Basic Information
| Provider Information | |||||||||
| NPI: | 1669431383 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCFARLAND | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | JON | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1000 LINCOLN CIR SE | ||||||||
| Address2: | |||||||||
| City: | ORANGE CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 510411836 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7127375225 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1000 LINCOLN CIR SE | ||||||||
| Address2: | |||||||||
| City: | ORANGE CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 510411836 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7127375225 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2006 | ||||||||
| LastUpdateDate: | 11/01/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 069093 | IA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
ID Information
| ID | Type | State | Issuer | Description | 1149252 | 05 | IA | MEDICAID |