Mayo Health System

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

27680 Issued in IA

Legal business name

MAYO HEALTH SYSTEM

Practice address

309 S 10TH Ave E
Lake Mills, IA 50450-1849

Phone

(641) 592-2361

NPI assigned

Jan 27, 2015

Last updated

Jan 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anita Eshelman-Peters, MDNPI 1619956067

Title

Physician

Phone

(641) 592-2361

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anita S Eshelman-Peters, M.D.

  • Family Medicine Physician
  • Albert Lea, MN
  • NPI 1619956067
  Authorized official Same address or phone

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1336539592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S 10TH AVE E",
            "city": "LAKE MILLS",
            "state": "IA",
            "postal_code": "504501849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S 10TH AVE E",
            "city": "LAKE MILLS",
            "state": "IA",
            "postal_code": "504501849",
            "telephone_number": "641-592-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "ESHELMAN-PETERS",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "641-592-2361",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IA",
            "license": "27680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Mills Ia Skilled Nursing Facility, LLC
• Lake Mills Pharmacy Inc (Redinger Pharmacy)
• Lake Mills Physical Therapy LLC
• John Dale Leegaard
• Lisa Stutzman Physical Therapy PC
• Kjerstin Leigh Mosby, ARNP
• North Iowa Mercy Clinics (Mercy Family Clinic-Lake Mills)
• North Iowa Wellness Clinic
• Redinger Pharmacy, LLC (Redinger Drug)
• Aaron Redinger, RPH

• Rural Health Clinic/Center in Lake Mills, IA
• Providers in Lake Mills, IA by specialty
• Rural Health Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.