Mark Walz (NPI# 1093119083, PAC ID# 0840231247) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1093119083 |
| PAC ID by PECOS | 0840231247 |
| Professional Enrollment ID | I20141209000520 |
| Full Name | Mark Walz |
| Organization Legal Name | ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME |
| Address |
311 S Clark St Carroll IA 51401-3038 |
| Phone Number | 7127923581 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4688586829 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160057 | GREAT RIVER MEDICAL CENTER |
| 160005 | ST ANTHONY REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 311 S Clark St, Carroll, IA 51401-3038 | 7127923581 | ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME |
| 1221 S Gear Ave, West Burlington, IA 52655-1679 | GREAT RIVER PHYSICIANS AND CLINICS INC | |
| 1223 S Gear Ave, West Burlington, IA 52655-1679 | GREAT RIVER PHYSICIANS AND CLINICS INC | |
| 1225 S Gear Ave, 254 Pulmonology Great River Medical Center, West Burlington, IA 52655-1687 | 3197683240 | GREAT RIVER PHYSICIANS AND CLINICS INC |
| Organization Legal Name | ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick A Courtney | Family Medicine | St Anthony Regional Hospital and Nursing Home | 405 S Clark St, Suite 100, Carroll, IA 51401-3047 |
| Sandra M Cayler | Nurse Practitioner | St Anthony Regional Hospital and Nursing Home | 311 S Clark St, Carroll, IA 51401-3038 |
| Cynthia J Johnson | Nurse Practitioner | St Anthony Regional Hospital and Nursing Home | 311 S Clark St, Carroll, IA 51401-3038 |
| Nicole Hayworth | Certified Registered Nurse Anesthetist (crna) | St Anthony Regional Hospital and Nursing Home | 311 S Clark St, Carroll, IA 51401-3038 |
| Mikala A Landon | Nurse Practitioner | St Anthony Regional Hospital and Nursing Home | 311 S Clark St, Carroll, IA 51401-3038 |
| Nelson H Lo | Obstetrics/gynecology | St Anthony Regional Hospital and Nursing Home | 311 S Clark St, Carroll, IA 51401-3038 |
| Corey Mehlhaff | Certified Registered Nurse Anesthetist (crna) | St Anthony Regional Hospital and Nursing Home | 311 S Clark St, Carroll, IA 51401-3038 |
| Kevin F Bohac | Certified Registered Nurse Anesthetist (crna) | St Anthony Regional Hospital and Nursing Home | 311 S Clark St, Carroll, IA 51401-3038 |
| Shelly B Diehl | Physician Assistant | St Anthony Regional Hospital and Nursing Home | 311 S Clark St, Carroll, IA 51401-3038 |
| Michelle M Kroeger | Nurse Practitioner | St Anthony Regional Hospital and Nursing Home | 405 S Clark St, Suite 100, Carroll, IA 51401-3047 |
| Street Address |
311 S CLARK ST |
| City | CARROLL |
| State | IA |
| Zip | 51401-3038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abigail L Behrens | Nurse Practitioner | Iowa Dermatology Clinic Plc | 311 S Clark St, 280 Radiant Complexions Dermatology Cli, Carroll, IA 51401-3086 |
| Sandra M Cayler | Nurse Practitioner | St Anthony Regional Hospital and Nursing Home | 311 S Clark St, Carroll, IA 51401-3038 |
| Cynthia J Johnson | Nurse Practitioner | St Anthony Regional Hospital and Nursing Home | 311 S Clark St, Carroll, IA 51401-3038 |
| Nicole Hayworth | Certified Registered Nurse Anesthetist (crna) | St Anthony Regional Hospital and Nursing Home | 311 S Clark St, Carroll, IA 51401-3038 |
| Mikala A Landon | Nurse Practitioner | St Anthony Regional Hospital and Nursing Home | 311 S Clark St, Carroll, IA 51401-3038 |
| Nelson H Lo | Obstetrics/gynecology | St Anthony Regional Hospital and Nursing Home | 311 S Clark St, Carroll, IA 51401-3038 |
| Corey Mehlhaff | Certified Registered Nurse Anesthetist (crna) | St Anthony Regional Hospital and Nursing Home | 311 S Clark St, Carroll, IA 51401-3038 |
| Kevin F Bohac | Certified Registered Nurse Anesthetist (crna) | St Anthony Regional Hospital and Nursing Home | 311 S Clark St, Carroll, IA 51401-3038 |
| Alison M Metzger | Nurse Practitioner | Iowa Dermatology Clinic Plc | 311 S Clark St, 280 Radiant Complexions Dermatology Cli, Carroll, IA 51401-3086 |
| Shelly B Diehl | Physician Assistant | St Anthony Regional Hospital and Nursing Home | 311 S Clark St, Carroll, IA 51401-3038 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie M Opp | Registered Dietitian Or Nutrition Professional | Hy Vee Inc | 905 Us Hwy 30 W, Carroll, IA 51401-2138 |
| Peter Edward Juergens | Chiropractic | 410 W 3rd St, Carroll, IA 51401-2230 | |
| Sondra Rierson | Qualified Audiologist | 409 W 7th St, Carroll, IA 51401-2320 | |
| William E Mcintosh | Optometry | Carroll Eye Care Associates PC | 805 N Main St, Carroll, IA 51401-2369 |
| James S Richardson | Optometry | Carroll Eye Care Associates PC | 805 N Main St, Carroll, IA 51401-2369 |
| Thomas J Parrish | Optometry | Carroll Eye Care Associates PC | 805 N Main St, Carroll, IA 51401-2369 |
| Michael Jon Christensen | Chiropractic | 504 N Clark St, Suite 2, Carroll, IA 51401-2573 | |
| Jason M Pudenz | Chiropractic | 209 E 6th St, Carroll, IA 51401-2708 | |
| Nathan J Lueth | Chiropractic | 213 W 4th St, Next Generation Chiropractic, Carroll, IA 51401-2715 | |
| Jennifer A Handlos | Physical Therapy | 511 N Main St, Carroll, IA 51401-2739 | |
| Find all physicians in zip 51401 | |||
| City | CARROLL |
| Zip Code | 51401 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | CARROLL + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Mark Walz.
| 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.