St. Luke'S Jones Regional Medical Center
Organization Active NPI Emergency Medicine Physician · Anamosa, IA
NPI 1942397328 · NPPES record last updated Mar 9, 2017
Key facts
- NPI
- 1942397328
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- ST. LUKE'S JONES REGIONAL MEDICAL CENTER
- Practice address
- 1795 Highway 64 E
Anamosa, IA 52205-2112 - Phone
- (319) 462-6131
- Fax
- (319) 462-4689
- NPI assigned
- Oct 6, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ST. LUKE'S JONES REGIONAL MEDICAL CENTER
Authorized official
- Name
- Mr. Eric Briesemeister
- Title
- Ceo
- Phone
- (319) 462-6131
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 10
Member organizations 4
Practitioners 115
-
Emilly Mikal Brodeur, ARNP
-
Luke C Brunner, MD
-
Amber Nicole Green, ARNP
-
John Hart, M.D.
-
Richard M Hodge, MD
-
Gregory Michael Janda, M.D.
-
Kirk W Kilburg, MD
-
Katlin Klein, DNP, FNP-BC, ARNP
-
Linda A Oberbroeckling, ARNP
-
Peter Donnan Pardubsky, M.D.
-
Nicole Ann Payne, NP
-
Katelyn Price, DNP-FNP-BC
-
Kayla Marie Shelton, DNP, ARNP, FNP-C
-
Melinda Silver, ARNP
-
Jessica Jo Unruh, FNP
-
Deborah W Wilbur, M.D.
-
E Keith Allen, PAC
-
Brady W Hunt, PA
-
Alissa A Schepanski, PAC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Jones Regional Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (5%) Operational/Managerial Control |
Oct 1, 2007 Oct 3, 2007 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031226000198 | IA | Part B Supplier - Clinic/Group Practice | 4688572811 |
Receives reassigned benefits from 110 practitioners 2 other NPIs on this enrollment Practice locations: Anamosa, IA |
National Provider Directory
- Part of
- St Lukes Jones Reg Med CNTR
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | |||
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Family Medicine Physician |
207Q00000X | |||
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X | |||
| Other Specialist/Technologist |
246Z00000X | |||
| Physician Assistant |
363A00000X | |||
| Anesthesiologist Assistant |
367H00000X |
Addresses
Primary practice location
1795 Highway 64 E
Anamosa, IA 52205-2112
Mailing address
1795 Highway 64 E
Anamosa, IA 52205-2112
Phone (319) 462-6131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4319 | Other | IA | BLUE CROSS |
Other names
- Jones Regional Medical Center Physician Services
Other providers in Anamosa, IA
- St Luke'S Jones Regional Medical Center
- St Luke'S Jones Regional Medical Center
- St Luke'S Jones Regional Medical Center
- St Luke'S Jones Regional Medical Center
- St Luke'S Jones Regional Medical Center
- Brooke Stammeyer
- Jacqueline Rae Sutherland
- Lawrence A. Taylor
- Dana C Thordsen
- Taylor Nicole Tittle
All providers in Anamosa, IA · Emergency 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 Mar 9, 2017. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.