Abbie M Port (NPI# 1174752927, PAC ID# 0244386894) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174752927 |
| PAC ID by PECOS | 0244386894 |
| Professional Enrollment ID | I20090923000180 |
| Full Name | Abbie M Port |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Address |
400 S Blairsferry Crossing A Faimly Medicine Northridge Hiawatha IA 52233-7988 |
| Phone Number | 3193930783 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8729992318 |
| Number of Group Practice Members | 956 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160045 | ST LUKES HOSPITAL |
| 160079 | MERCY MEDICAL CENTER - CEDAR RAPIDS |
| Address | Phone | Organization |
|---|---|---|
| 4480 Utica Ridge Rd, Suite 160, Bettendorf, IA 52722-1637 | 5637425950 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| 4480 Utica Ridge Rd, Bettendorf, IA 52722-1644 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION | |
| 400 S Blairsferry Crossing A, Faimly Medicine Northridge, Hiawatha, IA 52233-7988 | 3193930783 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Physicians | 930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Ann Burgard | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 2515 Sw State St, 100 Internal Med Ankeny At Prairie Trai, Ankeny, IA 50023-7079 |
| Meredith Swenson | Family Medicine | Iowa Physicians Clinic Medical Foundation | 6010 Mills Civic Pkwy, Suite 200, West Des Moines, IA 50266-8345 |
| Aimee R Sarchet | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 3591 Griffin Ave, Pekin, IL 61554-6258 |
| Valerie Hannenberg | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 1824 W 8th St, Cedar Falls, IA 50613-2056 |
| Maged A Ghoprial | Family Medicine | Iowa Physicians Clinic Medical Foundation | 5401 44th Ave Dr, Suite 101, Moline, IL 61265-8126 |
| Emily A Grarup | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2140 Logan Ave, Suite C, Waterloo, IA 50703-1002 |
| Kyle P Kosman | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 801 Colonial Cir, Norwalk, IA 50211-9637 |
| Nicholas C Rains | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 111 Tower St, Denver, IA 50622-2201 |
| Kurtis A Lucas | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1825 Logan Ave, Waterloo, IA 50703-1999 |
| Christina L Aquino | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 830 4th Ave Se, 1 Family Medicine Medical District, Cedar Rapids, IA 52403-2445 |
| Street Address |
400 S BLAIRSFERRY CROSSING A FAIMLY MEDICINE NORTHRIDGE |
| City | HIAWATHA |
| State | IA |
| Zip | 52233-7988 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Beck | Family Medicine | Iowa Physicians Clinic Medical Foundation | 400 S Blairsferry Crossing A, Faimly Medicine Northridge, Hiawatha, IA 52233-7988 |
| John D Roof | Family Medicine | Iowa Physicians Clinic Medical Foundation | 400 S Blairsferry Crossing A, Faimly Medicine Northridge, Hiawatha, IA 52233-7988 |
| Brian D Ray | Family Medicine | Iowa Physicians Clinic Medical Foundation | 400 S Blairsferry Crossing A, Faimly Medicine Northridge, Hiawatha, IA 52233-7988 |
| Alecia P Allen | Family Medicine | Iowa Physicians Clinic Medical Foundation | 400 S Blairsferry Crossing A, Faimly Medicine Northridge, Hiawatha, IA 52233-7988 |
| Erica A Craw | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 400 S Blairsferry Crossing A, Faimly Medicine Northridge, Hiawatha, IA 52233-7988 |
| Shannon C Throndson | Family Medicine | Iowa Physicians Clinic Medical Foundation | 400 S Blairsferry Crossing A, Faimly Medicine Northridge, Hiawatha, IA 52233-7988 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee A Wickwire | Chiropractic | Wickwire Chiropractic and Wellness Center P.C. | 655 N Ctr Point Rd, Hiawatha, IA 52233-1223 |
| Jeffrey A Klein | Podiatry | Podiatry Specialists of Iowa PC | 754 N Ctr Point Rd, Hiawatha, IA 52233-1226 |
| Judith K Jicinsky | Physical Therapy | Performance Therapies, PC | 762 N Ctr Point Rd, Performance Therapies Hiawatha, Hiawatha, IA 52233-1226 |
| Todd F Dolphin | Podiatry | Podiatry Specialists of Iowa PC | 754 N Ctr Point Rd, Hiawatha, IA 52233-1226 |
| Kimberly A Steffensmeier | Clinical Social Worker | Abbe Center for Community Mental Health Inc | 1077 N Ctr Point Rd, Hiawatha, IA 52233-1231 |
| John E Sevening | Pediatric Medicine | Iowa Physicians Clinic Medical Foundation | 1075 N Ctr Point Rd, Pediatrics Hiawatha Campus, Hiawatha, IA 52233-1231 |
| Daniel Louzek | Clinical Social Worker | Abbe Center for Community Mental Health Inc | 1077 N Ctr Point Rd, Hiawatha, IA 52233-1231 |
| Kayla R Orr | Clinical Social Worker | Abbe Center for Community Mental Health Inc | 1077 N Ctr Point Rd, Hiawatha, IA 52233-1231 |
| Pravin Gupta | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 1001 N Ctr Point Rd C, Internal Medicine Hiawatha Campus, Hiawatha, IA 52233-1237 |
| Anne M Boileau | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1001 N Ctr Point Rd C, Internal Medicine Hiawatha Campus, Hiawatha, IA 52233-1237 |
| Find all physicians in zip 52233 | |||
| City | HIAWATHA |
| Zip Code | 52233 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HIAWATHA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Abbie M Port.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.