Denise I Tinker, PA
Individual provider Active NPI Medical Physician Assistant · West Union, IA
NPI 1780689174 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1780689174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 829 (IA)
- Practice address
- 110 Jefferson St
West Union, IA 52175-1022 - Phone
- (563) 422-3817
- NPI assigned
- Jun 14, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 829 | IA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Lutheran Express Care, Inc | Past | Accepting new patients | |
| Heart of the Valley Healthcare PC | Past |
Accepting new patients | |
| Gundersen Clinic LTD | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10294/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 829 | IA | Yes |
Addresses
Primary practice location
110 Jefferson St
West Union, IA 52175-1022
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300
Other providers in West Union, IA
- Still Waters Mental Health and Wellness PLLC
- Brandy Strub
- Swensen Family Chiropractic Clinic P.C
- Judd M Swensen
- The Evangelical Lutheran Good Samaritan Society
- Traditions at West Union
- Union Drug Inc
- Victoria Watts
- Clinton Samuel Steve Webb
- Bailey Wedeking
All providers in West Union, IA · Medical Physician Assistant 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 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.