1952382384

Everything you always wanted to know about WINTERMOTE LEE HEIDI D.O. but were afraid to ask.

WINTERMOTE LEE HEIDI D.O.

You can also download the this 1952382384 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
WINTERMOTE LEE HEIDI D.O.
Gender:
Female
Enumeration date:
2005-11-11
Last update date:
2017-09-19
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
02301 Other STATE LICENSE IA
01819 Medicare ID-Type Undpecified none IA
560910083 Other MEDICARE NUMBER IA
E74065 Medicare UPIN none IA
2067264 Medicaid none IA

Taxonomies

Taxonomy State License Number Primary?
207Q00000X Family Medicine IA 2301 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 5159942617
Practice Location Address Telephone Number 5159942617
Mailing Address Fax Number 5159942365
Practice Location Address Fax Number 5159942365

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 430 PRAIRIE CITY IA 50228 IA
Practice Location Address 100 E. JEFFERSON PRAIRIE CITY IA 0 IA

Other NPI Records that share a phone number

NPI Name Address State City
1124015037 GREGORY L. INGLE, D.O., P.C
Organization
100 E JEFFERSON ST. IA PRAIRIE CITY
1316934227 INGLE, GREGORY
Individual
100 E. JEFFERSON ST. IA PRAIRIE CITY
1356764294 COLFAX MEDICAL ASSOCIATES LLC
Organization
107 N WALNUT ST IA COLFAX
1639263247 INGLE, CHARLES
Individual
100 E. JEFFERSON IA PRAIRIE CITY
1770937682 SYTSMA, LISA
Individual
100 E JEFFERSON ST IA PRAIRIE CITY

Other NPI Records that share an address

NPI Name Address State City
1124015037 GREGORY L. INGLE, D.O., P.C
Organization
100 E JEFFERSON ST. IA PRAIRIE CITY
1639263247 INGLE, CHARLES
Individual
100 E. JEFFERSON IA PRAIRIE CITY

Other NPI Records that share an identifier

NPI Name Address State City Identifier types that matches
1871793802 ATLANTIC CHIROPRACTIC CLINIC
Organization
3715 PATRIOT WAY NC WILMINGTON Identifier: 02301 (Other)
1952431819 GINIGER, SEYMOUR
Individual
102 30 QUEENS BLVD NY FOREST HILLS Identifier: 01819 (Medicare ID-Type Undpecified)