Laura M Medanic (NPI# 1508305541, PAC ID# 3072875418) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1508305541 |
| PAC ID by PECOS | 3072875418 |
| Professional Enrollment ID | I20180322000837 |
| Full Name | Laura M Medanic |
| Organization Legal Name | OTTUMWA HEALTH GROUP LLC |
| Address |
1013 Pennsylvania Ave A C Ottumwa IA 52501-2110 |
| Phone Number | 6416836868 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3971629924 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160089 | OTTUMWA REGIONAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1013 Pennsylvania Ave, A C, Ottumwa, IA 52501-2110 | 6416836868 | OTTUMWA HEALTH GROUP LLC |
| Organization Legal Name | OTTUMWA HEALTH GROUP LLC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Malerie R Plank | Nurse Practitioner | Ottumwa Health Group LLC | 2453 N Court St, Ottumwa, IA 52501-1217 |
| Jamie Lee Hyde | Nurse Practitioner | Ottumwa Health Group LLC | 1255 Theatre Dr, Ottumwa, IA 52501-3772 |
| Shelley Bechtel | Nurse Practitioner | Ottumwa Health Group LLC | 107 N 3rd St, The Eddyville Clinic, Eddyville, IA 52553-7709 |
| Smruthi S Kumar | Pediatric Medicine | Ottumwa Health Group LLC | 1003 Pennsyvania Ave, Ottumwa Oncology, Ottumwa, IA 52501-2108 |
| Laura A Waddell | Nurse Practitioner | Ottumwa Health Group LLC | 931 Pennsylvania Ave, Ottumwa, IA 52501-2138 |
| Elaine A Assad | Nurse Practitioner | Ottumwa Health Group LLC | 525 Grandview Ave, Ottumwa, IA 52501-1359 |
| Shawn C Dawson | Family Medicine | Ottumwa Health Group LLC | 1013 Pennsylvania Ave, A C, Ottumwa, IA 52501-2110 |
| Desire K Christensen | Psychiatry | Ottumwa Health Group LLC | 1001 Pennsylvania Ave, Ottumwa, IA 52501-2186 |
| Alicia D Barron | Nurse Practitioner | Ottumwa Health Group LLC | 1255 Theatre Dr, Ottumwa, IA 52501-3772 |
| Edward B Ortell | General Surgery | Ottumwa Health Group LLC | 1001 Pennsylvania Ave, Ottumwa, IA 52501-2186 |
| Street Address |
1013 PENNSYLVANIA AVE A C |
| City | OTTUMWA |
| State | IA |
| Zip | 52501-2110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn C Dawson | Family Medicine | Ottumwa Health Group LLC | 1013 Pennsylvania Ave, A C, Ottumwa, IA 52501-2110 |
| Peggy Sue Swank | Nurse Practitioner | Ottumwa Health Group LLC | 1013 Pennsylvania Ave, A C, Ottumwa, IA 52501-2110 |
| Nusaybah M Ismail | Physician Assistant | Ottumwa Health Group LLC | 1013 Pennsylvania Ave, A C, Ottumwa, IA 52501-2110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Malerie R Plank | Nurse Practitioner | Ottumwa Health Group LLC | 2453 N Court St, Ottumwa, IA 52501-1217 |
| Jasmine Benson | Nurse Practitioner | Ottumwa Health Group LLC | 2453 N Court St, Ottumwa, IA 52501-1217 |
| Nathan D Overturf | Chiropractic | 104 Elmdale, Ottumwa, IA 52501-1234 | |
| Elaine A Assad | Nurse Practitioner | Ottumwa Health Group LLC | 525 Grandview Ave, Ottumwa, IA 52501-1359 |
| Gregory K Moore | Qualified Audiologist | 1317 N Court St, Ottumwa, IA 52501-1911 | |
| Smruthi S Kumar | Pediatric Medicine | Ottumwa Health Group LLC | 1003 Pennsyvania Ave, Ottumwa Oncology, Ottumwa, IA 52501-2108 |
| Steven L Sword | Qualified Audiologist | Ear Nose Throat of Southeast Iowa, P.C. | 1106 Pennsylvania Ave, Ottumwa, IA 52501-2109 |
| Kurt M Anderson | Otolaryngology | Ear Nose Throat of Southeast Iowa, P.C. | 1106 Pennsylvania Ave, Ottumwa, IA 52501-2109 |
| Jashim U Ahmed | Nephrology | 641 Pennsylvania Ave, Ottumwa, IA 52501-2116 | |
| Laura A Waddell | Nurse Practitioner | Ottumwa Health Group LLC | 931 Pennsylvania Ave, Ottumwa, IA 52501-2138 |
| Find all physicians in zip 52501 | |||
| City | OTTUMWA |
| Zip Code | 52501 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OTTUMWA + NURSE PRACTITIONER |
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| 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.