Medicine | 600 9th Ave N, Sibley, IA 51249-1012 | 2005-07-11 |
| 1205347978 | Samantha Van Gorp | Nurse Practitioner | 600 9th Ave N, Sibley, IA 51249-1012 | 2017-10-20 |
| 1689074114 | Tasha Jennings | Nurse Practitioner | 600 9th Ave N, Sibley, IA 51249-1012 | 2014-09-03 |
| 1417250762 | Avera Mckennan | Physician Assistant | 600 9th Ave N, Sibley, IA 51249-1012 | 2010-12-08 |
| 1942442678 | Iowa Lakes Orthopaedics, PC | Orthopaedic Surgery | 600 9th Ave N, Sibley, IA 51249-1012 | 2009-03-26 |
| 1891959839 | Rachel R Wilcinot | Family Medicine | 600 9th Ave N, Sibley, IA 51249-1012 | 2008-07-17 |
| 1861560609 | Osceola Community Hospital Inc | Medicare Defined Swing Bed Unit | 600 9th Ave N, Sibley, IA 51249-1012 | 2006-12-01 |
| 1780751222 | Osceola Community Hospital Inc. | General Acute Care Hospital | 600 9th Ave N, Sibley, IA 51249-1012 | 2006-11-29 |
| 1730123332 | Christian F Sessa | Family Medicine | 600 9th Ave N, Sibley, IA 51249-1012 | 2006-06-15 |
| 1821076886 | Gregory Jay Kosters | Family Medicine | 600 9th Ave N, Sibley, IA 51249-1012 | 2006-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093232605 | Osceola Community Health Services | Clinical Nurse Specialist | 115 Cedar Lane, Sibley, IA 51249-0258 | 2017-08-24 |
| 1346213659 | Care Initiatives | Skilled Nursing Facility | 700 9th Ave N, Sibley, IA 51249-1006 | 2006-02-08 |
| 1316565625 | Rural Health Care, Inc. | Clinic/Center | 600 9th Ave N Ste 1, Sibley, IA 51249-1012 | 2020-07-13 |
| 1780195388 | Amanda Ten Napel | Marriage & Family Therapist | 115 Cedar Ln Ste B, Sibley, IA 51249-1013 | 2017-10-23 |
| 1164504551 | Osceola Community Hospital,inc. | Home Health | 115 Cedar Ln, Sibley, IA 51249-1013 | 2006-10-19 |
| 1710418074 | Eberechi Cornelia Ekechukwu | Family Medicine | 600 9th Ave, Sibley, IA 51249-1022 | 2017-03-27 |
| 1902998644 | James Mark Hauck | Dentist | 106 Cedar Ln, Sibley, IA 51249-1055 | 2006-09-29 |
| 1720085913 | Country View Manor Inc | Skilled Nursing Facility | 100 Cedar Lane, Sibley, IA 51249-1055 | 2005-07-01 |
| 1689832115 | James M. Hauck,dds, PC | Dentist | 106 Cedar Ln, Sibley, IA 51249-1055 | 2008-05-31 |
| 1235276965 | Jill N Leusink | Pharmacist | 420 2nd Ave, Sibley, IA 51249-1205 | 2007-01-31 |
| Find all providers in zip 51249 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417250762 | Avera Mckennan | Physician Assistant | 600 9th Ave N, Sibley, IA 51249-1012 | 2010-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1992311435 | Elli Kay Vore | Physician Assistant | 4327 129th St, Urbandale, IA 50323-2480 | 2020-09-21 |
| 1023624699 | Vivara Rages | Physician Assistant | 3054 Cherrywood Dr, Bettendorf, IA 52722-7550 | 2020-09-19 |
| 1598371270 | Samantha Delores Gartner | Physician Assistant | 518 W Locust St # 287, Davenport, IA 52803-2829 | 2020-09-18 |
| 1912521444 | Charles Bradley Walters | Physician Assistant | 201 S Clinton St # 168, Iowa City, IA 52240-4034 | 2020-06-01 |
| 1972124956 | Michaela J Maliszewski | Physician Assistant | 201 Ridge St Ste 302, Council Bluffs, IA 51503-4643 | 2020-05-01 |
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1336774488 | Jakob J. Olson | Physician Assistant | 2751 Northgate Dr Ste 1, Iowa City, IA 52245-9509 | 2020-03-10 |
| 1215561006 | Paul David Kretkowski | Physician Assistant | 714 N Johnson St, Iowa City, IA 52245-2014 | 2020-03-02 |
| 1154962983 | Megan Wulf | Physician Assistant | 24141 80th Ave, Walcott, IA 52773-9737 | 2019-10-02 |
| Find all providers with the same taxonomy | ||||
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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.