Marlene S Birkholtz-Wier, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38630 Issued in IA

Practice address

220 Essie Davison Dr
Clarinda, IA 51632-2915

Phone

(712) 542-2176

NPI assigned

Mar 14, 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

Other names 1

• Marlene S Birkholtz Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Medical Center-CentervilleGroup PAC ID 9739077652, shared by 4 NPIs, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Centerville Medical Center Hospital, Centerville, IA, CCN 161377

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbirkholtzwier3940083@direct.trinity-health.org

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.

• Clarinda Regional Health Center

  • Family Medicine Physician
  • Clarinda, IA
  • NPI 1629196241
  Medicare reassignment NPD
• Mercy Medical Center-Centerville

  • Critical Access Hospital
  • Centerville, IA
  • NPI 1356391635
  Medicare reassignment NPD
• Mercy Medical Center-Centerville

  • Emergency Care Clinic/Center
  • Centerville, IA
  • NPI 1528018801
  Medicare reassignment NPD
• Mercy Medical Center-Centerville

  • Multi-Specialty Clinic/Center
  • Ottumwa, IA
  • NPI 1093360679
  NPD
• Mercy Medical Center-Centerville

  • Family Medicine Physician
  • Centerville, IA
  • NPI 1346290624
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Medical Center-Centerville

  • Critical Access Hospital
  • Centerville, IA
  • NPI 1356391635
  Care Compare affiliation

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1881663847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "address_2": "220 ESSIE DAVISON DR.",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322915",
            "telephone_number": "712-542-2176",
            "fax_number": "712-542-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ESSIE DAVISON DR",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322915",
            "telephone_number": "712-542-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKHOLTZ-WIER",
        "first_name": "MARLENE",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "349",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "38630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470767637-13",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENE",
            "last_name": "BIRKHOLTZ",
            "middle_name": "S",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Theophile Barley, M.D.
• BCP Clarinda, LLC
• Beecher Eye Care PLC
• Alan Bellairs, R.PH
• Penny Billings, SLP
• Michele Ann Bjorn, ARNP
• Bradley Scott Williams D.D.S.
• Jeanine Marie Bradley, ARNP
• Katie Burns, ARNP
• Amber Nichole Butt, LMHC, NCC

• Family Medicine Physician in Clarinda, IA
• Providers in Clarinda, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.