Nathanael K Fuller (NPI# 1144583451, PAC ID# 9234386376) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1144583451 |
| PAC ID by PECOS | 9234386376 |
| Professional Enrollment ID | I20120824000664 |
| Full Name | Nathanael K Fuller |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Address |
30 E Hickman Rd Family Medicine Waukee Waukee IA 50263-5011 |
| Phone Number | 5159873447 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8729992318 |
| Number of Group Practice Members | 956 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160082 | IOWA METHODIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4480 Utica Ridge Rd, Suite 160, Bettendorf, IA 52722-1637 | 5637425950 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| 4480 Utica Ridge Rd, Bettendorf, IA 52722-1644 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION | |
| 30 E Hickman Rd, Family Medicine Waukee, Waukee, IA 50263-5011 | 5159873447 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| 40 E Hickman Rd, Pediatrics Waukee, Waukee, IA 50263-5011 | 5159876610 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| 50 E Hickman Rd, Physical Therapy Waukee, Waukee, IA 50263-5011 | 5152162999 | 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 |
30 E HICKMAN RD FAMILY MEDICINE WAUKEE |
| City | WAUKEE |
| State | IA |
| Zip | 50263-5011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Johanna C Engel Brower | Family Medicine | 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 |
| Glenn Eric Hockett | Family Medicine | Iowa Physicians Clinic Medical Foundation | 30 E Hickman Rd, Family Medicine Waukee, Waukee, IA 50263-5011 |
| 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 |
| Nicholas J Derocher | Chiropractic | 70 E Hickman Rd, Waukee, IA 50263-5011 | |
| Trenton C Semmens | Physical Therapy | Mercy Clinics Inc | 25 W Hickman Rd, Mercyone Waukee Family Medicine Clinic, Waukee, IA 50263-5018 |
| Imad F Francis | Family Medicine | Mercy Clinics Inc | 25 W Hickman Rd, Mercyone Waukee Family Medicine Clinic, Waukee, IA 50263-5018 |
| Bette A Dettman | Nurse Practitioner | Mercy Clinics Inc | 25 W Hickman Rd, Mercyone Waukee Family Medicine Clinic, Waukee, IA 50263-5018 |
| Amy Jo Wright | Physical Therapy | Mercy Clinics Inc | 25 W Hickman Rd, Waukee, IA 50263-5018 |
| Alyssa L Subbert | Physical Therapy | 225 E Hickman Rd, Waukee, IA 50263-5022 | |
| Cale J Banning | Chiropractic | 440 Laurel St, Waukee, IA 50263-7704 | |
| Find all physicians in zip 50263 | |||
| City | WAUKEE |
| Zip Code | 50263 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WAUKEE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nathanael K Fuller.
| 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.