Mark E Easter, D.O.
Individual provider Active NPI Family Medicine Physician · Lamoni, IA
NPI 1649249111 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1649249111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02206 (IA)
- Practice address
- 802 Ackerly St
Lamoni, IA 50140-1544 - Phone
- (641) 784-3371
- Fax
- (641) 784-6162
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080521000538 | IA | Practitioner - Family Practice |
7911076625 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02206 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur County Hospital | Current |
Accepting new patients | |
| Decatur Medical Services, PC | Family Medicine | Past | Accepting new patients |
| Infinity Health | Past | Accepting new patients |
Locations
1405 NW Church St
Leon, IA 50144
Phone (641) 446-2340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02206 | IA | Yes |
Addresses
Primary practice location
802 Ackerly St
Lamoni, IA 50140-1544
Mailing address
802 Ackerly St
Lamoni, IA 50140-1544
Phone (641) 784-3371
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3041657 | Medicaid | IA |
Other providers in Lamoni, IA
- Zachary Rhodes Caroselli
- Decatur Medical Services, PC
- Dr Zieger
- Benna L Easter
- Mark Daniel Easter
- Graceland University
- Dana M. Hoffman
- Jason Lee Hoffman
- Dylan Hogan
- Hy-Vee Inc
All providers in Lamoni, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.