Teri S Formanek (NPI# 1982644993, PAC ID# 6204828890) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HAND SURGERY.
| Nation Provider ID (NPI) | 1982644993 |
| PAC ID by PECOS | 6204828890 |
| Professional Enrollment ID | I20100602000422 |
| Full Name | Teri S Formanek |
| Organization Legal Name | MADISON COUNTY MEMORIAL HOSPITAL |
| Address |
300 W Hutchings St Winterset IA 50273-2104 |
| Phone Number | 5154622373 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | HAND SURGERY |
| Secondary Specialties | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6002727179 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161326 | MADISON COUNTY MEMORIAL HOSPITAL |
| 161310 | ADAIR COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 300 W Hutchings St, Winterset, IA 50273-2104 | 5154622373 | MADISON COUNTY MEMORIAL HOSPITAL |
| Organization Legal Name | MADISON COUNTY MEMORIAL HOSPITAL |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan M Suddarth | Family Medicine | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Amy N Kimball | Pediatric Medicine | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Joseph M Kimball | Family Medicine | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Nathan R Tiwari | Family Medicine | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Sheena K Cortner | Physician Assistant | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Elizabeth M Hensley | Nurse Practitioner | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Heather D Back | Family Medicine | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Amber C Burgin | Nurse Practitioner | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Clarice E Blanchard | Physician Assistant | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Tessa Sandel | Nurse Practitioner | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Street Address |
300 W HUTCHINGS ST |
| City | WINTERSET |
| State | IA |
| Zip | 50273-2104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan M Suddarth | Family Medicine | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Amy N Kimball | Pediatric Medicine | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Joseph M Kimball | Family Medicine | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Randall H Hamilton | Neurology | Mercy Clinics Inc | 300 W Hutchings St, Mercyone Des Moines Surgical Group, Winterset, IA 50273-2104 |
| Nathan R Tiwari | Family Medicine | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Sheena K Cortner | Physician Assistant | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Elizabeth M Hensley | Nurse Practitioner | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Heather D Back | Family Medicine | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Amber C Burgin | Nurse Practitioner | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Clarice E Blanchard | Physician Assistant | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Hugh Ascherl | Chiropractic | 1217 N 6th Ave, Suite 4, Winterset, IA 50273-1059 | |
| Herbert Notch | Psychologist, Clinical | 113 N John Wayne Dr, Winterset, IA 50273-1501 | |
| Kevin V Deregnier | Family Medicine | 60 E Court Ave, Winterset, IA 50273-1517 | |
| Richard A Strickler | Family Medicine | 114 E Court Ave, Winterset, IA 50273-1519 | |
| Clayton D Lowe | Chiropractic | 59 E Green St, Winterset, IA 50273-1530 | |
| Thomas N Johnson | Optometry | International Eyecare Center, Inc | 102 N 1st Ave, Winterset, IA 50273-1551 |
| Abby M Thomas | Optometry | Family Eyecare of Winterset PC | 102 N 1st Ave, Winterset, IA 50273-1551 |
| Joyce E Westphal | Clinical Social Worker | 111 N 2nd Ave, Winterset, IA 50273-1654 | |
| Tessa Sandel | Nurse Practitioner | Madison County Memorial Hospital | 300 W Hutchings St, Winterset, IA 50273-2104 |
| Brandon L Dolin | Chiropractic | Stuart Hoven Chiropractic PC | 105 E Madison St, Winterset Family Chiropractic, Winterset, IA 50273-2412 |
| Find all physicians in zip 50273 | |||
| City | WINTERSET |
| Zip Code | 50273 |
| Specialty | HAND SURGERY |
| City + Specialty | WINTERSET + HAND SURGERY |
Please comment or provide details below to improve the information on Teri S Formanek.
| 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.