Mary F Winegardner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

722 Issued in IA

Practice address

507 Main Ave
Clear Lake, IA 50428-1828

Phone

(641) 357-4325

Fax

(641) 357-1295

NPI assigned

Jan 19, 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

Not listed in the public Medicare enrollment file

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.

• Integrative Medicine Consultants, Inc.

  • Medical Physician Assistant
  • Clear Lake, IA
  • NPI 1679707947
  NPD (past) Authorized official
• Radiation Oncology Associates PC

  • Radiation Oncology Physician
  • Mason City, IA
  • NPI 1073515979
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1306826821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 MAIN AVE",
            "address_2": "PO BOX 506",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281828",
            "telephone_number": "641-357-4325",
            "fax_number": "641-357-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 MAIN AVE",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281828",
            "telephone_number": "641-357-4325",
            "fax_number": "641-357-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINEGARDNER",
        "first_name": "MARY",
        "middle_name": "F",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9964",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173478400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Voortmann Chiropractic Inc (Voortmann Chiropractic)
• Kathleen Kay Voortmann, D.C.
• Waypoint Medical LLC
• White Drug Enterprises Inc (Thrifty White Pharmacy #064)
• Paige Marie Wickert
• Prestyn Wittman
• Robin Lynn Younge, RPH
• Krista Ann Ysker, WHNP/ARNP
• Noelle Lynn Zobeck, BA
• Zwiefel Chiropractic Inc.

• Physician Assistant in Clear Lake, IA
• Providers in Clear Lake, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.