Provider Demographics
NPI:1013904523
Name:MEDICAL ASSOCIATES P.C.
Entity Type:Organization
Organization Name:MEDICAL ASSOCIATES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SITZMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-546-3604
Mailing Address - Street 1:194 6TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:LE MARS
Mailing Address - State:IA
Mailing Address - Zip Code:51031-3716
Mailing Address - Country:US
Mailing Address - Phone:712-546-3604
Mailing Address - Fax:712-546-9307
Practice Address - Street 1:194 6TH AVE NE
Practice Address - Street 2:
Practice Address - City:LE MARS
Practice Address - State:IA
Practice Address - Zip Code:51031-3716
Practice Address - Country:US
Practice Address - Phone:712-546-3604
Practice Address - Fax:712-546-9307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-29
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0167767Medicaid
IN16776OtherWELLMARK BC/BS
IA0167767Medicaid