Clinic County Clinic Name Clinic Address Clinic City ......Female Accepted FC 4/20/2016 CERRO GORDO...
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Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant County Participant Gender Enrollment Status Fax Received Date ADAIR PIEARSON, TIMOTHY DR - IAM 609 SE KENT GREENFIELD 50849 GUTHRIE Female Accepted FC 4/5/2016 APPANOOSE BLACKLEDGE, PATTY - IAM 1015 N 18TH ST STE C CENTERVILLE 52544 APPANOOSE Female Accepted FC 4/5/2016 APPANOOSE LANGE, KATHLEEN MD - IAM 707 S MAIN ST CENTERVILLE 52544 Not Asked Declined FC 4/5/2016 APPANOOSE PARRISH, CASSIE ARNP - IAM 19876 ST JOSEPH DR CENTERVILLE 52544 Not Asked Declined FC 4/22/2016 AUDUBON BROKKE, JAMES DO - IAM 107 S JEFFERSON ST EXIRA 50076 Not Asked Unreachable 4/19/2016 AUDUBON BROKKE, JAMES DO - IAM 107 S JEFFERSON ST EXIRA 50076 Not Asked Unreachable 4/19/2016 BENTON PEOPLES, CHELSEA PAC - IAM 504 N 9TH AVE VINTON BENTON Female Accepted FC 4/19/2016 BENTON ATKINS FAMILY MEDICAL CLINIC ATKINS 52206 Refused Declined FC 4/21/2016 BENTON ATKINS FAMILY MEDICAL CLINIC ATKINS 52206 Not Asked Declined FC 4/15/2016 BENTON COLLUM, AMBER PA 1803 C AVE NW VINTON 52349 BENTON Female Unreachable 4/27/2016 BLACK HAWK BITAJIAN, SHIRIN - IAM 2055 KIMBALL AVE WATERLOO 50701 BLACK HAWK Female Accepted FC 4/1/2016 BLACK HAWK BOLING, VICKI - IAM 3251 WEST 9TH ST WATERLOO 50702 Not Asked Unreachable 4/1/2016 BLACK HAWK BRIES, KATIE ARNP - IAM 220 SOUTHBROOKS WATERLOO 50702 Not Asked Unreachable 4/21/2016 BLACK HAWK COVENANT CLINIC - WATERLOO WATERLOO 50702 BLACK HAWK Female Declined FC 4/19/2016 BLACK HAWK COVENANT CLINIC - WATERLOO WATERLOO 50702 Not Asked Unreachable 4/21/2016 BLACK HAWK CROWLEY, WILLIAM MD - IAM 3251 W 9TH ST WATERLOO 50702 Not Asked Unreachable 4/7/2016 BLACK HAWK DAVENPORT, DANIELLE - IAM 2055 KIMBALL AVE STE 101 WATERLOO 50702 Not Asked Unreachable 4/1/2016 BLACK HAWK DODD, KHUSHMAN - IAM 1824 W 8TH ST CEDAR FALLS 50613 BLACK HAWK Female Unreachable 4/29/2016 BLACK HAWK FAMILY PRACTICE CENTER - WATERLOO WATERLOO 50702 Not Asked Unreachable 4/18/2016 BLACK HAWK GINGRICH, ANGELLA ARNP - IAM 226 BLUEBELL RD CEDAR FALLS 50613 BLACK HAWK Male Accepted FC 4/13/2016 BLACK HAWK HALL, MARTHA 212 W DALE ST STE 101 WATERLOO 50703 BLACK HAWK Male Accepted FC 4/6/2016 BLACK HAWK HALL, MARTHA 212 W DALE ST STE 101 WATERLOO 50703 BLACK HAWK Female Accepted FC 4/26/2016 BLACK HAWK HALL, MARTHA 212 W DALE ST STE 101 WATERLOO 50703 Not Asked Unreachable 4/22/2016 BLACK HAWK HARTER, GREG MD - IAM 2710 ST FRANCIS DR STE 210 WATERLOO 50702 Not Asked Declined FC 4/25/2016 BLACK HAWK KAISER, TARA ARNP - IAM 1824 W 8TH ST CEDAR FALLS 50613 FAYETTE Female Accepted FC 4/13/2016 BLACK HAWK MCEWAN, TIFFANY ARNP - IAM 2710 ST FRANCIS DR STE 210 WATERLOO 50702 BLACK HAWK Female Accepted FC 4/12/2016 BLACK HAWK NORTHEAST IA FAMILY PRACTICE CENTER WATERLOO 50702 GRUNDY Female Unreachable 4/21/2016 BLACK HAWK PARTNERS IN OB GYN WATERLOO 50702 BUCHANAN Female Accepted FC 4/7/2016 BLACK HAWK PATEL, HETAL DR - IAM 2710 ST FRANCIS DR STE 210 WATERLOO 50702 BLACK HAWK Male Accepted FC 4/7/2016 BLACK HAWK PATHAN, M DR - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Male Accepted FC 4/21/2016 BLACK HAWK PATHAN, M DR - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Male Declined FC 4/20/2016 BLACK HAWK PATHMANATHAN, SUBA DR - IAM 2710 ST FRANCIS DR STE 210 WATERLOO 50702 Not Asked Unreachable 4/18/2016 BLACK HAWK PATHMANATHAN, SUBA DR - IAM 2710 ST FRANCIS DR STE 210 WATERLOO 50702 Not Asked Unreachable 4/18/2016 BLACK HAWK PEOPLE'S DENTAL CLINIC WATERLOO 50703 Not Asked Unreachable 4/13/2016 BLACK HAWK PEOPLES COMM HEALTH CLINIC WATERLOO 50701 BLACK HAWK Male Accepted FC 4/22/2016 BLACK HAWK PEOPLES COMM HEALTH CLINIC WATERLOO 50701 BLACK HAWK Female Accepted FC 4/22/2016 BLACK HAWK PEOPLES COMM HEALTH CLINIC WATERLOO 50701 BLACK HAWK Female Declined FC 4/25/2016 BLACK HAWK PEOPLES COMM HEALTH CLINIC WATERLOO 50701 BLACK HAWK Female Declined FC 4/25/2016 BLACK HAWK PEOPLES COMM HEALTH CLINIC WATERLOO 50701 Not Asked Declined FC 4/29/2016 BLACK HAWK PEOPLES COMM HEALTH CLINIC WATERLOO 50701 Not Asked Unreachable 4/22/2016
Transcript of Clinic County Clinic Name Clinic Address Clinic City ......Female Accepted FC 4/20/2016 CERRO GORDO...
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateADAIR PIEARSON, TIMOTHY DR - IAM 609 SE KENT GREENFIELD 50849 GUTHRIE Female Accepted FC 4/5/2016
APPANOOSE BLACKLEDGE, PATTY - IAM 1015 N 18TH ST STE C CENTERVILLE 52544 APPANOOSE Female Accepted FC 4/5/2016
APPANOOSE LANGE, KATHLEEN MD - IAM 707 S MAIN ST CENTERVILLE 52544 Not Asked Declined FC 4/5/2016
APPANOOSE PARRISH, CASSIE ARNP - IAM 19876 ST JOSEPH DR CENTERVILLE 52544 Not Asked Declined FC 4/22/2016
AUDUBON BROKKE, JAMES DO - IAM 107 S JEFFERSON ST EXIRA 50076 Not Asked Unreachable 4/19/2016
AUDUBON BROKKE, JAMES DO - IAM 107 S JEFFERSON ST EXIRA 50076 Not Asked Unreachable 4/19/2016
BENTON PEOPLES, CHELSEA PAC - IAM 504 N 9TH AVE VINTON BENTON Female Accepted FC 4/19/2016
BENTON ATKINS FAMILY MEDICAL CLINIC ATKINS 52206 Refused Declined FC 4/21/2016
BENTON ATKINS FAMILY MEDICAL CLINIC ATKINS 52206 Not Asked Declined FC 4/15/2016
BENTON COLLUM, AMBER PA 1803 C AVE NW VINTON 52349 BENTON Female Unreachable 4/27/2016
BLACK HAWK BITAJIAN, SHIRIN - IAM 2055 KIMBALL AVE WATERLOO 50701 BLACK
HAWK
Female Accepted FC 4/1/2016
BLACK HAWK BOLING, VICKI - IAM 3251 WEST 9TH ST WATERLOO 50702 Not Asked Unreachable 4/1/2016
BLACK HAWK BRIES, KATIE ARNP - IAM 220 SOUTHBROOKS WATERLOO 50702 Not Asked Unreachable 4/21/2016
BLACK HAWK COVENANT CLINIC - WATERLOO WATERLOO 50702 BLACK
HAWK
Female Declined FC 4/19/2016
BLACK HAWK COVENANT CLINIC - WATERLOO WATERLOO 50702 Not Asked Unreachable 4/21/2016
BLACK HAWK CROWLEY, WILLIAM MD - IAM 3251 W 9TH ST WATERLOO 50702 Not Asked Unreachable 4/7/2016
BLACK HAWK DAVENPORT, DANIELLE - IAM 2055 KIMBALL AVE STE
101
WATERLOO 50702 Not Asked Unreachable 4/1/2016
BLACK HAWK DODD, KHUSHMAN - IAM 1824 W 8TH ST CEDAR FALLS 50613 BLACK
HAWK
Female Unreachable 4/29/2016
BLACK HAWK FAMILY PRACTICE CENTER -
WATERLOO
WATERLOO 50702 Not Asked Unreachable 4/18/2016
BLACK HAWK GINGRICH, ANGELLA ARNP - IAM 226 BLUEBELL RD CEDAR FALLS 50613 BLACK
HAWK
Male Accepted FC 4/13/2016
BLACK HAWK HALL, MARTHA 212 W DALE ST STE
101
WATERLOO 50703 BLACK
HAWK
Male Accepted FC 4/6/2016
BLACK HAWK HALL, MARTHA 212 W DALE ST STE
101
WATERLOO 50703 BLACK
HAWK
Female Accepted FC 4/26/2016
BLACK HAWK HALL, MARTHA 212 W DALE ST STE
101
WATERLOO 50703 Not Asked Unreachable 4/22/2016
BLACK HAWK HARTER, GREG MD - IAM 2710 ST FRANCIS DR
STE 210
WATERLOO 50702 Not Asked Declined FC 4/25/2016
BLACK HAWK KAISER, TARA ARNP - IAM 1824 W 8TH ST CEDAR FALLS 50613 FAYETTE Female Accepted FC 4/13/2016
BLACK HAWK MCEWAN, TIFFANY ARNP - IAM 2710 ST FRANCIS DR
STE 210
WATERLOO 50702 BLACK
HAWK
Female Accepted FC 4/12/2016
BLACK HAWK NORTHEAST IA FAMILY
PRACTICE CENTER
WATERLOO 50702 GRUNDY Female Unreachable 4/21/2016
BLACK HAWK PARTNERS IN OB GYN WATERLOO 50702 BUCHANAN Female Accepted FC 4/7/2016
BLACK HAWK PATEL, HETAL DR - IAM 2710 ST FRANCIS DR
STE 210
WATERLOO 50702 BLACK
HAWK
Male Accepted FC 4/7/2016
BLACK HAWK PATHAN, M DR - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK
HAWK
Male Accepted FC 4/21/2016
BLACK HAWK PATHAN, M DR - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK
HAWK
Male Declined FC 4/20/2016
BLACK HAWK PATHMANATHAN, SUBA DR - IAM 2710 ST FRANCIS DR
STE 210
WATERLOO 50702 Not Asked Unreachable 4/18/2016
BLACK HAWK PATHMANATHAN, SUBA DR - IAM 2710 ST FRANCIS DR
STE 210
WATERLOO 50702 Not Asked Unreachable 4/18/2016
BLACK HAWK PEOPLE'S DENTAL CLINIC WATERLOO 50703 Not Asked Unreachable 4/13/2016
BLACK HAWK PEOPLES COMM HEALTH CLINIC WATERLOO 50701 BLACK
HAWK
Male Accepted FC 4/22/2016
BLACK HAWK PEOPLES COMM HEALTH CLINIC WATERLOO 50701 BLACK
HAWK
Female Accepted FC 4/22/2016
BLACK HAWK PEOPLES COMM HEALTH CLINIC WATERLOO 50701 BLACK
HAWK
Female Declined FC 4/25/2016
BLACK HAWK PEOPLES COMM HEALTH CLINIC WATERLOO 50701 BLACK
HAWK
Female Declined FC 4/25/2016
BLACK HAWK PEOPLES COMM HEALTH CLINIC WATERLOO 50701 Not Asked Declined FC 4/29/2016
BLACK HAWK PEOPLES COMM HEALTH CLINIC WATERLOO 50701 Not Asked Unreachable 4/22/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateBLACK HAWK ROYCHOWDHURY, ERIC DR -
IAM
2055 KIMBALL AVE STE
101
WATERLOO 50702 BLACK
HAWK
Female Accepted FC 4/1/2016
BLACK HAWK SHAIKH, RAHIL MD - IAM 2710 ST FRANCIS DR WATERLOO 50702 BLACK
HAWK
Male Accepted FC 4/21/2016
BLACK HAWK STANDING, LARRY - IAM 226 BLUEBELL RD CEDAR FALLS 50613 BLACK
HAWK
Female Declined FC 4/26/2016
BLACK HAWK UNITY POINT OB/GYN WATERLOO 50701 BLACK
HAWK
Female Accepted FC 4/5/2016
BLACK HAWK UNITY PT CLINIC WATERLOO 50701 Female Accepted FC 4/12/2016
BLACK HAWK UNITYPOINT ALLEN HOSPITAL WATERLOO 50703 Not Asked Unreachable 4/13/2016
BREMER STROMBERG, MARY JO ARNP -
IAM
217 20TH ST NW WAVERLY 50677 BREMER Male Accepted FC 4/12/2016
BREMER THOMPSON, JANEL 202 WILDCAT WAY JANESVILLE 50647 BREMER Female Accepted FC 4/27/2016
BUCHANAN JASPER, DUANE - IAM INDEPENDENCE BUCHANAN Male Accepted FC 4/5/2016
BUCHANAN BUDZINE, JANICE DNP ARNP -
IAM
345 1ST ST S WINTHROP 50682 BUCHANAN Female Accepted FC 4/14/2016
BUCHANAN BUDZINE, JANICE DNP ARNP -
IAM
345 1ST ST S WINTHROP 50682 BUCHANAN Female Unreachable 4/7/2016
BUTLER PEOPLE'S CLINIC - BUTLER
COUNTY
CLARKSVILLE 50619 BUTLER Female Accepted FC 4/21/2016
BUTLER PEOPLE'S CLINIC - BUTLER
COUNTY
CLARKSVILLE 50619 BUTLER Female Declined FC 4/29/2016
BUTLER WEBER, AMBER ARNP - IAM 1001 MASON WAY SHELL ROCK 50670 BUTLER Female Accepted FC 4/13/2016
CALHOUN DUNCAN, DEREK - IAM 1351 W MAIN LAKE CITY 51449 CALHOUN Male Accepted FC 4/19/2016
CARROLL MCQUEEN, JAMES DO - IAM 1214 S GRANT CARROLL CARROLL Female Accepted FC 4/7/2016
CARROLL DANNER, NANCY P-AC - IAM 1550 6TH ST MANNING 51455 CARROLL Female Accepted FC 4/7/2016
CASS ATLANTIC MEDICAL CENTER ATLANTIC 50022 CASS Female Accepted FC 4/27/2016
CASS BEAN, STACEY PAC - IAM 1501 E 10TH ATLANTIC 50022 Female Unreachable 4/26/2016
CERRO GORDO LINDSTROM, LORI - IAM 1327 6TH ST SW MASON CITY Not Asked Unreachable 4/7/2016
CERRO GORDO MASOOD, SHUMAILA DR - IAM 621 S ILLINOIS STE 100 MASON CITY CERRO
GORDO
Female Accepted FC 4/5/2016
CERRO GORDO MORSE, CHRISTOPHER - IAM 101 S TAYLOR AVE MASON CITY CERRO
GORDO
Male Accepted FC 4/7/2016
CERRO GORDO VOGELMAN, JUNE - IAM 910 N EISENHOWER
AVE
MASON CITY CERRO
GORDO
Female Accepted FC 4/27/2016
CERRO GORDO VOGELMAN, JUNE - IAM 910 N EISENHOWER
AVE
MASON CITY CERRO
GORDO
Female Accepted FC 4/7/2016
CERRO GORDO VOGELMAN, JUNE - IAM 910 N EISENHOWER
AVE
MASON CITY CERRO
GORDO
Female Unreachable 4/1/2016
CERRO GORDO HABERMAN, ANALISA- IAM 621 S ILLINOIS AVE
STE 100
MASON CITY 50401 CERRO
GORDO
Female Accepted FC 4/7/2016
CERRO GORDO HABERMAN, ANALISA- IAM 621 S ILLINOIS AVE
STE 100
MASON CITY 50401 CERRO
GORDO
Female Accepted FC 4/12/2016
CERRO GORDO KUHN, HAYLEY DR - IAM 1010 4TH ST SW MASON CITY 50401 WORTH Female Accepted FC 4/5/2016
CERRO GORDO MERCY FAMILY RESIDENCY -
NORTH IOWA
MASON CITY 50401 Not Asked Unreachable 4/1/2016
CERRO GORDO MERCY WOMEN'S HEALTH
CENTER
MASON CITY 50401 CERRO
GORDO
Female Accepted FC 4/20/2016
CERRO GORDO SINGH, PRANAV MD - IAM 1000 4TH ST SW MASON CITY 50401 CERRO
GORDO
Male Accepted FC 4/7/2016
CERRO GORDO TIMPE, DONELL MD - IAM 1010 4TH ST SW MASON CITY 50428 HANCOCK Female Accepted FC 4/5/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateCERRO GORDO TIMPE, DONELL MD - IAM 1010 4TH ST SW MASON CITY 50428 CERRO
GORDO
Female Accepted FC 4/7/2016
CERRO GORDO TIMPE, DONELL MD - IAM 1010 4TH ST SW MASON CITY 50428 CERRO
GORDO
Female Unreachable 4/22/2016
CHEROKEE JOHNSTON, JUDY ARNP - IAM 225 MAIN ST AURELIA 51005 Not Asked Unreachable 4/26/2016
CHEROKEE VANDELUNE, CHRIS DR - IAM 300 SIOUX VALLEY DR CHEROKEE 51012 CHEROKEE Male Accepted FC 4/29/2016
CHICKASAW SCHWEIZER, DAVID - IAM 109 WOODBRIDGE ST NASHUA 50658 CHICKASAW Female Accepted FC 4/18/2016
CLAY AVERA MEDICAL GROUP -
SPENCER
SPENCER 51301 CLAY Female Accepted FC 4/18/2016
CLAY AVERA MEDICAL GROUP -
SPENCER
SPENCER 51301 CLAY Male Accepted FC 4/21/2016
CLAY AVERA MEDICAL GROUP -
SPENCER
SPENCER 51301 CLAY Female Accepted FC 4/29/2016
CLAY AVERA MEDICAL GROUP -
SPENCER
SPENCER 51301 Not Asked Active 4/19/2016
CLAY AVERA MEDICAL GROUP -
SPENCER
SPENCER 51301 Not Asked Unreachable 4/19/2016
CLAY WITT, TRAVIS DR - IAM 116 E 11TH ST STE 101 SPENCER 51301 DICKINSON Male Accepted FC 4/12/2016
CLINTON CARE FOR YOURSELF -
CLINTON
CLINTON 52732 JACKSON Female Accepted FC 4/13/2016
CLINTON COMMUNITY HEALTHCARE CLINTON 52732 SCOTT Female Accepted FC 4/28/2016
CLINTON COMMUNITY HEALTHCARE CLINTON 52732 Not Asked Declined FC 4/8/2016
CLINTON HOFF, STEPHANIE MD - IAM 915 13TH AVE N CLINTON 52732 Female Accepted FC 4/18/2016
CLINTON HOFF, STEPHANIE MD - IAM 915 13TH AVE N CLINTON 52732 Not Asked Unreachable 4/25/2016
CLINTON KAUFFMAN, THERSA ARNP - IAM 915 13TH AVE N CLINTON 52732 CLINTON Male Accepted FC 4/29/2016
CLINTON KAUFFMAN, THERSA ARNP - IAM 915 13TH AVE N CLINTON 52732 Not Asked Active 4/29/2016
CLINTON KOLUSU, HANUMANTHA R DR -
IAM
2304 N WASHINGTON
BLVD
CAMANCHE 52730 Not Asked Unreachable 4/1/2016
CLINTON MERCY MEDICAL CENTER -
CLINTON
CLINTON 52732 Not Asked Declined FC 4/4/2016
CLINTON MERCY MEDICAL CENTER -
CLINTON
CLINTON 52732 Not Asked Declined FC 4/4/2016
CLINTON MERCY MEDICAL CENTER -
CLINTON
CLINTON 52732 Not Asked Unreachable 4/4/2016
CLINTON MERCY MEDICAL CENTER -
CLINTON
CLINTON 52732 Not Asked Unreachable 4/4/2016
CLINTON MERCY MEDICAL CENTER -
CLINTON
CLINTON 52732 Not Asked Unreachable 4/4/2016
CLINTON MERCY MEDICAL CENTER -
CLINTON
CLINTON 52732 Not Asked Unreachable 4/4/2016
CLINTON MERCY MEDICAL CENTER -
CLINTON
CLINTON 52732 Not Asked Unreachable 4/18/2016
CLINTON MERCY MEDICAL CENTER -
CLINTON
CLINTON 52732 Not Asked Unreachable 4/14/2016
CLINTON MERCY MEDICAL CENTER -
CLINTON
CLINTON 52732 Not Asked Unreachable 4/7/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateCLINTON MILLER, CHELSEY - IAM 2027 S 21ST ST CLINTON 52732 CLINTON Female Accepted FC 4/1/2016
CLINTON MILLER, CHELSEY - IAM 2027 S 21ST ST CLINTON 52732 Not Asked Unreachable 4/1/2016
CLINTON MILLER, CHELSEY - IAM 2027 S 21ST ST CLINTON 52732 CLINTON Female Unreachable 4/19/2016
CLINTON SCHULTZ, KELLI - IAM 2745 LINCOLNWAY ST CLINTON 52732 CLINTON Female Accepted FC 4/21/2016
CLINTON SMITH, DENICE MD - IAM 507 S 4TH ST CLINTON 52732 Female Unreachable 4/7/2016
CRAWFORD MASON, ROSEMARY - IAM 1820 HWY 30E DENISON MONONA Female Declined FC 4/15/2016
CRAWFORD DENISON JOB CORPS DENISON 51442 CRAWFORD Male Accepted FC 4/27/2016
DALLAS KEMP, JENNA DR - IAM 30 E HICKMAN RD WAUKEE 50263 DALLAS Female Unreachable 4/7/2016
DALLAS MERCY FAMILY CARE PERRY 50220 DALLAS Male Accepted FC 4/1/2016
DALLAS MERCY FAMILY CARE PERRY 50220 DALLAS Female Unreachable 4/6/2016
DECATUR ALLEN, NATHAN DO - IAM 802 E ACKERLEY LAMONI 50140 Not Asked Unreachable 4/7/2016
DECATUR FIGLAND, TERRA - IAM 306 N 3RD AVE E GRAND RIVER 50108 JASPER Male Accepted FC 4/7/2016
DECATUR SPOERL, JENNIFER ARNP - IAM 305 NE 14TH ST LEON 50144 DECATUR Female Accepted FC 4/11/2016
DECATUR SPOERL, JENNIFER ARNP - IAM 305 NE 14TH ST LEON 50144 DECATUR Male Accepted FC 4/7/2016
DELAWARE BUSCHMAN, JILL ARNP - IAM 709 W MAIN MANCHESTER 52057 DELAWARE Female Accepted FC 4/6/2016
DELAWARE CHRISTIANSEN, SCOT MD - IAM 709 W MAIN MANCHESTER 52057 DELAWARE Female Accepted FC 4/18/2016
DELAWARE CHRISTIANSEN, SCOT MD - IAM 709 W MAIN MANCHESTER 52057 DELAWARE Male Accepted FC 4/18/2016
DELAWARE HENNESSEY, TREESA ARNP -
IAM
709 W MAIN MANCHESTER 52057 DELAWARE Female Accepted FC 4/29/2016
DELAWARE HENNESSEY, TREESA ARNP -
IAM
709 W MAIN MANCHESTER 52057 CLAYTON Female Unreachable 4/22/2016
DELAWARE MEAD, ANN PAC - IAM 709 W MAIN ST MANCHESTER 52057 TAMA Not Asked Unreachable 4/13/2016
DES MOINES KISWANI, VANDHANA DR - IAM 1760 W AGENCY RD WEST
BURLINGTON
DES MOINES Female Accepted FC 4/13/2016
DES MOINES COMMUNITY HEALTH CENTERS
OF SE IOWA
WEST
BURLINGTON
52655 DES MOINES Male Accepted FC 4/28/2016
DES MOINES COMMUNITY HEALTH CENTERS
OF SE IOWA
WEST
BURLINGTON
52655 DES MOINES Female Accepted FC 4/26/2016
DES MOINES GREAT RIVER MEDICAL CENTER
- RESPIRATORY CARE
WEST
BURLINGTON
52655 LOUISA Female Accepted FC 4/19/2016
DES MOINES GREAT RIVER MEDICAL CENTER
- RESPIRATORY CARE
WEST
BURLINGTON
52655 DES MOINES Female Accepted FC 4/6/2016
DES MOINES GREAT RIVER MEDICAL CENTER
- RESPIRATORY CARE
WEST
BURLINGTON
52655 Not Asked Unreachable 4/1/2016
DES MOINES HECKART, HANNAH DR - IAM 1223 S GEAR AVE WEST
BURLINGTON
52655 DES MOINES Female Accepted FC 4/29/2016
DES MOINES HUNTER, TIMOTHY DR - IAM 1201 W AGENCY RD WEST
BURLINGTON
52655 DES MOINES Female Accepted FC 4/5/2016
DES MOINES KHALIFE, MUSTAPHA - IAM WEST
BURLINGTON
52655 Not Asked Unreachable 4/20/2016
DES MOINES LAPINID, MARICRIS - IAM 1201 W AGENCY ST WEST
BURLINGTON
52655 HENRY Male Accepted FC 4/12/2016
DES MOINES LAUER, GEORGIA - IAM 1706 W AGENCY BURLINGTON 52601 Male Accepted FC 4/18/2016
DES MOINES ZWANZIGER, REBECCA NP - IAM 1706 W AGENCY RD WEST
BURLINGTON
52655 Not Asked Unreachable 4/22/2016
DES MOINES ZWANZIGER, REBECCA NP - IAM 1706 W AGENCY RD WEST
BURLINGTON
52655 Not Asked Unreachable 4/21/2016
DICKINSON KELLEY, JESSICA ARNP - IAM 2700 23RD ST SPIRIT LAKE 51360 Not Collected Accepted FC 4/5/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateDOUGLAS ACH CREIGHTON UNIVERSITY
MED CTR
OMAHA 68131 CRAWFORD Male Accepted FC 4/18/2016
DOUGLAS KEAN-PUCCIONI, EMILY - IAM 10707 PACIFIC ST OMAHA 68114 POTTAWATT
AMIE
Female Declined FC 4/28/2016
DOUGLAS REICH, NATHANIEL MD 985578 NEBRASKA
MEDICAL CENTER
OMAHA 68198 DOUGLAS Female Accepted FC 4/27/2016
DUBUQUE CAO, ZHENGJIN MD - IAM 1515 DELHI ST STE 100 DUBUQUE 52001 DUBUQUE Female Accepted FC 4/13/2016
DUBUQUE DUBUQUE FAMILY PRACTICE DUBUQUE 52001 DUBUQUE Male Accepted FC 4/15/2016
DUBUQUE DUBUQUE INTERNAL MEDICINE DUBUQUE 52001 DUBUQUE Male Unreachable 4/27/2016
DUBUQUE EHLERS, KIM ARNP - IAM 1500 ASSOCIATES DR DUBUQUE 52002 DUBUQUE Female Accepted FC 4/7/2016
DUBUQUE MCMAHON, KELLY - IAM 4170 PENNSYLVANIA
AVE
DUBUQUE 52002 Not Asked Unreachable 4/5/2016
DUBUQUE NOBLE, LANE DR - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Male Accepted FC 4/7/2016
DUBUQUE PFAB, KARI AR-NP - IAM 220 W 7TH ST DUBUQUE 52001 DUBUQUE Male Unreachable 4/20/2016
DUBUQUE POWERS, JILL DO - IAM 1515 DELHI ST DUBUQUE 52001 Not Asked Unreachable 4/22/2016
DUBUQUE UNITYPOINT HEALTH - FINLEY
HOSP AND DUBUQUE INTERNAL
MEDICINE
DUBUQUE 52001 DUBUQUE Male Accepted FC 4/4/2016
DUBUQUE ZALAZNIK, JENNIFER NP - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Male Accepted FC 4/7/2016
EMMET AVERA MEDICAL GROUP
ESTHERVILLE
ESTHERVILLE 51334 EMMET Female Accepted FC 4/14/2016
FAYETTE GREENWALDT, STEVE - IAM 110 KING ST FAYETTE 52142 Not Asked Declined FC 4/11/2016
FAYETTE LENZ, ROXANNE ARNP - IAM 129 8TH AVE SE OELWEIN 50662 FAYETTE Female Accepted FC 4/5/2016
FAYETTE LENZ, ROXANNE ARNP - IAM 129 8TH AVE SE OELWEIN 50662 Male Unreachable 4/27/2016
FLOYD ROBINSON, JO ANNE A-RNP -
IAM
1000 4TH ST CHARLES CITY 50616 Not Asked Unreachable 4/13/2016
FREMONT PARSHALL, KYLIE - IAM 313 MAIN ST SIDNEY 51652 FREMONT Male Unreachable 4/11/2016
FREMONT PARSHALL, KYLIE PA - IAM 1219 MAIN ST HAMBURG 51640 Not Asked Unreachable 4/12/2016
GREENE SILLS, JENNIFER ARNP - IAM 106 W WASHINGTON
STE 2
JEFFERSON GREENE Female Accepted FC 4/1/2016
GREENE MCFARLAND CLINIC -
JEFFERSON
JEFFERSON 50129 Not Asked Unreachable 4/27/2016
GRUNDY DIAB - GRUNDY COUNTY GRUNDY
CENTER
50638 Not Asked Unreachable 4/12/2016
HAMILTON KILLIP, MARNIE ARNP - IAM 2350 HOSPITAL DR WEBSTER CITY 50595 WEBSTER Male Accepted FC 4/1/2016
HAMILTON MCFARLAND CLINIC - WEBSTER
CITY
WEBSTER CITY 50595 Female Accepted FC 4/8/2016
HANCOCK COMMUNITY HEALTH CENTERS HAMILTON 62341 LEE Female Accepted FC 4/26/2016
HANCOCK COMMUNITY HEALTH CENTERS HAMILTON 62341 LEE Female Unreachable 4/20/2016
HANCOCK GARNER MEDICAL CLINIC GARNER 50438 HANCOCK Male Accepted FC 4/5/2016
HARDIN BROWN, TERESA DO 1250 WASHINGTON ST ELDORA HARDIN Female Unreachable 4/15/2016
HARDIN BROWN, TERESA DO - IAM 1250 WASHINGTON ST ELDORA HARDIN Female Accepted FC 4/5/2016
HARDIN GEHRKE, LINDA ARNP - IAM 324 S MAPLE ST HUBBARD 50122 HARDIN Female Accepted FC 4/1/2016
HARRISON ALVIS, NATHANIEL - IAM 707 IOWA AVE DUNLAP 51529 Not Asked Unreachable 4/20/2016
HARRISON RICHTER, DANIEL DR - IAM 809 E ELM ST MISSOURI
VALLEY
51555 HARRISON Female Accepted FC 4/7/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateHARRISON RICHTER, DANIEL DR - IAM 809 E ELM ST MISSOURI
VALLEY
51555 HARRISON Male Accepted FC 4/7/2016
HARRISON RICHTER, DANIEL DR - IAM 809 E ELM ST MISSOURI
VALLEY
51555 HARRISON Male Accepted FC 4/7/2016
HENRY MILLER, LAURA PAC - IAM 501 S WHITE STE 1 MT PLEASANT HENRY Female Accepted FC 4/12/2016
HENRY FAMILY MEDICINE OF MT
PLEASANT
MOUNT
PLEASANT
52641 Female Accepted FC 4/14/2016
HENRY RYAN, JOEL - IAM 501 S WHITE ST MOUNT
PLEASANT
52641 Not Asked Unreachable 4/7/2016
HOWARD KAMMERER, JON DR - IAM 321 8TH AVE W CRESCO 52136 HOWARD Female Accepted FC 4/22/2016
IOWA MOHR, JOY PAC - IAM 255 W LUCAS ST MARENGO 52301 IOWA Male Accepted FC 4/7/2016
IOWA MOMANY, TIMOTHY MD - IAM AMANA 52203 IOWA Male Accepted FC 4/13/2016
JACKSON PATTERSON, ANN - IAM MAQUOKETA CLINTON Female Accepted FC 4/21/2016
JACKSON BROBST LAKIN, ALYSSA PAC -
IAM
206 N ARCADE MAQUOKETA 52060 JACKSON Male Accepted FC 4/1/2016
JACKSON BYBEE, JERALD MD - IAM 206 N ARCADE ST MAQUOKETA 52060 Male Declined FC 4/26/2016
JACKSON THOMPSON, KIM - IAM 918 W SUMMIT MAQUOKETA 52060 Not Asked Unreachable 4/21/2016
JASPER MONROE FAMILY HEALTH
CENTER
MONROE 50170 JASPER Female Declined FC 4/14/2016
JASPER NEWTON CLINIC NEWTON 50208 Female Accepted FC 4/20/2016
JASPER NEWTON CLINIC NEWTON 50208 Female Declined FC 4/18/2016
JASPER NEWTON CLINIC NEWTON 50208 Not Asked Unreachable 4/25/2016
JOHNSON GEBSKA, MILENA - IAM 105 E 9TH ST CORALVILLE DUBUQUE Female Unreachable 4/5/2016
JOHNSON ARIZ, JOSEPH - IAM 200 HAWKINS DR IOWA CITY 52242 SCOTT Male Accepted FC 4/5/2016
JOHNSON CAREW CHIROPRACTIC IOWA CITY 52240 Not Asked Unreachable 4/5/2016
JOHNSON ERICKSON, HEIDI - IAM 200 HAWKINS DR IOWA CITY 52242 KEOKUK Male Unreachable 4/13/2016
JOHNSON FIORDELLISI, WENDY - IAM 105 E 9TH ST CORALVILLE 52241 MUSCATINE Female Accepted FC 4/13/2016
JOHNSON GOERDT, CHRIS - IAM 105 E 9TH ST CORALVILLE 52241 JOHNSON Female Accepted FC 4/12/2016
JOHNSON HAUGSDAL, MICHAEL - IAM 200 HAWKINS DR IOWA CITY 52242 IOWA Female Accepted FC 4/1/2016
JOHNSON IOWA RIVER LANDING -
INTERNAL MEDICINE
CORALVILLE 52241 JOHNSON Female Accepted FC 4/4/2016
JOHNSON IOWA RIVER LANDING -
INTERNAL MEDICINE
CORALVILLE 52241 BENTON Female Accepted FC 4/13/2016
JOHNSON LARSON, SCOTT - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Male Unreachable 4/5/2016
JOHNSON MERCY CARE NORTH LIBERTY NORTH LIBERTY 52317 Not Asked Unreachable 4/20/2016
JOHNSON MOY, ALAN - IAM 540 E JEFFERSON IOWA CITY 52245 LEE Female Accepted FC 4/12/2016
JOHNSON ST JOHN, DONALD - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Unreachable 4/19/2016
JOHNSON TAEGER, VINCENT DR - IAM 1765 LININGER LN NORTH LIBERTY 52317 Male Declined FC 4/20/2016
JOHNSON UIHC FAMILY MEDICINE - IOWA
CITY
IOWA CITY 52242 IOWA Female Accepted FC 4/27/2016
JOHNSON UIHC FAMILY MEDICINE - IOWA
CITY
IOWA CITY 52242 JOHNSON Male Accepted FC 4/29/2016
JOHNSON WALTER, ALKA - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Not Asked Unreachable 4/7/2016
KEOKUK BAKER, ROBERT PAC - IAM 1314 S STUART SIGOURNEY 52591 MAHASKA Male Accepted FC 4/11/2016
LEE MEEKER, MONICA MD - IAM 1706 AGENCY RD WEST
BURLINGTON
LEE Female Accepted FC 4/3/2016
LEE CLOKE, TIA ARNP - IAM 400 N 17TH ST KEOKUK 52632 Not Asked Unreachable 4/1/2016
LEE CLOKE, TIA NP - IAM 400 N 17TH KEOKUK 52632 Not Asked Declined FC 4/18/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateLEE CLOKE, TIA NP - IAM 400 N 17TH KEOKUK 52632 Not Asked Unreachable 4/13/2016
LEE COMMUNITY HEALTH CENTERS
OF SOUTHEAST IOWA
KEOKUK 52632 LEE Female Accepted FC 4/29/2016
LEE COMMUNITY HEALTH CENTERS
OF SOUTHEAST IOWA
KEOKUK 52632 LEE Male Accepted FC 4/25/2016
LEE COMMUNITY HEALTH CENTERS
OF SOUTHEAST IOWA
KEOKUK 52632 Not Asked Unreachable 4/28/2016
LEE DIAB - FORT MADISON
COMMUNITY HOSP
FORT MADISON 52627 Not Asked Accepted FC 4/19/2016
LEE NEWTON, CHASE - IAM 5409 AVE O FORT MADISON 52627 LEE Male Accepted FC 4/20/2016
LEE NEWTON, CHASE - IAM 5409 AVE O FORT MADISON 52627 LEE Male Accepted FC 4/12/2016
LEE NEWTON, CHASE - IAM 5409 AVE O FORT MADISON 52627 LEE Male Declined FC 4/27/2016
LEE STROPE, MARK 400 N 17TH KEOKUK 52632 LEE Female Accepted FC 4/15/2016
LEE STROPE, MARK - IAM 400 N 17TH KEOKUK 52632 LEE Female Declined FC 4/11/2016
LINN BOOTH, JASON - IAM CEDAR RAPIDS Not Asked Unreachable 4/13/2016
LINN BREITBACH, KRISTIN ARNP - IAM 2990 7T HAVE STE B MARION Not Asked Unreachable 4/28/2016
LINN HALAWA, SUBHI DR - IAM 202 10TH ST SE CEDAR RAPIDS LINN Male Accepted FC 4/20/2016
LINN SCHROEDER, THOMAS DR - IAM 3533 MT VERNON RD
SE
CEDAR RAPIDS LINN Female Accepted FC 4/5/2016
LINN ANWAR, QADANA MD - IAM 2375 EDGEWOOD RD CEDAR RAPIDS 52404 LINN Female Accepted FC 4/7/2016
LINN BAYRAMGALIN, RAFAEL DR - IAM 1201 3RD AVE SE CEDAR RAPIDS 52402 LINN Female Accepted FC 4/21/2016
LINN BOELTER, NANCY MD - IAM 3701 KATZ DR MARION 52302 LINN Male Unreachable 4/21/2016
LINN BOWMAN WOODS FAMILY
MEDICINE
CEDAR RAPIDS 52402 LINN Male Accepted FC 4/14/2016
LINN BOWMAN WOODS FAMILY
MEDICINE
CEDAR RAPIDS 52402 LINN Male Unreachable 4/21/2016
LINN BUTLER, SARA - IAM 788 8TH AVE SE CEDAR RAPIDS 52401 LINN Female Accepted FC 4/7/2016
LINN CEARRAS, MARTIN - IAM 788 8TH AVE SE STE
200
CEDAR RAPIDS 52401 LINN Male Accepted FC 4/1/2016
LINN DOVE, CRAIG DR - IAM 1026 A AVE NE CEDAR RAPIDS 52402 Not Asked Unreachable 4/21/2016
LINN HEGDE, SAVITA DR - IAM 2375 EDGEWOOD RD
SW
CEDAR RAPIDS 52404 LINN Female Unreachable 4/19/2016
LINN HEGDE, SAVITA DR - IAM 2375 EDGEWOOD RD
SW
CEDAR RAPIDS 52404 LINN Female Unreachable 4/19/2016
LINN HENRY, MARY JO ARNP - IAM 855 A AVE NE CEDAR RAPIDS 52402 LINN Male Accepted FC 4/20/2016
LINN HIS HANDS FREE MEDICAL
CLINIC
CEDAR RAPIDS 52406 Not Asked Unreachable 4/20/2016
LINN JAIN, ANSHUL MD - IAM 2375 EDGEWOOD RD
SW
CEDAR RAPIDS 52404 LINN Male Accepted FC 4/5/2016
LINN JAIN, ANSHUL MD - IAM 2375 EDGEWOOD RD
SW
CEDAR RAPIDS 52404 LINN Male Accepted FC 4/12/2016
LINN KAVANAUGH, KATIE - IAM 1026 A AVE STE 5000 CEDAR RAPIDS 52402 Not Asked Unreachable 4/18/2016
LINN LI, WEI - IAM 543 7TH ST CEDAR RAPIDS 52401 LINN Not Asked Unreachable 4/1/2016
LINN MERCY CARE - CEDAR RAPIDS CEDAR RAPIDS 52401 LINN Male Accepted FC 4/12/2016
LINN MORRISON, JASMIN MD - IAM 2996 7TH AVE STE B MARION 52302 LINN Female Accepted FC 4/5/2016
LINN MYERS, TONY - IAM 3701 KATZ DR MARION 52302 LINN Female Accepted FC 4/1/2016
LINN NORTON, DIANE ARNP - IAM 75 SHORT ST NW CEDAR RAPIDS 52405 LINN Male Declined FC 4/20/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateLINN OB GYN ASSOCIATES - CEDAR
RAPIDS
CEDAR RAPIDS 52406 Not Asked Active 4/27/2016
LINN OB GYN ASSOCIATES - CEDAR
RAPIDS
CEDAR RAPIDS 52406 Not Asked Unreachable 4/20/2016
LINN OB GYN ASSOCIATES PC PO BOX 3080 CEDAR RAPIDS 52406 Not Asked Unreachable 4/19/2016
LINN OLMSTEAD, SARA ARNP - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 4/13/2016
LINN OLMSTEAD, SARA ARNP - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 Female Declined FC 4/20/2016
LINN PAYNTER, DONALD - IAM 855 A AVE NE CEDAR RAPIDS 52402 LINN Female Accepted FC 4/1/2016
LINN PENTICO, TODD DR - IAM 310 HWY 1 SE MOUNT VERNON 52314 LINN Male Active 4/29/2016
LINN SHARMA, NIYATI - IAM 1026 A AVE NE CEDAR RAPIDS 52401 LINN Not Asked Unreachable 4/13/2016
LINN SHEELEY, TRISHA DR - IAM 543 7TH ST SE CEDAR RAPIDS 52401 LINN Female Accepted FC 4/21/2016
LINN SOENEN, ANN MD - IAM 3933 MT VERNON RD
SE
CEDAR RAPIDS 52403 LINN Female Accepted FC 4/21/2016
LINN SOENEN, ANN MD - IAM 3933 MT VERNON RD
SE
CEDAR RAPIDS 52403 LINN Female Accepted FC 4/12/2016
LINN STEWART, TERESA PAC - IAM 6911 C AVE NE CEDAR RAPIDS 52402 LINN Female Accepted FC 4/11/2016
LINN STEWART, TERESA PAC - IAM 6911 C AVE NE CEDAR RAPIDS 52402 Female Accepted FC 4/7/2016
LINN STEWART, TERESA PAC - IAM 6911 C AVE NE CEDAR RAPIDS 52402 LINN Female Accepted FC 4/12/2016
LINN STEWART, TERESA PAC - IAM 6911 C AVE NE CEDAR RAPIDS 52402 Female Unreachable 4/9/2016
LINN UNITY POINT DIABETIC AND
KIDNEY CTR
CEDAR RAPIDS 52403 LINN Female Accepted FC 4/22/2016
LINN VANDENBOSCH, DANIEL DR -
IAM
2373 EDGEWOOD RD
SW
CEDAR RAPIDS 52403 LINN Female Accepted FC 4/26/2016
LINN VANDENBOSCH, DANIEL DR -
IAM
2373 EDGEWOOD RD
SW
CEDAR RAPIDS 52403 LINN Male Accepted FC 4/26/2016
LINN WALKER, TOD 310 HWY 7 SE MOUNT VERNON 52314 LINN Male Accepted FC 4/29/2016
LINN WILLIS, BRADLEY J - IAM 600 7TH ST SE #200 CEDAR RAPIDS 52401 LINN Female Unreachable 4/7/2016
LINN YOUNGER, CLETE - IAM 1030 5TH AVE SE STE
1400
CEDAR RAPIDS 52403 LINN Male Accepted FC 4/22/2016
LYON VIS, BRENDA - IAM 803 S GREENE ROCK RAPIDS 51246 LYON Female Accepted FC 4/21/2016
MADISON BROADBENT, SHERRI DR - IAM 300 W HUTCHINGS ST WINTERSET 50273 UNION Female Unreachable 4/7/2016
MAHASKA YEARIAN, STEFANIE - IAM 1229 C AVE E OSKALOOSA MAHASKA Not Asked Unreachable 4/27/2016
MAHASKA MAIN, TANETTA ARNP - IAM 1229 C AVE E OSKALOOSA 52577 MAHASKA Female Accepted FC 4/25/2016
MAHASKA MAIN, TANETTA ARNP - IAM 1229 C AVE E OSKALOOSA 52577 MAHASKA Female Declined FC 4/21/2016
MAHASKA MILLER, ERIC MD - IAM 1229 C AVE E OSKALOOSA 52577 Not Asked Unreachable 4/7/2016
MAHASKA SCOTT, JENNIFER - IAM 1229 C AVE E OSKALOOSA 52577 WAPELLO Male Accepted FC 4/7/2016
MAHASKA SMITH, LISA ARNP - IAM 112 S MAIN ST NEW SHARON 50207 MAHASKA Female Accepted FC 4/7/2016
MARION KNOXVILLE HOSPITALS AND
CLINICS
PLEASANTVILLE 50225 Not Asked Unreachable 4/14/2016
MARION MACE, KEVIN MD - IAM 405 MONROE ST PELLA 50219 JASPER Male Accepted FC 4/21/2016
MARSHALL CIH STATE CENTER STATE CENTER 50247 Not Asked Unreachable 4/4/2016
MARSHALL GEORGE, AMANDA - IAM 503 3RD AVE SW STATE CENTER 50247 MARSHALL Female Accepted FC 4/6/2016
MARSHALL JONES, ANN PAC - IAM 303 NICHOLAS DRIVE MARSHALLTOW
N
50158 MARSHALL Not Asked Unreachable 4/21/2016
MARSHALL KNOOP, LEANNE PA - IAM 303 NICHOLAS DR MARSHALLTOW
N
50158 Not Asked Unreachable 4/21/2016
MARSHALL PRIMARY HEALTH CARE INC MARSHALLTOW
N
50158 MARSHALL Male Accepted FC 4/21/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateMARSHALL PRIMARY HEALTH CARE INC MARSHALLTOW
N
50158 BENTON Female Accepted FC 4/21/2016
MARSHALL PRIMARY HEALTH CARE INC MARSHALLTOW
N
50158 Not Asked Declined FC 4/21/2016
MARSHALL SWINTON, TIM - IAM 412 E CHURCH ST MARSHALLTOW
N
50158 MARSHALL Male Accepted FC 4/22/2016
MILLS BAER, THOMAS DR - IAM 415 MAIN ST 1 MALVERN 51551 MILLS Female Accepted FC 4/1/2016
MILLS METHODIST PHYSICIANS CLINIC -
GLENWOOD
GLENWOOD 51534 FREMONT Female Accepted FC 4/18/2016
MILLS METHODIST PHYSICIANS CLINIC -
GLENWOOD
GLENWOOD 51534 MILLS Male Accepted FC 4/21/2016
MITCHELL NASSTROM, JEFFERY - IAM 620 N 8TH ST OSAGE 50461 MITCHELL Female Accepted FC 4/7/2016
MONONA KAHL, TRACY - IAM 1614 DIAMOND ST PL ONAWA 51040 MONONA Female Accepted FC 4/5/2016
MONONA KOVAR, BRANDON DR - IAM 1614 DIAMOND ST PL ONAWA 51040 MONONA Male Accepted FC 4/1/2016
MONONA MOSER, GAIL - IAM 1614 DIAMOND ST ONAWA 51040 MONONA Male Accepted FC 4/18/2016
MONONA RHODE, NELINDA - IAM 513 S MUCKEY ST MAPLETON 51034 MONONA Female Declined FC 4/29/2016
MONONA RHODE, NELINDA - IAM 513 S MUCKEY ST MAPLETON 51034 Not Asked Unreachable 4/12/2016
MONONA RHODE, NELINDA - IAM 513 S MUCKEY ST MAPLETON 51034 Not Asked Unreachable 4/12/2016
MONTGOMERY RED OAK INTERNAL MEDICINE RED OAK 51566 Not Asked Unreachable 4/8/2016
MONTGOMERY ROXAS, MICHAEL DR - IAM 1400 SENATE AVE STE
108
RED OAK 51566 MONTGOME
RY
Male Accepted FC 4/5/2016
MUSCATINE COX, LINDSAY ARNP - IAM 3426 NORTH PORT DR MUSCATINE 52761 Not Asked Unreachable 4/1/2016
MUSCATINE MAHARRY, MICHAEL MD 3465 MULBERRY AVE MUSCATINE 52761 MUSCATINE Male Accepted FC 4/29/2016
MUSCATINE UI HEALTHCARE MUSCATINE MUSCATINE 52761 MUSCATINE Female Accepted FC 4/29/2016
MUSCATINE UI HEALTHCARE MUSCATINE MUSCATINE 52761 MUSCATINE Male Accepted FC 4/1/2016
MUSCATINE UI HEALTHCARE MUSCATINE MUSCATINE 52761 MUSCATINE Male Unreachable 4/13/2016
MUSCATINE UNITYPOINT CLINIC OB/GYN MUSCATINE 52761 Not Asked Unreachable 4/12/2016
MUSCATINE UNITYPOINT CLINIC OB/GYN MUSCATINE 52761 Not Asked Unreachable 4/21/2016
MUSCATINE WEIS, ROBERT F - IAM 1518 MULBERRY AVE MUSCATINE 52761 Female Accepted FC 4/18/2016
MUSCATINE WISEMAN, KIMBERLY 1518 MULBERRY AVE MUSCATINE 52761 HENRY Female Accepted FC 4/25/2016
Not Available BANSAL, RENU DR - IAM 1717 W RIDGEWAY Female Declined FC 4/21/2016
Not Available GEHLING, SUE ARNP - IAM 10 OPPORTUNITY DR Not Asked Declined FC 4/21/2016
Not Available HEETLAND, KATHRYN ARNP -
IAM
200 E RIDGEWAY BLACK
HAWK
Male Accepted FC 4/27/2016
Not Available HILL, KRISTA MD - IAM 3125 W BROADWAY Not Asked Unreachable 4/7/2016
Not Available IOWA CITY VA HEALTH CARE
SYSTEM - PARKER, CHRIS
CLINTON Male Accepted FC 4/11/2016
Not Available IOWA CITY VA HEALTH CARE
SYSTEM - PARKER, CHRIS
DES MOINES Male Accepted FC 4/29/2016
Not Available JAIN, ANSHUL DR - IAM 2375 EDGEWOOD RD
SW
LINN Male Accepted FC 4/12/2016
Not Available KUMOR, BENJAMIN DR - IAM 1515 DELHI ST STE 100 DUBUQUE Female Unreachable 4/13/2016
Not Available MEYER, AMBER DR - IAM 1345 W CENTRAL PARK SCOTT Female Accepted FC 4/5/2016
Not Available MOGENSEN-KRUGER, REBECCA
- IAM
300 SIOUX VALLEY DR CHEROKEE Female Accepted FC 4/21/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateNot Available MONASTER, BARCLAY A - IAM 1751 MADISON AVE POTTAWATT
AMIE
Female Accepted FC 4/12/2016
Not Available STEARNES, RACHEL - IAM 1 EDMUNDSON PL STE
310
Not Asked Unreachable 4/11/2016
Not Available UNKNOWN CLINIC - IA HARDIN Male Accepted FC 4/18/2016
Not Available UNKNOWN CLINIC - IA Not Asked Unreachable 4/29/2016
Not Available WOODHOUSE, DON - IAM 903 WILLSON AVE Not Asked Unreachable 4/7/2016
PAGE KING, SCOTT DR - IAM 300 PERSHING AVE SHENANDOAH 51601 Not Asked Unreachable 4/5/2016
PAGE SHENANDOAH MEDICAL
CENTER - WOMEN'S CLINIC
SHENANDOAH 51601 POTTAWATT
AMIE
Female Accepted FC 4/1/2016
PAGE STIRGWOLT, JENNIFER DO - IAM ONE JACK FOSTER DR SHENANDOAH 51601 PAGE Female Declined FC 4/18/2016
PALO ALTO NAEVE, LIBBY - IAM 5900 E UNIVERSITY
AVE
CURLEW 50527 MARION Female Accepted FC 4/12/2016
PLYMOUTH AKRON MERCY MEDICAL CLINIC AKRON 51001 CERRO
GORDO
Female Accepted FC 4/14/2016
POCAHONTAS UNITYPOINT CLINIC
POCAHONTAS
POCAHONTAS 50574 POCAHONTA
S
Male Accepted FC 4/6/2016
POLK DREWRY, DANNEY - IAM 1215 PLEASANT ST
STE 206
DES MOINES POLK Female Accepted FC 4/11/2016
POLK DREWRY, DANNEY - IAM 1215 PLEASANT ST
STE 206
DES MOINES POLK Female Unreachable 4/7/2016
POLK EAST DES MOINES FAMILY
CARE CENTER
Not Asked Declined FC 4/11/2016
POLK EAST DES MOINES FAMILY
CARE CENTER
POLK Female Unreachable 4/20/2016
POLK ABELS, LAURA MD - IAM 1350 DES MOINES ST DES MOINES 50309 POLK Female Accepted FC 4/19/2016
POLK ABLER, JENNIFER DR - IAM 5900 E UNIVERSITY PLEASANT HILL 50327 POLK Female Accepted FC 4/5/2016
POLK AICH, MUKTI MD - IAM 2301 E 14TH ST DES MOINES 50316 Not Asked Unreachable 4/21/2016
POLK BARGER, MIKE PAC - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 4/7/2016
POLK BARGER, MIKE PAC - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 4/7/2016
POLK BELIN, RON DPM - IAM 1801 HICKMAN RD DES MOINES 50312 POLK Female Accepted FC 4/1/2016
POLK BREHMER, AILEY - IAM 6000 UNIVERSITY AVE
STE 300
WEST DES
MOINES
50266 POLK Male Accepted FC 4/7/2016
POLK BROADLAWNS OUTPATIENT
BEHAVIOR HEALTH
DES MOINES 50314 POLK Male Accepted FC 4/22/2016
POLK BROWN, JANAE ARNP - IAM 2103 INGERSOLL AVE DES MOINES 50312 POLK Female Declined FC 4/27/2016
POLK CHRISTIANSON, LINDSEY - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 4/26/2016
POLK DAVIS, STACY - IAM 5900 E UNIVERSITY
AVE
PLEASANT HILL 50327 POLK Female Accepted FC 4/5/2016
POLK EERNISSE, CHRISTOPHER - IAM 1801 HICKMAN DR DES MOINES 50314 POLK Male Accepted FC 4/1/2016
POLK EL-MAHDY, SHERIF - IAM 1601 NW 114TH ST STE
347
CLIVE 50325 POLK Female Accepted FC 4/22/2016
POLK FURNESS, KEVIN DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 4/1/2016
POLK FURNESS, KEVIN DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 4/12/2016
POLK FURNESS, KEVIN DR - IAM 1801 HICKMAN RD DES MOINES 50314 Not Asked Unreachable 4/7/2016
POLK HAWKINS, RONNIE DR - IAM PO BOX 1475 DES MOINES 50320 POLK Female Accepted FC 4/1/2016
POLK HAWKINS, RONNIE DR - IAM PO BOX 1475 DES MOINES 50320 Not Asked Unreachable 4/27/2016
POLK IOWA HEART CENTER - DES
MOINES
DES MOINES 50314 POLK Male Accepted FC 4/21/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DatePOLK KLOCK, LISA DR - IAM PO BOX 1475 CLIVE 50325 POLK Male Accepted FC 4/18/2016
POLK LAKEVIEW INTERNAL MEDICINE WEST DES
MOINES
50266 POLK Male Accepted FC 4/21/2016
POLK LAMBERTI, AMY PA-C - IAM 7481 HWY 65/69 DES MOINES 50320 POLK Male Accepted FC 4/18/2016
POLK LUEPKE, MICHAEL DR - IAM 1201 PENN AVE DES MOINES 50316 POLK Male Accepted FC 4/10/2016
POLK MATHES, ASHLEY DO - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Declined FC 4/18/2016
POLK MEIN, LORENE ARNP - IAM 1350 DES MOINES ST DES MOINES 50309 POLK Female Accepted FC 4/29/2016
POLK MEIN, LORENE ARNP - IAM 1350 DES MOINES ST DES MOINES 50309 Not Asked Declined FC 4/29/2016
POLK MERCY EAST VILLAGE FAMILY
PRACTICE
DES MOINES 50309 POLK Male Accepted FC 4/28/2016
POLK MERCY EAST VILLAGE FAMILY
PRACTICE
DES MOINES 50309 Not Asked Active 4/29/2016
POLK MERCY FAMILY MEDICINE
RESIDENCY CLINIC
DES MOINES 50314 POLK Female Accepted FC 4/21/2016
POLK MEYER, SCOTT PAC - IAM 2720 8TH ST SW ALLEMAN 50007 POLK Female Accepted FC 4/18/2016
POLK MITCHELL, MARIA - IAM 2301 E 14TH DES MOINES 50316 POLK Female Accepted FC 4/25/2016
POLK OLSON, LEATRICE - IAM 3509 E 29TH ST DES MOINES 50317 POLK Female Accepted FC 4/12/2016
POLK PARKER, RACHAEL DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 4/5/2016
POLK PARKER, RACHAEL DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 4/6/2016
POLK PARKS AREA FAMILY
PHYSICIANS
DES MOINES 50316 POLK Female Accepted FC 4/26/2016
POLK PARKS AREA FAMILY
PHYSICIANS
DES MOINES 50316 Not Asked Declined FC 4/14/2016
POLK PIASECKI, EDMUND - IAM 2901 86TH ST URBANDALE 50322 POLK Female Accepted FC 4/7/2016
POLK PRIMARY HEALTHCARE - EAST
SIDE CLINIC
DES MOINES 50317 Female Accepted FC 4/5/2016
POLK PRIMARY HEALTHCARE - EAST
SIDE CLINIC
DES MOINES 50317 POLK Female Declined FC 4/4/2016
POLK RUNKEL, ANGELA - IAM 1201 PENN AVE DES MOINES 50316 POLK Female Accepted FC 4/13/2016
POLK RUNKEL, ANGELA - IAM 1201 PENN AVE DES MOINES 50316 POLK Female Declined FC 4/21/2016
POLK SCHISSEL, DAWN MD - IAM 230 S 68TH ST STE
1203
WEST DES
MOINES
50266 POLK Female Accepted FC 4/12/2016
POLK SCHMITT, JEAN ARNP - IAM 411 LAUREL ST STE
A250
DES MOINES 50314 POLK Male Accepted FC 4/8/2016
POLK SCHUCK, JULIE ARNP - IAM 1801 HICKMAN RD DES MOINES 50314 Not Asked Unreachable 4/11/2016
POLK SHAHID, SAIMA - IAM 7481 HWY 65/69 DES MOINES 50320 Not Asked Unreachable 4/21/2016
POLK TAYLOR, HOLLAND - IAM 120 NW 36TH ST ANKENY 50023 POLK Female Accepted FC 4/1/2016
POLK UNITY POINT CLINIC @ MERLE
HAY FAMILY MEDICINE
DES MOINES 50310 DALLAS Female Accepted FC 4/18/2016
POLK UNITY POINT FAMILY MEDICINE -
PLEASANT HILL
PLEASANT HILL 50327 POLK Male Accepted FC 4/27/2016
POLK UNITY POINT INTERNAL
MEDICINE
DES MOINES 50309 Not Asked Unreachable 4/28/2016
POLK UNITYPOINT FAMILY MED AND
UC - ANKENY
ANKENY 50023 POLK Female Declined FC 4/14/2016
POLK VAN EFFEN, SARA ARNP - IAM 1350 DES MOINES ST DES MOINES 50309 POLK Female Unreachable 4/28/2016
POLK WESTERLY, BLAIR DR - IAM 1601 NW 114TH ST STE
347
CLIVE 50325 HARDIN Female Unreachable 4/7/2016
POLK YOUNG, SHERYL ARNP 4821 SW 9TH ST DES MOINES 50315 POLK Male Accepted FC 4/4/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DatePOLK YOUNG, SHERYL ARNP 4821 SW 9TH ST DES MOINES 50315 POLK Female Accepted FC 4/6/2016
POTTAWATTAMIE ALL CARE HEALTH CENTER COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 4/13/2016
POTTAWATTAMIE ALL CARE HEALTH CENTER COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Declined FC 4/15/2016
POTTAWATTAMIE ARMBRUSTER, JAMIE - IAM 715 HARMONY 2ND
FLOOR
COUNCIL
BLUFFS
51503 Not Asked Unreachable 4/7/2016
POTTAWATTAMIE CHI HEALTH - MADISON AVENUE
CLINIC
COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Female Accepted FC 4/14/2016
POTTAWATTAMIE CHI HEALTH - MADISON AVENUE
CLINIC
COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Female Unreachable 4/1/2016
POTTAWATTAMIE DOWLING, TERESA ARNP - IAM 902 S 6TH ST COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 4/1/2016
POTTAWATTAMIE FRAZEE, DANIE - IAM 1751 MADISON AVE COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Female Accepted FC 4/29/2016
POTTAWATTAMIE GONZALES, KELLY - IAM 902 S 6TH ST COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 4/7/2016
POTTAWATTAMIE JONES, CHRISTIAN DR - IAM 1 EDMONDSON PL STE
310
COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Female Accepted FC 4/1/2016
POTTAWATTAMIE MCELDERRY, THOMAS - IAM ONE EDMUNDON PL
STE 310
COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Female Accepted FC 4/5/2016
POTTAWATTAMIE METHODIST JENNIE
EDMUNDSON RADIATION
ONCOLOGY
COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Female Accepted FC 4/21/2016
POTTAWATTAMIE METHODIST JENNIE
EDMUNDSON RADIATION
ONCOLOGY
COUNCIL
BLUFFS
51503 Not Asked Declined FC 4/7/2016
POTTAWATTAMIE METHODIST PHYSICIANS CLINIC -
C BLUFFS
COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Female Accepted FC 4/19/2016
POTTAWATTAMIE MONASTER, BARCLAY - IAM 1751 MADISON AVE COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Male Accepted FC 4/18/2016
POTTAWATTAMIE POKORSKI, ALAN PA - IAM 201 RIDGE ST #201 COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Female Accepted FC 4/1/2016
POTTAWATTAMIE QUILLEN, CHRISTY - IAM 902 S 6TH ST COUNCIL
BLUFFS
51501 Not Asked Unreachable 4/18/2016
POTTAWATTAMIE ROCA, MEL DR - IAM 2201 W BROADWAY
STE 9
COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 4/7/2016
POTTAWATTAMIE ROCA, MEL DR - IAM 2201 W BROADWAY
STE 9
COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Not Asked Active 4/29/2016
POTTAWATTAMIE SALARIA, VIKRANT DR - IAM 801 HARMONY ST STE
401
COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Male Accepted FC 4/13/2016
POTTAWATTAMIE SWAN, JOSALYNN P-A - IAM 1751 MADISON AVE COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Male Accepted FC 4/5/2016
POTTAWATTAMIE WANZEK III, JOSEPH DO - IAM 3434 W BROADWAY COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 4/12/2016
POTTAWATTAMIE WANZEK III, JOSEPH DO - IAM 3434 W BROADWAY COUNCIL
BLUFFS
51501 Not Asked Unreachable 4/12/2016
POTTAWATTAMIE WANZEK III, JOSEPH DO - IAM 3434 W BROADWAY COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Unreachable 4/5/2016
POWESHIEK GRAHAM, LAUREN DR - IAM 210 FOURTH AVE GRINNELL 50112 POWESHIEK Female Accepted FC 4/8/2016
POWESHIEK GRAHAM, LAUREN DR - IAM 210 FOURTH AVE GRINNELL 50112 POWESHIEK Female Unreachable 4/1/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateRINGGOLD GREGG, MARCY - IAM 504 N CLEVELAND ST MT AYR RINGGOLD Male Accepted FC 4/18/2016
RINGGOLD GREGG, MARCY - IAM 504 N CLEVELAND ST MT AYR RINGGOLD Female Accepted FC 4/12/2016
RINGGOLD MT AYR MEDICAL CLINIC MOUNT AYR 50854 RINGGOLD Female Accepted FC 4/21/2016
RINGGOLD MT AYR MEDICAL CLINIC MOUNT AYR 50854 RINGGOLD Male Accepted FC 4/21/2016
RINGGOLD MT AYR MEDICAL CLINIC MOUNT AYR 50854 Not Asked Unreachable 4/6/2016
SAC GYANO, BERNADETTE - IAM 301 HIGHLAND AVE SAC CITY 50583 BUENA
VISTA
Female Accepted FC 4/12/2016
SAC GYANO, BERNADETTE - IAM 301 HIGHLAND AVE SAC CITY 50583 SAC Female Declined FC 4/27/2016
SCOTT SINGH, DHARAMVEER MD - IAM 4480 UTICA RIDGE RD
STE 2230
BETTENDORF SCOTT Female Declined FC 4/20/2016
SCOTT WOLF, MATTHEW JOHN DR - IAM 1345 W CENTRAL PARK DAVENPORT SCOTT Male Unreachable 4/12/2016
SCOTT ARNOLD, DANIEL - IAM 4480 UTICA RIDGE RD
STE 160
BETTENDORF 52722 SCOTT Not Asked Unreachable 4/1/2016
SCOTT BARKLEY, STEPHANIE ARNP -
IAM
500 WEST RIVER DR DAVENPORT 52801 SCOTT Female Accepted FC 4/5/2016
SCOTT BESCH, JACKIE ARNP - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Female Declined FC 4/25/2016
SCOTT CLOOS, CARLA MD - IAM 301 N 4TH AVE ELDRIDGE 52748 SCOTT Female Accepted FC 4/5/2016
SCOTT COMMUNITY HEALTH CARE -
DAVENPORT
DAVENPORT 52801 Not Asked Declined FC 4/21/2016
SCOTT COMMUNITY HEALTH CARE -
DAVENPORT
DAVENPORT 52801 SCOTT Female Unreachable 4/15/2016
SCOTT DAVIS, BRITTANY DR - IAM 1345 W CENTRAL PARK DAVENPORT 52806 SCOTT Female Accepted FC 4/13/2016
SCOTT DAVIS, BRITTANY DR - IAM 1345 W CENTRAL PARK DAVENPORT 52806 SCOTT Female Declined FC 4/29/2016
SCOTT DAVIS, JASON DO - IAM 3940 MARQUETTE DAVENPORT 52806 SCOTT Female Accepted FC 4/2/2016
SCOTT GIMBEL, KATIE PA - IAM 500 WEST RIVER DR DAVENPORT 52801 SCOTT Male Accepted FC 4/1/2016
SCOTT GIMBEL, KATIE PA - IAM 500 WEST RIVER DR DAVENPORT 52801 SCOTT Female Accepted FC 4/1/2016
SCOTT HAGEMANN, JASON - IAM 2140 53RD AVE BETTENDORF 52722 SCOTT Female Accepted FC 4/28/2016
SCOTT HARTMANN, PAUL R - IAM 1520 W 53RD ST DAVENPORT 52806 SCOTT Female Accepted FC 4/12/2016
SCOTT HARTMANN, PAUL R - IAM 1520 W 53RD ST DAVENPORT 52806 SCOTT Male Unreachable 4/12/2016
SCOTT JEROME, WILLIAM DR - IAM 4480 UTICA RIDGE RD BETTENDORF 52722 SCOTT Male Accepted FC 4/7/2016
SCOTT JEROME, WILLIAM DR - IAM 4480 UTICA RIDGE RD BETTENDORF 52722 SCOTT Male Accepted FC 4/5/2016
SCOTT JOSHI, JANKI MD - IAM 4317 E 53RD ST DAVENPORT 52807 SCOTT Male Accepted FC 4/5/2016
SCOTT JOSHI, JANKI MD - IAM 4317 E 53RD ST DAVENPORT 52807 SCOTT Female Accepted FC 4/18/2016
SCOTT LOCASCIO, ALEXANDER - IAM 210 W 53RD ST DAVENPORT 52806 SCOTT Female Accepted FC 4/11/2016
SCOTT MEHTA, FALGUNI NILESH DR -
IAM
4480 UTICA RIDGE RD
STE 2236
BETTENDORF 52722 SCOTT Female Accepted FC 4/5/2016
SCOTT MEHTA, FALGUNI NILESH DR -
IAM
4480 UTICA RIDGE RD
STE 2236
BETTENDORF 52722 SCOTT Female Accepted FC 4/5/2016
SCOTT MEHTA, FALGUNI NILESH DR -
IAM
4480 UTICA RIDGE RD
STE 2236
BETTENDORF 52722 SCOTT Female Accepted FC 4/1/2016
SCOTT MEHTA, FALGUNI NILESH DR -
IAM
4480 UTICA RIDGE RD
STE 2236
BETTENDORF 52722 Not Asked Unreachable 4/5/2016
SCOTT MOTTO, AMANDA DR - IAM 3411 SPRING ST DAVENPORT 52807 SCOTT Female Accepted FC 4/5/2016
SCOTT MOTTO, AMANDA DR - IAM 3411 SPRING ST DAVENPORT 52807 Not Asked Unreachable 4/22/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateSCOTT NELSON, GENEVIEVE ARNP -
IAM
1441 W CENTRAL PARK DAVENPORT 52804 Not Asked Declined FC 4/22/2016
SCOTT SNYDER, WALTER K 1345 W CENTRAL PARK
AVE
DAVENPORT 52804 SCOTT Male Unreachable 4/18/2016
SCOTT SYFERT, RICHARD DR - IAM 210 W 53RD ST DAVENPORT 52806 SCOTT Female Accepted FC 4/7/2016
SCOTT WATERFORD FAMILY MEDICINE DAVENPORT 52807 SCOTT Male Accepted FC 4/18/2016
SCOTT WONG, HUMPHREY - IAM 1801 E 54TH ST DAVENPORT 52807 Not Asked Active 4/29/2016
SCOTT WONG, HUMPHREY - IAM 1801 E 54TH ST DAVENPORT 52807 SCOTT Female Unreachable 4/22/2016
STORY CALLAND, KRISTY DO -IAM 1215 DUFF AVE AMES 50010 Not Asked Unreachable 4/13/2016
STORY CHECK, ARTHUR DO - IAM 519 F AVE NEVADA 50201 STORY Male Accepted FC 4/5/2016
STORY ERBES, GARY MD - IAM 1018 DUFF AVE AMES 50010 Not Asked Unreachable 4/20/2016
STORY GREINER, SONJA - IAM 1619 S HIGH AVE AMES 50010 STORY Female Accepted FC 4/27/2016
STORY MARY GREELEY MEDICAL
CENTER
AMES 50010 Not Asked Unreachable 4/1/2016
STORY PRIMARY HEALTH CARE - AMES AMES 50014 Not Asked Unreachable 4/27/2016
STORY STORY MEDICAL CLINIC -
NEVADA
NEVADA 50201 STORY Female Accepted FC 4/20/2016
TAYLOR ALEGENT CREIGHTON CLINIC -
BEDFORD
BEDFORD 50833 TAYLOR Female Accepted FC 4/29/2016
TAYLOR ROBINSON, LINDA DR - IAM 210 S MAIN LENOX 50851 MONTGOME
RY
Male Accepted FC 4/4/2016
TAYLOR SCHAFER, RON PAC - IAM 504 N CLEVELAND CLEARFIELD 50840 RINGGOLD Male Accepted FC 4/12/2016
UNION LEVIS, ERIKA DR - IAM 1610 W TOWNLINE STE
200
CRESTON 50801 Not Asked Unreachable 4/19/2016
WAPELLO TRIPATHI, NISHANT - IAM 1001 PENNSYLVANIA
AVE
OTTUMWA Not Asked Unreachable 4/11/2016
WAPELLO YOUNADAM, SANDRO DR - IAM 1013 PENNSYLVANIA
STE A
OTTUMWA WAPELLO Male Accepted FC 4/1/2016
WAPELLO BLAND, ASHLEY ARNP - IAM 1005 E PENNSYLVANIA
STE 104
OTTUMWA 52501 Not Asked Declined FC 4/29/2016
WAPELLO GET WELL CLINIC OTTUMWA 52501 WAPELLO Male Accepted FC 4/7/2016
WAPELLO O'BRIEN, JUANITA ARNP - IAM PO BOX 458 OTTUMWA 52501 WAPELLO Female Accepted FC 4/14/2016
WAPELLO O'BRIEN, JUANITA ARNP - IAM PO BOX 458 OTTUMWA 52501 WAPELLO Female Accepted FC 4/5/2016
WAPELLO OTTUMWA OB/GYN 1009 PENNSYLVANIA
AVE STE 204
OTTUMWA 52501 Not Asked Unreachable 4/20/2016
WAPELLO OTTUMWA REGIONAL HEALTH
CENTER
OTTUMWA 52501 WAPELLO Male Accepted FC 4/4/2016
WAPELLO OTTUMWA REGIONAL HEALTH
CENTER
OTTUMWA 52501 Not Asked Declined FC 4/19/2016
WAPELLO RIVER HILLS COMM HEALTH
CENTER
OTTUMWA 52501 WAPELLO Female Accepted FC 4/21/2016
WAPELLO RIVER HILLS COMM HEALTH
CENTER
OTTUMWA 52501 WAPELLO Female Accepted FC 4/29/2016
WAPELLO RIVER HILLS COMM HEALTH
CENTER
OTTUMWA 52501 Not Asked Active 4/27/2016
WARREN OLSON, JENNIFER DR - IAM 125 SCHOOL ST CARLISLE 50047 MARION Female Accepted FC 4/27/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateWARREN SMITH, CANDICE MD - IAM 307 E SCENIC VALLEY
AVE
INDIANOLA 50125 Male Unreachable 4/12/2016
WARREN WILLEY, KENNA PA-C - IAM 801 COLONIAL NORWALK 50211 POLK Female Accepted FC 4/7/2016
WASHINGTON LIN, REY MD - IAM 444 E POLK WASHINGTON 52353 WASHINGTO
N
Male Unreachable 4/12/2016
WASHINGTON NEUKIRCH, NEALY - IAM 3056 RIVER CROSSING
CT
RIVERSIDE 52327 MUSCATINE Female Accepted FC 4/18/2016
WEBSTER FECHER, SHANNON - IAM 1428 2ND AVE N FORT DODGE WEBSTER Male Accepted FC 4/7/2016
WEBSTER TURNER, DARLENE ARNP - IAM 126 N 10TH ST FT DODGE CERRO
GORDO
Not Asked Unreachable 4/19/2016
WEBSTER CHASE, LISA ARNP - IAM 126 N 10TH ST FORT DODGE 50501 WEBSTER Female Declined FC 4/20/2016
WEBSTER COMMUNITY HEALTH CENTER -
FORT DODGE
FORT DODGE 50501 WEBSTER Female Accepted FC 4/15/2016
WEBSTER COMMUNITY HEALTH CENTER -
FORT DODGE
FORT DODGE 50501 WEBSTER Female Declined FC 4/14/2016
WEBSTER COMMUNITY HEALTH CENTER -
FORT DODGE
FORT DODGE 50501 Not Asked Unreachable 4/15/2016
WEBSTER ZIGRANG, JENNIFER FNPC - IAM 126 N 10TH ST FORT DODGE 50501 WEBSTER Male Accepted FC 4/1/2016
WEBSTER ZIGRANG, JENNIFER FNPC - IAM 126 N 10TH ST FORT DODGE 50501 WEBSTER Female Unreachable 4/18/2016
WEBSTER ZIGRANG, JENNIFER FNPC - IAM 126 N 10TH ST FORT DODGE 50501 WEBSTER Female Unreachable 4/18/2016
WINNESHIEK HEINE, DAVID - IAM 911 S MILL ST DECORAH WINNESHIEK Male Unreachable 4/5/2016
WINNESHIEK THOMPSON, MATTHEW - IAM 1830 STATE HWY 9 DECORAH 52101 WINNESHIEK Male Accepted FC 4/29/2016
WINNESHIEK WENNER, PAUL - IAM 901 MONTGOMERY DECORAH 52101 WINNESHIEK Male Accepted FC 4/1/2016
WINNESHIEK WINNESHIEK MED CTR DECORAH 52101 WINNESHIEK Male Accepted FC 4/1/2016
WOODBURY WALZ, KRISTI DR - IAM 1021 NEBRASKA ST SIOUX CITY MONONA Female Accepted FC 4/6/2016
WOODBURY DANIELS, DAVID MD - IAM 5885 SUNNYBROOK DR
STE E100
SIOUX CITY 51106 WOODBURY Male Accepted FC 4/1/2016
WOODBURY GALLI, JANICE - IAM 4545 SGT RD SIOUX CITY 51106 Not Asked Unreachable 4/18/2016
WOODBURY HATTAN, GARY DR - IAM 1021 NEBRASKA SIOUX CITY 51105 WOODBURY Male Accepted FC 4/1/2016
WOODBURY HATTAN, GARY DR - IAM 1021 NEBRASKA SIOUX CITY 51105 WOODBURY Female Accepted FC 4/5/2016
WOODBURY HATTAN, GARY MD - IAM 1021 NEBRASKA ST SIOUX CITY 51105 WOODBURY Male Accepted FC 4/13/2016
WOODBURY KELLOGG, JEFFREY DO - IAM 4545 SERGEANT RD SIOUX CITY 51106 WOODBURY Female Accepted FC 4/20/2016
WOODBURY KELLOGG, KORNELIA DO - IAM 2501 PIERCE ST SIOUX CITY 51104 Not Asked Unreachable 4/7/2016
WOODBURY KRAUSE, LORI - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Female Accepted FC 4/22/2016
WOODBURY KURTH, JOSEPH MD - IAM 4230 HAMILTON BLVD SIOUX CITY 51104 WOODBURY Male Accepted FC 4/7/2016
WOODBURY MERCY MEDICAL CENTER -
SIOUX CITY
SIOUX CITY 51102 Not Asked Unreachable 4/25/2016
WOODBURY MERCY MEDICAL CENTER -
SIOUX CITY
SIOUX CITY 51102 Not Asked Unreachable 4/25/2016
WOODBURY MERCY MEDICAL CENTER -
SIOUX CITY
SIOUX CITY 51102 SIOUX Male Unreachable 4/20/2016
WOODBURY SUKER, MANAR MD - IAM 801 5TH ST SIOUX CITY 51101 WOODBURY Female Accepted FC 4/22/2016
WRIGHT SMITH, DUSTIN - IAM 115 S PARK EAGLE GROVE 50533 WRIGHT Male Accepted FC 4/1/2016
WRIGHT SMITH, DUSTIN - IAM 115 S PARK EAGLE GROVE 50533 WRIGHT Female Accepted FC 4/1/2016
