Kim K Countryman (NPI# 1750382347, PAC ID# 6608775804) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1750382347 |
| PAC ID by PECOS | 6608775804 |
| Professional Enrollment ID | I20040214000225 |
| Full Name | Kim K Countryman |
| Organization Legal Name | THE IOWA CLINIC PC |
| Address |
120 Ne Dartmoor Dr The Iowa Clinic Waukee IA 50263-9660 |
| Phone Number | 5158759100 |
| Gender | F |
| Credential | DO |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4082513742 |
| Number of Group Practice Members | 236 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160082 | IOWA METHODIST MEDICAL CENTER |
| 160083 | MERCY MEDICAL CENTER-DES MOINES |
| Address | Phone | Organization |
|---|---|---|
| 1005 Pennsylvania Ave, Suite 102a, Ottumwa, IA 52501-6408 | 6416842589 | THE IOWA CLINIC PC |
| 120 Ne Dartmoor Dr, The Iowa Clinic, Waukee, IA 50263-9660 | 5158759100 | THE IOWA CLINIC PC |
| 5950 University Ave, West Des Moines, IA 50266-8234 | 5158759100 | THE IOWA CLINIC PC |
| Organization Legal Name | THE IOWA CLINIC PC |
| Physicians | 251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley R Taliaferro | Family Medicine | The Iowa Clinic PC | 160 Adventureland Dr Nw C, The Iowa Clinic, Altoona, IA 50009-4232 |
| Lindsey Ann Meyer | Physical Therapy | The Iowa Clinic PC | 842 Ne Alices Rd, Waukee, IA 50263-8857 |
| Andrew J Mcmurray | Family Medicine | The Iowa Clinic PC | 4323 Nw Urbandale Dr, The Iowa Clinic, Urbandale, IA 50322-7910 |
| William H Schupp | Family Medicine | The Iowa Clinic PC | 120 Ne Dartmoor Dr, The Iowa Clinic, Waukee, IA 50263-9660 |
| Jerry W Lehr | Family Medicine | The Iowa Clinic PC | 1504 N 1st St, The Iowa Clinic, Indianola, IA 50125-3702 |
| Kevin J Cunningham | Internal Medicine | The Iowa Clinic PC | 1410 Sw Tradition Dr, Ankeny, IA 50023-9188 |
| Sean D Cunningham | Internal Medicine | The Iowa Clinic PC | 1660 60th St, West Des Moines, IA 50266-7700 |
| Therese H Tran | Obstetrics/gynecology | The Iowa Clinic PC | 1005 Pennsylvania Ave, Suite 102a, Ottumwa, IA 52501-6408 |
| Abbie Deanne Ruisch | Family Medicine | The Iowa Clinic PC | 5950 University Ave, West Des Moines, IA 50266-8234 |
| Barbara L Hodne | Family Medicine | The Iowa Clinic PC | 1410 Sw Tradition Dr, Ankeny, IA 50023-9188 |
| Street Address |
120 NE DARTMOOR DR THE IOWA CLINIC |
| City | WAUKEE |
| State | IA |
| Zip | 50263-9660 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William H Schupp | Family Medicine | The Iowa Clinic PC | 120 Ne Dartmoor Dr, The Iowa Clinic, Waukee, IA 50263-9660 |
| April N Kolb | Family Medicine | The Iowa Clinic PC | 120 Ne Dartmoor Dr, The Iowa Clinic, Waukee, IA 50263-9660 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul William Kerkhoff | Chiropractic | 260 Hwy 6, Waukee, IA 50263-5004 | |
| Brian D Hunziker | Podiatry | 80 E Hickman Rd, Waukee, IA 50263-5011 | |
| Jennifer Hohrmann | Physical Therapy | Iowa Physicians Clinic Medical Foundation | 50 E Hickman Rd, Physical Therapy Waukee, Waukee, IA 50263-5011 |
| Johanna C Engel Brower | Family Medicine | Iowa Physicians Clinic Medical Foundation | 30 E Hickman Rd, Family Medicine Waukee, Waukee, IA 50263-5011 |
| Nicholas J Derocher | Chiropractic | 70 E Hickman Rd, Waukee, IA 50263-5011 | |
| Nathanael K Fuller | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 30 E Hickman Rd, Family Medicine Waukee, Waukee, IA 50263-5011 |
| Wendy S Street | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 30 E Hickman Rd, Family Medicine Waukee, Waukee, IA 50263-5011 |
| Jenna K Kemp | Family Medicine | Iowa Physicians Clinic Medical Foundation | 30 E Hickman Rd, Family Medicine Waukee, Waukee, IA 50263-5011 |
| Kristin M Kuhles | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 30 E Hickman Rd, Family Medicine Waukee, Waukee, IA 50263-5011 |
| Alex L Dickinson | Obstetrics/gynecology | Iowa Physicians Clinic Medical Foundation | 30 E Hickman Rd, Family Medicine Waukee, Waukee, IA 50263-5011 |
| Find all physicians in zip 50263 | |||
| City | WAUKEE |
| Zip Code | 50263 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WAUKEE + FAMILY MEDICINE |
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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.