Mark Gregory Desautel (NPI# 1255338174, PAC ID# 4789596909) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1255338174 |
| PAC ID by PECOS | 4789596909 |
| Professional Enrollment ID | I20040608000652 |
| Full Name | Mark Gregory Desautel |
| Organization Legal Name | NORTHWEST IOWA EAR NOSE AND THROAT PC |
| Address |
920 Grand Ave Spencer IA 51301-3641 |
| Phone Number | 7122628120 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 1850464140 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160112 | SPENCER MUNICIPAL HOSPITAL |
| 241332 | WINDOM AREA HOSPITAL |
| 160124 | LAKES REGIONAL HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 717 S State St, Fairmont, MN 56031-4469 | 5072384949 | NORTHWEST IOWA EAR NOSE AND THROAT PC |
| 920 Grand Ave, Spencer, IA 51301-3641 | 7122628120 | NORTHWEST IOWA EAR NOSE AND THROAT PC |
| Organization Legal Name | NORTHWEST IOWA EAR NOSE AND THROAT PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua J Espelund | Otolaryngology | Northwest Iowa Ear Nose and Throat PC | 920 Grand Ave, Spencer, IA 51301-3641 |
| Daniel L Jorgensen | Otolaryngology | Northwest Iowa Ear Nose and Throat PC | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 |
| Street Address |
920 GRAND AVE |
| City | SPENCER |
| State | IA |
| Zip | 51301-3641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua J Espelund | Otolaryngology | Northwest Iowa Ear Nose and Throat PC | 920 Grand Ave, Spencer, IA 51301-3641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Renea Rabel | Chiropractic | 1204 W 18th St, Spencer, IA 51301-1334 | |
| Bryon L Gaul | Dermatology | 2004 Hwy Blvd, Spencer, IA 51301-2112 | |
| Brent R Stanley | Chiropractic | 1723 Hwy Blvd, Suite 2, Spencer, IA 51301-2208 | |
| Abigail Casey Drucker | Obstetrics/gynecology | Northwest Iowa Surgeons PC | 1823 Hwy Blvd, Suite 5, Spencer, IA 51301-2226 |
| Jeffre Duane Helmink | General Surgery | Northwest Iowa Surgeons PC | 1823 Hwy Blvd, Suite 5, Spencer, IA 51301-2226 |
| Patrick James Slattery | General Surgery | Northwest Iowa Surgeons PC | 1823 Hwy Blvd, Suite 5, Spencer, IA 51301-2226 |
| Jason Robert Keonin | General Surgery | Northwest Iowa Surgeons PC | 1823 Hwy Blvd, Suite 5, Spencer, IA 51301-2226 |
| Brian Patrick Wilson | Obstetrics/gynecology | Northwest Iowa Surgeons PC | 1823 Hwy Blvd, Suite 5, Spencer, IA 51301-2226 |
| Amanda Ann Winterboer | Optometry | 1104 W 18th St, Spencer, IA 51301-2815 | |
| Jeffrey D Burns | Chiropractic | 1210 W 18th St, Spencer, IA 51301-2817 | |
| Find all physicians in zip 51301 | |||
| City | SPENCER |
| Zip Code | 51301 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SPENCER + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Mark Gregory Desautel.
| 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.