Jane M. Gandy, PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

001076 Issued in IA

Practice address

1607 N Lincoln St
Knoxville, IA 50138

Phone

(515) 718-5389

Fax

(641) 828-5312

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catholic Health Initiatives-Iowa Corp

  • Clinical Cardiac Electrophysiology Physician
  • West Des Moines, IA
  • NPI 1629301684
  NPD (past)
• Iowa Heart Center PC

  • Cardiovascular Disease Physician
  • West Des Moines, IA
  • NPI 1164410932
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1235199571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 N LINCOLN ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "50138",
            "telephone_number": "515-718-5389",
            "fax_number": "641-828-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 N LINCOLN ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "50138",
            "telephone_number": "515-718-5389",
            "fax_number": "641-828-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDY",
        "first_name": "JANE",
        "middle_name": "M.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "1076",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IA",
            "license": "001076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42968100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Resources Corp
• Anna Elizabeth Fischer, PHARMD
• Larry M Formanek, D.C.
• Franklin Family Practice Inc
• Edith Renee Friend, ARNP
• Carrie Sue Garrington, COTA
• Tony W. Garton, PA
• Tomas Gonzalez-Forestier, PH.D.
• Jeanie Grice, LPN
• Griffin Nursing Center Inc

• Surgical Physician Assistant in Knoxville, IA
• Providers in Knoxville, IA by specialty
• Surgical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.