Kenneth S Wayne (NPI# 1174500151, PAC ID# 6204939531) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1174500151 |
| PAC ID by PECOS | 6204939531 |
| Professional Enrollment ID | I20100429000654 |
| Full Name | Kenneth S Wayne |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Address |
2515 Sw State St Ankeny IA 50023-7079 |
| Gender | M |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1967 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PULMONARY DISEASE |
| Group Practice PAC ID | 8729992318 |
| Number of Group Practice Members | 816 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160089 | OTTUMWA REGIONAL HEALTH CENTER |
| 160082 | IOWA METHODIST MEDICAL CENTER |
| 160024 | IOWA LUTHERAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2515 Sw State St, Ankeny, IA 50023-7079 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION | |
| 4480 Utica Ridge Rd, Bettendorf, IA 52722-1644 | 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 |
2515 SW STATE ST |
| City | ANKENY |
| State | IA |
| Zip | 50023-7079 |
| 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 |
| Meghan E Newton | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2515 Sw State St, 100 Internal Med Ankeny At Prairie Trai, Ankeny, IA 50023-7079 |
| Christopher Ketter | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2515 Sw State St, 200 Family Medicine Ankeny At Prairie T, Ankeny, IA 50023-7079 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher B Komanapalli | Cardiac Surgery | Central Iowa Hospital Corporation | 410 Northwest Ash Dr, Ankeny, IA 50023-1552 |
| Robert P Gallegos | Cardiac Surgery | Central Iowa Hospital Corporation | 410 Northwest Ash Dr, Ankeny, IA 50023-1552 |
| Jeffrey C Miller | Physician Assistant | Central Iowa Hospital Corporation | 410 Northwest Ash Dr, Ankeny, IA 50023-1552 |
| Elizabeth A Mccleary | Qualified Audiologist | Central Iowa Hospital Corporation | 410 Northwest Ash Dr, Ankeny, IA 50023-1552 |
| Arshin Sheybani | Radiation Oncology | Central Iowa Hospital Corporation | 410 Northwest Ash Dr, Ankeny, IA 50023-1552 |
| Anne E Varner | Physician Assistant | Central Iowa Hospital Corporation | 410 Northwest Ash Dr, Ankeny, IA 50023-1552 |
| Robert J Isaak | Radiation Oncology | Central Iowa Hospital Corporation | 410 Northwest Ash Dr, Ankeny, IA 50023-1552 |
| Amy L Timmerman | Qualified Audiologist | Central Iowa Hospital Corporation | 410 Northwest Ash Dr, Ankeny, IA 50023-1552 |
| John T Triantafyllos | Radiation Oncology | Central Iowa Hospital Corporation | 410 Northwest Ash Dr, Ankeny, IA 50023-1552 |
| Brian K Rundall | General Surgery | Central Iowa Hospital Corporation | 410 Northwest Ash Dr, Ankeny, IA 50023-1552 |
| Find all physicians in zip 50023 | |||
| City | ANKENY |
| Zip Code | 50023 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ANKENY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kenneth S Wayne.
| 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.