Clinic County Clinic Name Clinic Address Clinic City ... folder/Decembe… · Clinic County Clinic...
Transcript of Clinic County Clinic Name Clinic Address Clinic City ... folder/Decembe… · Clinic County Clinic...
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateALLAMAKEE NELSON-LERCH, KIRSTIN - IAM 111 S REYNOLDS POSTVILLE 52162 ALLAMAKEE Male Accepted FC 12/7/2015
ALLAMAKEE ROSS, BEN DR - IAM 105 E MAIN ST WAUKON 52172 CLAYTON Male Accepted FC 12/24/2015
ALLAMAKEE SCHWARTZ, DAVID - IAM 105 E MAIN ST WAUKON 52172 ALLAMAKEE Male Accepted FC 12/15/2015
Appanoose BARTON, NANCY MD - IAM 19876 ST JOSEPH DR CENTERVILLE Not Asked Unreachable 12/31/2015
APPANOOSE BLACKLEDGE, PATRICIA - IAM 1015 N 18TH ST CENTERVILLE 52544 APPANOOSE Female Accepted FC 12/9/2015
APPANOOSE BLACKLEDGE, PATRICIA - IAM 1015 N 18TH ST CENTERVILLE 52544 APPANOOSE Female Accepted FC 12/8/2015
APPANOOSE BLACKLEDGE, PATRICIA - IAM 1015 N 18TH ST CENTERVILLE 52544 APPANOOSE Female Accepted FC 12/22/2015
APPANOOSE PONCY, PAUL DO - IAM 236 W MAPLE CENTERVILLE 52544 APPANOOSE Female Accepted FC 12/23/2015
Benton PEOPLES, CHELSEA PAC - IAM 504 N 9TH AVE VINTON BENTON Female Accepted FC 12/2/2015
Benton VOGELER, STEPHANIE PAC - IAM 401 CARDINAL AVE ATKINS LINN Male Accepted FC 12/29/2015
Benton VOGELER, STEPHANIE PAC - IAM 401 CARDINAL AVE ATKINS LINN Female Accepted FC 12/24/2015
BENTON FULTS, ANGELA DR - IAM 105 9TH AVE BELLE PLAINE 52208 BENTON Female Unreachable 12/3/2015
BLACK HAWK GETTMAN, SUZANNE, ARNP - IAM 212 W DALE ST WATERLOO BLACK HAWK Female Accepted FC 12/2/2015
BLACK HAWK GETTMAN, SUZANNE, ARNP - IAM 212 W DALE ST WATERLOO BLACK HAWK Male Accepted FC 12/29/2015
BLACK HAWK GETTMAN, SUZANNE, ARNP - IAM 212 W DALE ST WATERLOO BLACK HAWK Male Unreachable 12/2/2015
BLACK HAWK GETTMAN, SUZANNE, ARNP - IAM 212 W DALE ST WATERLOO Not Asked Unreachable 12/16/2015
BLACK HAWK VETTER, KIM PAC - IAM WATERLOO BLACK HAWK Male Accepted FC 12/8/2015
BLACK HAWK ZBARACKI, ANNE DR - IAM 2055 KIMBALL AVE WATERLOO BLACK HAWK Male Accepted FC 12/21/2015
BLACK HAWK ZBARACKI, ANNE DR - IAM 2055 KIMBALL AVE WATERLOO BLACK HAWK Female Accepted FC 12/21/2015
BLACK HAWK ZBARACKI, ANNE DR - IAM 2055 KIMBALL AVE WATERLOO BLACK HAWK Female Accepted FC 12/21/2015
BLACK HAWK BERRY, CARRIE ARNP - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Female Accepted FC 12/14/2015
BLACK HAWK BERRY, CARRIE ARNP - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Female Accepted FC 12/16/2015
BLACK HAWK BERRY, CARRIE ARNP - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Female Accepted FC 12/24/2015
BLACK HAWK BOLING, VICKI - IAM 3251 WEST 9TH ST WATERLOO 50702 Not Asked Unreachable 12/17/2015
BLACK HAWK BUHR, BRENT DR - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Male Accepted FC 12/1/2015
BLACK HAWK BUHR, BRENT DR - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Male Accepted FC 12/8/2015
BLACK HAWK BUHR, BRENT DR - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Male Accepted FC 12/28/2015
BLACK HAWK BURNETT, BRIAN MD - IAM 226 BLUEBELL RD CEDAR FALLS 50613 BLACK HAWK Male Accepted FC 12/24/2015
BLACK HAWK CARE FOR YOURSELF - BLACK HAWK
COUNTY
WATERLOO 50703 BLACK HAWK Female Accepted FC 12/14/2015
BLACK HAWK CHRIST, MEREDITH - IAM 1015 S HACKETT RD WATERLOO 50701 BLACK HAWK Female Accepted FC 12/21/2015
BLACK HAWK COVENANT CLINIC - WLOO WATERLOO 50702 BLACK HAWK Male Accepted FC 12/9/2015
BLACK HAWK CRAWFORD, TAMMY - IAM 3562 LAFAYETTE RD EVANSDALE 50707 BLACK HAWK Female Accepted FC 12/10/2015
BLACK HAWK DOYLE, TIM - IAM 2624 ORCHARD DR CEDAR FALLS 50613 BLACK HAWK Female Accepted FC 12/9/2015
BLACK HAWK GREGERSEN, JAMEY - IAM 3251 W 9TH ST WATERLOO 50702 BLACK HAWK Male Accepted FC 12/24/2015
BLACK HAWK GREGERSEN, JAMEY - IAM 3251 W 9TH ST WATERLOO 50702 Not Asked Unreachable 12/7/2015
BLACK HAWK GUTZ, EMILY - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Male Accepted FC 12/28/2015
BLACK HAWK GUTZ, EMILY - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Male Accepted FC 12/22/2015
BLACK HAWK GUTZ, EMILY DNP - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Female Accepted FC 12/17/2015
BLACK HAWK HALL, MARTHA 212 W DALE ST STE 101 WATERLOO 50703 Not Asked Declined FC 12/17/2015
BLACK HAWK HALL, MARTHA - IAM 212 W DALE ST STE 101 WATERLOO 50703 BREMER Female Accepted FC 12/14/2015
BLACK HAWK HALL, MARTHA - IAM 212 W DALE ST STE 101 WATERLOO 50703 BLACK HAWK Female Accepted FC 12/8/2015
BLACK HAWK HARTER, GREG MD - IAM 2710 ST FRANCIS DR
STE 210
WATERLOO 50702 BLACK HAWK Female Accepted FC 12/24/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateBLACK HAWK HARTER, GREG MD - IAM 2710 ST FRANCIS DR
STE 210
WATERLOO 50702 BLACK HAWK Male Accepted FC 12/31/2015
BLACK HAWK HENDERSON, VICKI DR - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Female Accepted FC 12/1/2015
BLACK HAWK HENDERSON, VICKI DR - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Female Unreachable 12/22/2015
BLACK HAWK IJAZ, KIRAN - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Female Accepted FC 12/22/2015
BLACK HAWK IJAZ, KIRAN - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Male Accepted FC 12/30/2015
BLACK HAWK IJAZ, KIRAN - IAM 905 FRANKLIN ST WATERLOO 50703 Not Asked Unreachable 12/8/2015
BLACK HAWK KANE, SARAH - IAM 905 E FRANKLIN ST WATERLOO 50703 BLACK HAWK Female Accepted FC 12/4/2015
BLACK HAWK KHURANA, SHERRY MD - IAM 3701 LAFAYETTE RD EVANSDALE 50707 BLACK HAWK Female Accepted FC 12/8/2015
BLACK HAWK LOUVIERE BONTHUIS, HEIDI PAC -
IAM
905 FRANKLIN ST WATERLOO 50702 BLACK HAWK Female Accepted FC 12/14/2015
BLACK HAWK LOUVIERE BONTHUIS, HEIDI PAC -
IAM
905 FRANKLIN ST WATERLOO 50702 BLACK HAWK Female Accepted FC 12/23/2015
BLACK HAWK MONROE, ASHLEY - IAM 905 FRANKLIN WATERLOO 50703 BLACK HAWK Female Accepted FC 12/17/2015
BLACK HAWK MONROE, ASHLEY - IAM 905 FRANKLIN WATERLOO 50703 BLACK HAWK Female Accepted FC 12/1/2015
BLACK HAWK STANDING, LARRY - IAM 226 BLUEBELL RD CEDAR FALLS 50613 BLACK HAWK Female Accepted FC 12/3/2015
BLACK HAWK STANDING, LARRY - IAM 226 BLUEBELL RD CEDAR FALLS 50613 POWESHIEK Male Accepted FC 12/23/2015
BLACK HAWK THURM, AMY - IAM 905 FRANKLIN ST WATERLOO 50702 BLACK HAWK Male Accepted FC 12/3/2015
BOONE ANDERSON, JOSHUA DR - IAM 1115 S MARSHALL ST BOONE 50036 BOONE Female Accepted FC 12/10/2015
BOONE CHRISTNER, ANGELA - IAM 245 W WALNUT OGDEN 50212 BOONE Female Accepted FC 12/1/2015
BOONE FILIPIAK, TRISHA - IAM 120 S STORY ST BOONE 50036 BOONE Female Accepted FC 12/15/2015
BOONE VANDERMEIDE, JOEL DR - IAM 120 S STORY ST BOONE 50036 BOONE Female Accepted FC 12/24/2015
BOONE VANDERMEIDE, JOEL DR - IAM 120 S STORY ST BOONE 50036 Not Asked Unreachable 12/29/2015
BOONE WALNUT STREET HEALTH AND
WELLNESS
OGDEN 50212 Not Collected Accepted FC 12/10/2015
Bremer RATHE, ANN MD - IAM 312 9TGH ST SW WAVERLY BLACK HAWK Female Unreachable 12/31/2015
BREMER COMMUNITY MEMORIAL HOSPITAL SUMNER 50674 FAYETTE Male Accepted FC 12/28/2015
BREMER SOWLE, MATT - IAM 602 7TH AVE SW TRIPOLI 50676 BREMER Female Accepted FC 12/1/2015
Buchanan HOUSE, KURT - IAM 1100 1ST ST E INDEPENDENCE Not Asked Unreachable 12/21/2015
BUCHANAN BUDZINE, JANICE DNP ARNP - IAM 345 1ST ST S WINTHROP 50682 Not Asked Unreachable 12/2/2015
BUCHANAN FELDKAMP, MARK DR - IAM 1094 220TH ST JESUP 50648 BUCHANAN Male Accepted FC 12/15/2015
BUCHANAN FELDKAMP, MARK DR - IAM 1094 220TH ST JESUP 50648 BUCHANAN Male Accepted FC 12/17/2015
BUENA VISTA TERRELL, SUSAN - IAM 113 2ND ST SIOUX RAPIDS 50585 BUENA VISTA Female Accepted FC 12/14/2015
BUTLER HULL, SHANNON - IAM 1001 MASON WAY SHELL ROCK 50670 BUTLER Male Accepted FC 12/2/2015
BUTLER SCHAFER, ERICA ARNP - IAM 1306 HWY 57 PARKERSBURG 50665 BUTLER Female Accepted FC 12/17/2015
CALHOUN PETERSEN-ANDERSON, TONJA - IAM 1351 W MAIN LAKE CITY 51449 CALHOUN Female Accepted FC 12/2/2015
Carroll MCQUEEN, JAMES DO - IAM 1214 S GRANT CARROLL CARROLL Female Accepted FC 12/4/2015
Carroll MCQUEEN, JAMES DO - IAM 1214 S GRANT CARROLL CARROLL Female Accepted FC 12/9/2015
CARROLL FULLER, NATE - IAM 1550 6TH ST MANNING 51455 CRAWFORD Male Declined FC 12/2/2015
CARROLL FULLER, NATE - IAM 1550 6TH ST MANNING 51455 CRAWFORD Female Unreachable 12/17/2015
CARROLL ILER, LINDA MD - IAM 515 N MAIN ST CARROLL 51401 CARROLL Female Accepted FC 12/1/2015
CARROLL ILER, LINDA MD - IAM 515 N MAIN ST CARROLL 51401 CARROLL Male Accepted FC 12/17/2015
CARROLL NYSTROM, DAVID DR - IAM 215 MAIN ST COON RAPIDS 50058 CARROLL Male Accepted FC 12/16/2015
CARROLL NYSTROM, DAVID DR - IAM 215 MAIN ST COON RAPIDS 50058 CARROLL Male Accepted FC 12/15/2015
CASS BEAN, TODD - IAM 1501 E 10TH ATLANTIC 50022 CASS Female Accepted FC 12/7/2015
CASS BREND, SARAH - IAM 1501 E 10TH ST ATLANTIC 50022 CASS Male Accepted FC 12/3/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateCASS FULLER, MARY - IAM 1501 E 10TH ATLANTIC 50022 CASS Female Accepted FC 12/15/2015
CASS FULLER, MARY - IAM 1501 E 10TH ATLANTIC 50022 CASS Female Accepted FC 12/21/2015
CASS HIXSON, SCOTT PAC MPAS - IAM 1501 E 10TH ATLANTIC 50022 CASS Male Accepted FC 12/16/2015
CASS HIXSON, SCOTT PAC MPAS - IAM 1501 E 10TH ATLANTIC 50022 MONTGOMERY Female Accepted FC 12/9/2015
CASS SHAH, CARMELITA - IAM 1501 E 10TH ST ATLANTIC 50022 CASS Female Accepted FC 12/9/2015
CASS SHAH, CARMELITA - IAM 1501 E 10TH ST ATLANTIC 50022 CASS Male Accepted FC 12/16/2015
CASS SHAH, CARMELITA - IAM 1501 E 10TH ST ATLANTIC 50022 Not Asked Unreachable 12/15/2015
CASS SHAH, CARMELITA - IAM 1501 E 10TH ST ATLANTIC 50022 CASS Not Asked Unreachable 12/24/2015
CEDAR ILTIS, MARK MD - IAM 619 5TH ST DURANT 52747 MUSCATINE Female Accepted FC 12/1/2015
CERRO GORDO SIEH, SUSAN - IAM 1010 4TH ST SE MASON CERRO GORDO Female Accepted FC 12/14/2015
CERRO GORDO EISENLOHR, TARA ARNP - IAM 1681 4TH ST MASON CITY 50401 CERRO GORDO Female Accepted FC 12/29/2015
CERRO GORDO GARCIA, ANGEL DR - IAM 621 S ILLINOIS AVE MASON CITY 50401 CERRO GORDO Male Accepted FC 12/30/2015
CERRO GORDO GRAY, TONYA - IAM MASON CITY 50401 Not Asked Unreachable 12/7/2015
CERRO GORDO GRAY, TONYA DR - IAM 1010 4TH ST MASON CITY 50401 CERRO GORDO Female Accepted FC 12/9/2015
CERRO GORDO GRAY, TONYA DR - IAM 1010 4TH ST MASON CITY 50401 BUTLER Female Unreachable 12/1/2015
CERRO GORDO POPP, DAVID - IAM 621 S ILLINOIS AVE STE
100
MASON CITY 50401 CERRO GORDO Female Accepted FC 12/14/2015
CERRO GORDO POPP, DAVID - IAM 621 S ILLINOIS AVE STE
100
MASON CITY 50401 Not Asked Unreachable 12/9/2015
CERRO GORDO RAKITA, JASON MD - IAM 101 S TAYLOR AVE MASON CITY 50401 CERRO GORDO Male Accepted FC 12/15/2015
CERRO GORDO SIEH, SUSAN DR - IAM 1010 4TH ST SW STE 240 MASON CITY 50401 CERRO GORDO Female Accepted FC 12/1/2015
CHEROKEE BILLINGS, JAMIE ARNP - IAM 212 E BOW DR CHEROKEE 51012 CHEROKEE Male Accepted FC 12/30/2015
CHEROKEE TENTINGER, ABBY ARNP - IAM 300 SIOUX VALLEY DR CHEROKEE 51012 CHEROKEE Male Unreachable 12/18/2015
CHEROKEE VEIT, STEPHEN - IAM 212 E BOW DR CHEROKEE 51012 CHEROKEE Female Accepted FC 12/22/2015
CHEROKEE VEIT, STEPHEN - IAM 212 E BOW DR CHEROKEE 51012 CHEROKEE Female Unreachable 12/31/2015
CHEROKEE VEIT, STEPHEN - IAM 212 E BOW DR CHEROKEE 51012 CHEROKEE Female Unreachable 12/8/2015
CHEROKEE VEIT, STEPHEN - IAM 212 E BOW DR CHEROKEE 51012 CHEROKEE Not Asked Unreachable 12/7/2015
CHEROKEE WOODALL, JAN ARNP - IAM 213 N SECOND ST CHEROKEE 51012 CHEROKEE Female Accepted FC 12/1/2015
CHEROKEE WOODALL, JAN ARNP - IAM 213 N SECOND ST CHEROKEE 51012 CHEROKEE Male Accepted FC 12/16/2015
CHEROKEE WOODALL, JAN ARNP - IAM 213 N SECOND ST CHEROKEE 51012 CHEROKEE Female Accepted FC 12/16/2015
CHEROKEE WURTH, RACHEL ARNP - IAM 1267 W CEDAR LOOP CHEROKEE 51012 CHEROKEE Male Accepted FC 12/28/2015
CHICKASAW FREDRICKSBURG FAMILY HEALTH
CLINIC
FREDERICKSBUR
G
50630 CHICKASAW Male Accepted FC 12/24/2015
Clarke CANNON, LORI - IAM 827 S JACKSON OSCEOLA DECATUR Male Accepted FC 12/16/2015
Clarke CANNON, LORI - IAM 827 S JACKSON OSCEOLA DECATUR Male Unreachable 12/10/2015
CLARKE FOTIADIS, GEORGE - IAM 827 S JACKSON OSCEOLA 50213 CLARKE Female Accepted FC 12/28/2015
CLAY AVERA MEDICAL GROUP - SPENCER SPENCER 51301 CLAY Female Accepted FC 12/15/2015
CLAY AVERA MEDICAL GROUP - SPENCER SPENCER 51301 EMMET Male Accepted FC 12/10/2015
CLAY KOLACIA-TIGHE, SHERRY - IAM 116 E 11TH ST SPENCER 51301 CLAY Female Accepted FC 12/30/2015
CLAY ROBISON, DAVID MD - IAM 116 E 11TH ST SPENCER 51301 CLAY Female Accepted FC 12/17/2015
CLAY ROBISON, DAVID MD - IAM 116 E 11TH ST SPENCER 51301 CLAY Male Accepted FC 12/7/2015
CLAY SATHER, SONIA DR - IAM 116 E 11TH ST SPENCER 51301 CLAY Male Accepted FC 12/8/2015
CLAY SATHER, SONIA DR - IAM 116 E 11TH ST SPENCER 51301 CLAY Female Accepted FC 12/2/2015
CLAY SATHER, SONIA DR - IAM 116 E 11TH ST SPENCER 51301 CLAY Female Accepted FC 12/15/2015
CLAY YOUNG, AMANDA MD - IAM 116 E 11TH ST SPENCER 51301 CLAY Male Accepted FC 12/23/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateCLAYTON DANNER, KRISTINE DR - IAM 345 W STEAMBOAT DR
STE 300
DAKOTA DUNES Male Accepted FC 12/22/2015
CLAYTON DANNER, KRISTINE DR - IAM 345 W STEAMBOAT DR
STE 300
DAKOTA DUNES Male Accepted FC 12/22/2015
CLAYTON DANNER, KRISTINE DR - IAM 345 W STEAMBOAT DR
STE 300
DAKOTA DUNES WOODBURY Male Accepted FC 12/2/2015
CLAYTON DANNER, KRISTINE DR - IAM 345 W STEAMBOAT DR
STE 300
DAKOTA DUNES Not Asked Unreachable 12/22/2015
CLINTON BELL, JENNIFER - IAM 1008 11TH ST DE WITT 52742 JACKSON Female Unreachable 12/24/2015
CLINTON BREAUX, STEVEN MD - IAM 240 N BLUFF BLVD CLINTON 52732 CLINTON Female Accepted FC 12/31/2015
CLINTON FULLER, ASHLEY ARNP - IAM 925 S 4TH ST CLINTON 52732 CLINTON Female Accepted FC 12/15/2015
CLINTON HOFF, STEPHANIE MD - IAM 915 13TH AVE N CLINTON 52732 SCOTT Male Accepted FC 12/30/2015
CLINTON KAUFFMAN, THERSA ARNP - IAM 915 13TH AVE N CLINTON 52732 CLINTON Male Accepted FC 12/24/2015
CLINTON KAUFFMAN, THERSA ARNP - IAM 915 13TH AVE N CLINTON 52732 CLINTON Female Accepted FC 12/18/2015
CLINTON KAUFFMAN, THERSA ARNP - IAM 915 13TH AVE N CLINTON 52732 CLINTON Female Accepted FC 12/19/2015
CLINTON KAUFFMAN, THERSA ARNP - IAM 200 915 13TH AVE N CLINTON 52732 CLINTON Male Unreachable 12/14/2015
CLINTON KOLUSU, HANUMANTHA R DR - IAM 2304 N WASHINGTON
BLVD
CAMANCHE 52730 SCOTT Female Accepted FC 12/31/2015
CLINTON KOLUSU, HANUMANTHA R DR - IAM 2304 N WASHINGTON
BLVD
CAMANCHE 52730 Not Asked Unreachable 12/3/2015
CLINTON MARILIM, MEL - IAM 915 13TH AVE N CLINTON 52732 CLINTON Male Accepted FC 12/10/2015
CLINTON MARILIM, MEL - IAM 915 13TH AVE N CLINTON 52732 CLINTON Male Accepted FC 12/21/2015
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 CLINTON Female Accepted FC 12/17/2015
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 CLINTON Female Accepted FC 12/21/2015
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 CLINTON Female Accepted FC 12/4/2015
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 Not Asked Unreachable 12/7/2015
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 Not Asked Unreachable 12/7/2015
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 Not Asked Unreachable 12/1/2015
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 Not Asked Unreachable 12/21/2015
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 Not Asked Unreachable 12/17/2015
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 Not Asked Unreachable 12/17/2015
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 Not Asked Unreachable 12/17/2015
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 Not Asked Unreachable 12/17/2015
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 Not Asked Unreachable 12/28/2015
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 Not Asked Unreachable 12/28/2015
CLINTON PLA, RAMON - IAM 915 13TH AVE CLINTON 52732 CLINTON Female Unreachable 12/31/2015
CRAWFORD CRABB, DW MD - IAM 115 N 14TH ST DENISON 51442 CARROLL Female Accepted FC 12/31/2015
CRAWFORD CRABB, DW MD - IAM 115 N 14TH ST DENISON 51442 MONONA Female Accepted FC 12/1/2015
DALLAS SANDERS, MEGAN PAC - IAM 1120 GREENE ST ADEL 50003 DALLAS Female Accepted FC 12/8/2015
DALLAS SARCONE, JULIE - IAM 25 W HICKMAN RD WAUKEE 50263 DALLAS Female Accepted FC 12/9/2015
DALLAS WEBER, LINDSAY - IAM 616 10TH ST PERRY 50220 GUTHRIE Female Accepted FC 12/1/2015
DAVIS OLIVER, BEVERLY - IAM 509 N MADISON BLOOMFIELD 52537 Not Asked Unreachable 12/29/2015
DECATUR GRISSOM, JENNIFER ARNP - IAM 302 NE 14TH ST LEON 50144 DECATUR Male Accepted FC 12/24/2015
DECATUR GRISSOM, JENNIFER ARNP - IAM 302 NE 14TH ST LEON 50144 DECATUR Male Accepted FC 12/23/2015
DECATUR SULLIVAN, ANDY - IAM 802 E ACKERLEY LAMONI 50140 DECATUR Female Accepted FC 12/7/2015
DELAWARE BOOK, CATHERINE PAC - IAM PO BOX 359 MANCHESTER 52057 JONES Female Accepted FC 12/24/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateDELAWARE BOOK, CATHERINE PAC - IAM PO BOX 359 MANCHESTER 52057 Not Asked Unreachable 12/7/2015
DELAWARE CHRISTIANSEN, SCOT MD - IAM 709 W MAIN MANCHESTER 52057 CLAYTON Male Accepted FC 12/1/2015
DELAWARE HENNESSEY, TREESA ARNP - IAM 709 W MAIN MANCHESTER 52057 DELAWARE Female Accepted FC 12/17/2015
DELAWARE JENSEN, KRISTEN - IAM 709 W MAIN ST MANCHESTER 52057 BUCHANAN Female Accepted FC 12/31/2015
DELAWARE RADLOFF, MICHELLE ARNP - IAM 709 W MAIN ST MANCHESTER 52057 DELAWARE Male Accepted FC 12/3/2015
Des Moines HAUENSTEIN, NAARAH - IAM 1706 W AGENCY RD W BURLINGTON DES MOINES Male Accepted FC 12/30/2015
Des Moines HAUENSTEIN, NAARAH - IAM 1706 W AGENCY RD W BURLINGTON DES MOINES Female Accepted FC 12/21/2015
Des Moines HAUENSTEIN, NAARAH - IAM 1706 W AGENCY RD W BURLINGTON DES MOINES Female Unreachable 12/30/2015
Des Moines KISWANI, VANDHANA DR - IAM 1760 W AGENCY RD WEST
BURLINGTON
DES MOINES Female Accepted FC 12/9/2015
Des Moines KISWANI, VANDHANA DR - IAM 1760 W AGENCY RD WEST
BURLINGTON
DES MOINES Male Accepted FC 12/10/2015
Des Moines KISWANI, VANDHANA DR - IAM 1760 W AGENCY RD WEST
BURLINGTON
DES MOINES Male Accepted FC 12/14/2015
Des Moines KISWANI, VANDHANA DR - IAM 1760 W AGENCY RD WEST
BURLINGTON
DES MOINES Female Accepted FC 12/1/2015
Des Moines KISWANI, VANDHANA DR - IAM 1760 W AGENCY RD WEST
BURLINGTON
DES MOINES Female Accepted FC 12/30/2015
Des Moines KISWANI, VANDHANA DR - IAM 1760 W AGENCY RD WEST
BURLINGTON
DES MOINES Female Accepted FC 12/17/2015
Des Moines KISWANI, VANDHANA DR - IAM 1760 W AGENCY RD WEST
BURLINGTON
DES MOINES Male Accepted FC 12/31/2015
Des Moines KISWANI, VANDHANA DR - IAM 1760 W AGENCY RD WEST
BURLINGTON
DEMOINES Male Unreachable 12/24/2015
Des Moines KISWANI, VANDHANA DR - IAM 1760 W AGENCY RD WEST
BURLINGTON
LEE Female Unreachable 12/24/2015
Des Moines KISWANI, VANDHANA DR - IAM 1760 W AGENCY RD WEST
BURLINGTON
DES MOINES Male Unreachable 12/10/2015
Des Moines MEEKER, MONICA MD - IAM 1706 AGENCY RD WEST
BURLINGTON
DES MOINES Female Accepted FC 12/18/2015
Des Moines MEEKER, MONICA MD - IAM 1706 AGENCY RD WEST
BURLINGTON
DES MOINES Not Asked Unreachable 12/24/2015
Des Moines THURMAN, JOHN DO - IAM 1225 S GEAR WEST
BURLINGTON
DES MOINES Female Accepted FC 12/8/2015
DES MOINES BURLINGTON AREA FAMILY
PRACTICE CENTER
WEST
BURLINGTON
52655 Not Asked Unreachable 12/31/2015
DES MOINES DE LA ROSA, JENNIFER DR - IAM 1201 W AGENCY RD WEST
BURLINGTON
52655 DES MOINES Female Accepted FC 12/8/2015
DES MOINES ELLIOTT, CHARISSA - IAM 1706 W AGENCY RD WEST
BURLINGTON
52655 DES MOINES Male Accepted FC 12/1/2015
DES MOINES ELLIOTT, CHARISSA FNP - IAM 1706 WEST AGENCY RD WEST
BURLINGTON
52655 DES MOINES Female Accepted FC 12/9/2015
DES MOINES GRHS RESPIRATORY CARE WEST
BURLINGTON
52655 HENRY Female Accepted FC 12/4/2015
DES MOINES GRHS RESPIRATORY CARE WEST
BURLINGTON
52655 Not Asked Declined FC 12/2/2015
DES MOINES GRHS RESPIRATORY CARE WEST
BURLINGTON
52655 Not Asked Unreachable 12/1/2015
DES MOINES GRHS RESPIRATORY CARE WEST
BURLINGTON
52655 Not Asked Unreachable 12/17/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateDES MOINES GRHS RESPIRATORY CARE WEST
BURLINGTON
52655 Not Asked Unreachable 12/31/2015
DES MOINES HUNTER, TIMOTHY DR - IAM 1201 W AGENCY RD WEST
BURLINGTON
52655 DES MOINES Female Accepted FC 12/9/2015
DES MOINES SAAD, WALID MD - IAM 1223 S GEAR AVE STE
109
WEST
BURLINGTON
52655 DES MOINES Female Accepted FC 12/7/2015
DES MOINES SAAD, WALID MD - IAM 1223 S GEAR AVE STE
109
WEST
BURLINGTON
52655 DES MOINES Female Unreachable 12/2/2015
DES MOINES SAMBERG, KELLY ARNP - IAM 1223 S GEAR AVE STE
304
WEST
BURLINGTON
52655 DES MOINES Female Accepted FC 12/3/2015
DES MOINES SAMBERG, KELLY ARNP - IAM 1223 S GEAR AVE STE
304
WEST
BURLINGTON
52655 DES MOINES Female Accepted FC 12/16/2015
DES MOINES ZWANZIGER, REBECCA NP - IAM 1706 W AGENCY RD WEST
BURLINGTON
52655 Not Asked Unreachable 12/16/2015
DICKINSON KELLEY, JESSICA ARNP - IAM 2700 23RD ST SPIRIT LAKE 51360 DICKINSON Female Accepted FC 12/8/2015
DICKINSON OLSON, BRETT - IAM 2700 23 ST SPIRIT LAKE 51360 DICKINSON Female Accepted FC 12/16/2015
DOUGLAS WINTERS, JOHN DR - IAM 3856 N 129TH ST OMAHA 68164 POTTAWATTAM
IE
Female Accepted FC 12/16/2015
dubuque STEFFEN, KEN DR - IAM 1500 ASSOCIATES DR DUBUQUE DUBUQUE Male Accepted FC 12/8/2015
DUBUQUE COOPER, KRISTINE DR - IAM 1515 DELHI STE 100 DUBUQUE 52001 DUBUQUE Female Unreachable 12/10/2015
DUBUQUE FAMUYIDE, VICTORIA DO - IAM 1515 DELHI DUBUQUE 52001 DUBUQUE Female Unreachable 12/16/2015
DUBUQUE HUBANKS, ANGELA PAC - IAM 1515 DELHI ST STE 100 DUBUQUE 52001 DUBUQUE Male Accepted FC 12/1/2015
DUBUQUE KHAN, TAUSEEF - IAM 350 N GRANDVIEW AVE
STE 2145
DUBUQUE 52001 DUBUQUE Male Accepted FC 12/18/2015
DUBUQUE NOBLE, LANE DR - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Male Accepted FC 12/17/2015
DUBUQUE NOBLE, LANE DR - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Male Accepted FC 12/22/2015
DUBUQUE NOBLE, LANE DR - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Female Accepted FC 12/31/2015
DUBUQUE NOBLE, LANE DR - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Female Accepted FC 12/30/2015
DUBUQUE NOBLE, LANE DR - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Female Accepted FC 12/15/2015
DUBUQUE NOBLE, LANE DR - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Male Accepted FC 12/16/2015
DUBUQUE NOBLE, LANE DR - IAM 1789 ELM ST DUBUQUE 52001 Not Asked Unreachable 12/14/2015
DUBUQUE NOBLE, LANE DR - IAM 1789 ELM ST DUBUQUE 52001 Not Asked Unreachable 12/1/2015
DUBUQUE RINGOLD, DAVE - IAM 1515 DELHI DUBUQUE 52001 Not Asked Accepted FC 12/14/2015
DUBUQUE RINGOLD, DAVE - IAM 1515 DELHI DUBUQUE 52001 Not Asked Unreachable 12/15/2015
DUBUQUE STEFFEN, KENNETH - IAM 1500 ASSOCIATES DUBUQUE 52002 DUBUQUE Male Accepted FC 12/8/2015
DUBUQUE ZALAZNIK, JENNIFER NP - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Male Accepted FC 12/1/2015
DUBUQUE ZALAZNIK, JENNIFER NP - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Male Accepted FC 12/3/2015
DUBUQUE ZALAZNIK, JENNIFER NP - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Male Accepted FC 12/29/2015
DUBUQUE ZALAZNIK, JENNIFER NP - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Female Accepted FC 12/31/2015
EMMET COOK, ANTHONY DR - IAM 926 N 8TH ST ESTHERVILLE 51334 EMMET Female Accepted FC 12/13/2015
EMMET COOK, ANTHONY DR - IAM 926 N 8TH ST ESTHERVILLE 51334 EMMET Female Accepted FC 12/10/2015
EMMET COOK, ANTHONY DR - IAM 926 N 8TH ST ESTHERVILLE 51334 EMMET Not Asked Unreachable 12/24/2015
FAYETTE FROST, KYLA ARNP - IAM 124 1ST AVE SE OELWEIN 50662 FAYETTE Female Accepted FC 12/28/2015
FAYETTE FROST, KYLA ARNP - IAM 124 1ST AVE SE OELWEIN 50662 FAYETTE Male Accepted FC 12/16/2015
FAYETTE FROST, KYLA ARNP - IAM 124 1ST AVE SE OELWEIN 50662 FAYETTE Male Unreachable 12/10/2015
FAYETTE MAHAJAN, MANJO MD - IAM 129 8TH AVE SE OELWEIN 50662 BUCHANAN Male Accepted FC 12/31/2015
FAYETTE MILLER, KEN DR - IAM 110 JEFFERSON ST WEST UNION 52175 FAYETTE Male Accepted FC 12/1/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateFLOYD BISCHOFF, PATRICIA ARNP - IAM 1624 S GRAND AVE CHARLES CITY 50616 FLOYD Female Accepted FC 12/15/2015
FLOYD KIES, LISA - IAM 903 WEST CONGRESS NORA SPRINGS 50458 CERRO GORDO Male Accepted FC 12/22/2015
FREMONT PARSHALL, KYLIE PA - IAM 1219 MAIN ST HAMBURG 51640 PAGE Female Accepted FC 12/10/2015
Greene SILLS, JENNIFER ARNP - IAM 106 W WASHINGTON
STE 2
JEFFERSON GREENE Female Accepted FC 12/24/2015
GREENE VAN DER VEER, JON MD - IAM 1002 W LINCOLN WAY JEFFERSON 50129 GREENE Female Accepted FC 12/7/2015
GREENE VAN DER VEER, JON MD - IAM 1002 W LINCOLN WAY JEFFERSON 50129 Not Asked Declined FC 12/3/2015
GRUNDY COOPER, TIM PA-C - IAM 105 N CHURCH ST CONRAD 50621 MARSHALL Female Accepted FC 12/15/2015
GUTHRIE BASCOM, STEVEN MD - IAM 502 MAIN ST GUTHRIE
CENTER
50115 GUTHRIE Female Accepted FC 12/3/2015
GUTHRIE STREHLE, JOSHUA DR - IAM 603 E MAIN PANORA 50216 GUTHRIE Female Accepted FC 12/10/2015
GUTHRIE STREHLE, JOSHUA DR - IAM 603 E MAIN PANORA 50216 GUTHRIE Female Accepted FC 12/9/2015
Hamilton RIDER, CHRISTINE - IAM 1610 COLLINS WEBSTER CITY HAMILTON Female Accepted FC 12/9/2015
Hamilton RIDER, CHRISTINE - IAM 1610 COLLINS WEBSTER CITY HAMILTON Female Unreachable 12/2/2015
HAMILTON EHN, NICOLE - IAM 1610 COLLINS WEBSTER CITY 50595 HAMILTON Female Accepted FC 12/2/2015
HAMILTON KAAPURAALA, ABHISHAKE DR - IAM 1610 COLLINS ST WEBSTER CITY 50595 HAMILTON Male Declined FC 12/1/2015
HAMILTON MCFARLAND CLINIC - WEBSTER CITY WEBSTER CITY 50595 Not Asked Declined FC 12/1/2015
HANCOCK SMITH, LIONEL JOE - IAM 1102 N CTY RD 700 WARSAW 62379 LEE Female Accepted FC 12/7/2015
Hardin BROWN, TERESA DO - IAM 1250 WASHINGTON ST ELDORA HARDIN Male Accepted FC 12/31/2015
HARDIN CARLSON, LEE - IAM 1000 10TH AVE ACKLEY 50601 HARDIN Male Accepted FC 12/14/2015
HARRISON CUNARD, ROBERT D - IAM 809 E ELM ST MISSOURI
VALLEY
51555 HARRISON Not Asked Unreachable 12/23/2015
HARRISON GRADY, CARRIE MD - IAM 128 W 8TH ST LOGAN 51546 HARRISON Male Accepted FC 12/11/2015
HARRISON GRADY, CARRIE MD - IAM 128 W 8TH ST LOGAN 51546 HARRISON Male Accepted FC 12/10/2015
HARRISON GRADY, CARRIE MD - IAM 128 W 8TH ST LOGAN 51546 HARRISON Male Accepted FC 12/3/2015
HENRY RYNDERS, KENT - IAM 501 S WHITE ST #1 MOUNT
PLEASANT
52641 HENRY Male Accepted FC 12/3/2015
HENRY WAGNER, JULIE DO - IAM 501 S WHITE STE 1 MOUNT
PLEASANT
52641 HENRY Female Accepted FC 12/3/2015
HENRY WAGNER, JULIE DO - IAM 501 S WHITE STE 1 MOUNT
PLEASANT
52641 HENRY Female Accepted FC 12/7/2015
HENRY WAGNER, JULIE DO - IAM 501 S WHITE STE 1 MOUNT
PLEASANT
52641 HENRY Female Accepted FC 12/10/2015
HOWARD KAMMERER, JON DR - IAM 321 8TH AVE W CRESCO 52136 HOWARD Female Accepted FC 12/14/2015
HOWARD MAHER, JON - IAM 321 8TH AVE W CRESCO 52136 Not Asked Unreachable 12/14/2015
HOWARD MAHER, JON MD - IAM 321 8TH AVE W CRESCO 52136 HOWARD Male Accepted FC 12/28/2015
HOWARD SCHLANGEN, TRACEY ARNP - IAM 321 8TH AVE CRESCO 52136 HOWARD Female Accepted FC 12/2/2015
HOWARD SCHLANGEN, TRACEY ARNP - IAM 321 8TH AVE CRESCO 52136 HOWARD Female Accepted FC 12/1/2015
IDA LUFT, MICHAEL - IAM 101 2ND ST IDA GROVE 51445 CRAWFORD Female Unreachable 12/4/2015
IOWA FOGLE, CORINNE PAC - IAM 709 2ND ST VICTOR 52347 BENTON Female Accepted FC 12/15/2015
IOWA MILLER, BEN DO - IAM 255 W LUCAS ST MARENGO 52301 IOWA Male Accepted FC 12/14/2015
IOWA MILLER, BEN DO - IAM 255 W LUCAS ST MARENGO 52301 IOWA Female Accepted FC 12/14/2015
IOWA MILLER, BEN DO - IAM 255 W LUCAS ST MARENGO 52301 IOWA Male Accepted FC 12/2/2015
JACKSON BROBST LAKIN, ALYSSA PAC - IAM 206 N ARCADE MAQUOKETA 52060 JACKSON Female Accepted FC 12/16/2015
JACKSON HUNTER, JEFFREY DR - IAM 208 N 12TH ST BELLEVUE 52031 Not Asked Unreachable 12/21/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateJACKSON THOMPSON, KIMBERLY - IAM 918 W PLATT #1 MAQUOKETA 52060 JACKSON Female Declined FC 12/28/2015
JASPER BANTELL, STEPHANIE - IAM 300 N 4TH AVE E#200 NEWTON 50208 JASPER Female Accepted FC 12/1/2015
JASPER CHAN, TY DR - IAM 300 N 4TH AVE E #200 NEWTON 50208 JASPER Female Accepted FC 12/23/2015
JASPER JOLIVETTE, DUANE MD - IAM 300 N 4TH AVE E STE 200 NEWTON 50208 JASPER Female Accepted FC 12/21/2015
JASPER PAISLEY, JENNIFER DR - IAM 315 W 3RD ST N NEWTON 50208 JASPER Male Accepted FC 12/18/2015
JASPER PAISLEY, JENNIFER DR - IAM 315 W 3RD ST N NEWTON 50208 JASPER Female Accepted FC 12/7/2015
JASPER PRESTON, BETH - IAM 300 N 4TH AVE E #200 NEWTON 50208 JASPER Female Accepted FC 12/28/2015
JASPER PRESTON, BETH - IAM 300 N 4TH AVE E #200 NEWTON 50208 JASPER Female Unreachable 12/17/2015
JASPER SOLBERG, MUREMA - IAM 300 N 4TH AVE E STE 200 NEWTON 50208 Not Asked Unreachable 12/21/2015
JASPER STRAWN, HEATHER PAC - IAM 100 E JEFFERSON ST PRAIRIE CITY 50228 POLK Male Accepted FC 12/10/2015
JASPER STRAWN, HEATHER PAC - IAM 100 E JEFFERSON ST PRAIRIE CITY 50228 Not Asked Unreachable 12/14/2015
JASPER STRAWN, HEATHER PAC - IAM 100 E JEFFERSON ST PRAIRIE CITY 50228 JASPER Male Unreachable 12/14/2015
JASPER WINTERMOTE, HEIDI - IAM 100 E JEFFERSON PRAIRIE CITY 50228 JASPER Female Accepted FC 12/17/2015
Jefferson GRAY, CHERYL DO - IAM 2000B S MAIN FAIRFIELD JEFFERSON Male Accepted FC 12/16/2015
Jefferson GRAY, CHERYL DO - IAM 2000B S MAIN FAIRFIELD VAN BUREN Female Accepted FC 12/4/2015
JEFFERSON HANSHAW, JONI ARNP - IAM 2000 C SOUTH MAIN FAIRFIELD 52556 JEFFERSON Male Accepted FC 12/29/2015
JEFFERSON HANSHAW, JONI ARNP - IAM 2000 C SOUTH MAIN FAIRFIELD 52556 JEFFERSON Female Accepted FC 12/1/2015
JEFFERSON SCHLEICHER, MICHAEL - IAM 2000 B S MAIN FAIRFIELD 52556 JEFFERSON Male Accepted FC 12/1/2015
JEFFERSON SCHLEICHER, MICHAEL - IAM 2000 B S MAIN FAIRFIELD 52556 JEFFERSON Male Accepted FC 12/21/2015
JEFFERSON SWAITZ, EILENE MD - IAM 2709 W BRIGGS STE 1 FAIRFIELD 52556 VAN BUREN Female Accepted FC 12/1/2015
JEFFERSON VIKAS, PRAVEEN DR - IAM 2000 S MAIN ST FAIRFIELD 52556 WAPELLO Female Accepted FC 12/2/2015
Johnson ELANGOVAN, SATHEESH DR - IAM 801 NEWTON RD IOWA CITY HENRY Female Accepted FC 12/17/2015
Johnson FITAMO, MINTESINOT DR - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Accepted FC 12/18/2015
Johnson HOFFMAN, RICHARD DR - IAM 105 E 9TH ST CORALVILLE JOHNSON Male Unreachable 12/28/2015
Johnson JOHNSON, KRISTA - IAM 105 E 9TH ST CORALVILLE SCOTT Female Unreachable 12/4/2015
JOHNSON ABBI, KAMAL - IAM 200 HAWKINS DR IOWA CITY 52242 POLK Male Accepted FC 12/22/2015
JOHNSON ABERNATHY, MABRA - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Unreachable 12/14/2015
JOHNSON ABURIZIK, ARWA MD - IAM 200 HAWKINS DR IOWA CITY 52242 Not Asked Unreachable 12/10/2015
JOHNSON ANDREWS, JANET - IAM 200 HAWKINS DR IOWA CITY 52242 DES MOINES Female Accepted FC 12/31/2015
JOHNSON BAKER, KIM DR - IAM 200 HAWKINS DR IOWA CITY 52242 WARREN Male Accepted FC 12/7/2015
JOHNSON BANU, HUSSAIN - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Accepted FC 12/9/2015
JOHNSON BANU, HUSSAIN - IAM 200 HAWKINS DR IOWA CITY 52242 Not Asked Unreachable 12/9/2015
JOHNSON BARKER, JASON MD - IAM 200 HAWKINS DR IOWA CITY 52242 BLACK HAWK Female Accepted FC 12/15/2015
JOHNSON BUCHKINA, JULIA - IAM 1130 SCOTT BLVD IOWA CITY 52242 JOHNSON Female Accepted FC 12/9/2015
JOHNSON BUCHKINA, JULIA - IAM 1130 SCOTT BLVD IOWA CITY 52242 Not Asked Unreachable 12/22/2015
JOHNSON BUTLER, NICHOLAS - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Male Accepted FC 12/16/2015
JOHNSON BUTLER, NICHOLAS - IAM 200 HAWKINS DR IOWA CITY 52242 Not Asked Unreachable 12/31/2015
JOHNSON COYNE, LAUREN DR - IAM 200 HAWKINS DR IOWA CITY 52242 POLK Female Accepted FC 12/31/2015
JOHNSON COYNE, LAUREN DR - IAM 200 HAWKINS DR IOWA CITY 52242 POLK Female Accepted FC 12/31/2015
JOHNSON FARRELL, ANGELA - IAM 3 LIONS DR NORTH LIBERTY 52317 JOHNSON Male Accepted FC 12/21/2015
JOHNSON GASTALA, NICOLE - IAM 200 HAWKINS DR IOWA CITY 52242 TAMA Male Accepted FC 12/3/2015
JOHNSON GOMENDOZA, MICHAEL - IAM 2769 HEARTLAND DR
STE 205
CORALVILLE 52241 JOHNSON Male Accepted FC 12/23/2015
JOHNSON GROSS, THOMAS MD - IAM 200 HAWKINS DR IOWA CITY 52242 MUSCATINE Male Accepted FC 12/18/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateJOHNSON HAYWARD, ERIN - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Accepted FC 12/8/2015
JOHNSON HONG, ARTHUR MD - IAM 3 LIONS DR NORTH LIBERTY 52317 LINN Male Accepted FC 12/10/2015
JOHNSON HONG, ARTHUR MD - IAM 3 LIONS DR NORTH LIBERTY 52317 Not Asked Unreachable 12/22/2015
JOHNSON HOTH, PETER MD - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Male Accepted FC 12/16/2015
JOHNSON HUMBERT, LEWIS - IAM 801 NEWTON IOWA CITY 52242 Not Asked Unreachable 12/3/2015
JOHNSON IOWA RIVER LANDING - INTERNAL
MEDICINE
CORALVILLE 52241 JASPER Male Accepted FC 12/9/2015
JOHNSON JEPSON, MATTHEW - IAM 200 HAWKINS DR IOWA CITY 52242 SCOTT Female Accepted FC 12/17/2015
JOHNSON KATZ, DAVID DR - IAM 105 E 9TH ST CORALVILLE 52241 KEOKUK Male Accepted FC 12/8/2015
JOHNSON KATZ, DAVID DR - IAM 105 E 9TH ST CORALVILLE 52241 LINN Male Accepted FC 12/8/2015
JOHNSON KNOTT, OLIVIA MD - IAM 200 HAWKINS DR IOWA CITY 52242 Not Asked Unreachable 12/15/2015
JOHNSON KUEHN, CARLY MD - IAM 105 E 9TH ST CORALVILLE 52241 JOHNSON Female Accepted FC 12/1/2015
JOHNSON MAZUR, EUGENIA - IAM 200 HAWKINS DR IOWA CITY 52242 Not Asked Unreachable 12/18/2015
JOHNSON MORSE, EMILY - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Unreachable 12/17/2015
JOHNSON NISLY, NICOLE - IAM 105 E 9TH ST CORALVILLE 52241 SCOTT Female Accepted FC 12/10/2015
JOHNSON RAY, BRIGIT DR - IAM 200 HAWKINS DR IOWA CITY 52242 Not Asked Unreachable 12/10/2015
JOHNSON RAY, BRIGIT MD - IAM 200 HAWKINS DR IOWA CITY 52242 MUSCATINE Female Accepted FC 12/22/2015
JOHNSON REGER, ANDREW MD - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Male Accepted FC 12/17/2015
JOHNSON ROY, RUPALI - IAM 200 HAWKINS DR IOWA CITY 52242 WAPELLO Refused Unreachable 12/16/2015
JOHNSON SHAIK, SHALINA - IAM 200 HAWKINS DR IOWA CITY 52242 Not Asked Unreachable 12/16/2015
JOHNSON SHAIK, SHALINA MD - IAM 200 HAWKINS DR IOWA CITY 52242 LINN Female Accepted FC 12/10/2015
JOHNSON TAEGER, VINCENT DR - IAM 1765 LININGER LN NORTH LIBERTY 52317 LINN Male Accepted FC 12/15/2015
JOHNSON TAEGER, VINCENT DR - IAM 1765 LININGER LN NORTH LIBERTY 52317 LINN Female Accepted FC 12/8/2015
JOHNSON TAEGER, VINCENT DR - IAM 1765 LININGER LN NORTH LIBERTY 52317 LINN Male Accepted FC 12/18/2015
JOHNSON U OF I HOSPITALS AND CLINICS IOWA CITY 52242 JOHNSON Male Accepted FC 12/30/2015
JOHNSON U OF I HOSPITALS AND CLINICS IOWA CITY 52242 Not Asked Declined FC 12/14/2015
JOHNSON UIHC FAMILY MEDICINE - IOWA CITY IOWA CITY 52242 Not Asked Accepted FC 12/1/2015
JOHNSON UIHC WOMEN'S HEALTH CENTER IOWA CITY 52242 Not Asked Declined FC 12/7/2015
JOHNSON WERNIMONT, SARAH - IAM 200 HAWKINS DR IOWA CITY 52242 KEOKUK Female Accepted FC 12/17/2015
JOHNSON WILLIAMS, NANCY DR - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Male Accepted FC 12/29/2015
JOHNSON WILLIAMS, NANCY DR - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Male Unreachable 12/10/2015
JOHNSON WILLIAMS, NANCY DR - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Male Unreachable 12/9/2015
JONES GREIF, ANGELA DR - IAM 1791 HWY 69 E ANAMOSA 52205 JONES Male Accepted FC 12/24/2015
JONES GREIF, ANGELA DR - IAM 1791 HWY 69 E ANAMOSA 52205 JONES Female Accepted FC 12/24/2015
JONES O'REILLY ALBER, KELLY ARNP - IAM 619 S MAIN ST MONTICELLO 52310 JONES Male Accepted FC 12/14/2015
JONES UNITYPOINT FAMILY MEDICINE -
ANAMOSA
ANAMOSA 52205 JONES Not Asked Declined FC 12/24/2015
JONES UNITYPOINT FAMILY MEDICINE -
ANAMOSA
ANAMOSA 52205 Not Asked Unreachable 12/18/2015
KEOKUK CASTRO, ROBERTO MD - IAM 23019 HWY 149 SIGOURNEY 52591 KEOKUK Not Asked Unreachable 12/23/2015
KEOKUK MALLOY, MICHELLE ARNP - IAM 1314 S STUART SIGOURNEY 52591 IOWA Female Accepted FC 12/14/2015
KEOKUK MALLOY, MICHELLE ARNP - IAM 1314 S STUART SIGOURNEY 52591 KEOKUK Female Accepted FC 12/1/2015
KEOKUK MURPHY, BRIAN - IAM 23019 HWY 149 SIGOURNEY 52591 Not Asked Unreachable 12/29/2015
KOSSUTH VENTEICHER, RACHEL - IAM 1519 S PHILLIPS ST ALGONA 50511 Not Asked Unreachable 12/3/2015
Lee DEMMELL, JAMES DR - IAM 400 N 17TH KEOKUK LEE Female Accepted FC 12/31/2015
Lee ORDONA, TRUCE MD - IAM 5409 AVE O STE 125 FORT MADISON LEE Female Accepted FC 12/3/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateLEE SCHULTE, WILLIAM - IAM 1603 MORGAN ST STE 6 KEOKUK 52632 LEE Female Accepted FC 12/16/2015
LEE SCHULTE, WILLIAM - IAM 1603 MORGAN ST STE 6 KEOKUK 52632 LEE Female Unreachable 12/7/2015
LEE WENGER-KELLER, DAVID - IAM 5409 AVE O FORT MADISON 52627 LEE Female Accepted FC 12/9/2015
LINCOLN SANFORD CLINIC SIOUX FALLS 57108 LYON Female Accepted FC 12/1/2015
Linn ACHERKAN, DMITRIY MD - IAM 9255 ATLANTIC DR SW CEDAR RAPIDS LINN Female Accepted FC 12/24/2015
Linn ANDERSON BRUNER, JUDITH - IAM 4251 RIVER CENTER CT
NE
CEDAR RAPIDS BENTON Female Accepted FC 12/8/2015
Linn BACCAM, NICOLE A-RNP - IAM 1201 3RD AVE SE CEDAR RAPIDS Not Asked Unreachable 12/16/2015
Linn LIVERMORE, URSULA - IAM 1201 3RD AVE SE CEDAR RAPIDS LINN Male Accepted FC 12/23/2015
Linn PFAB, KARI ARNP - IAM 1201 3RD AVE SE CEDAR RAPIDS LINN Male Accepted FC 12/9/2015
Linn PFAB, KARI ARNP - IAM 1201 3RD AVE SE CEDAR RAPIDS LINN Male Accepted FC 12/17/2015
Linn PFAB, KARI ARNP - IAM 1201 3RD AVE SE CEDAR RAPIDS LINN Male Accepted FC 12/16/2015
Linn WALL, PHILLY - IAM 830 4TH AVE SE CEDAR RAPIDS LINN Female Accepted FC 12/7/2015
LINN ANWAR, QADANA MD - IAM 2375 EDGEWOOD RD CEDAR RAPIDS 52404 LINN Female Accepted FC 12/31/2015
LINN BACCAM, NICOLE ARNP - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 12/1/2015
LINN BROWNELL, JOHN MD - IAM 75 SHORT ST NW CEDAR RAPIDS 52405 LINN Male Accepted FC 12/29/2015
LINN BUTLER, SARA - IAM 788 8TH AVE SE CEDAR RAPIDS 52401 Not Asked Unreachable 12/9/2015
LINN CEARLOCK, KEN MD - IAM 701 10TH ST SE CEDAR RAPIDS 52403 LINN Male Unreachable 12/17/2015
LINN CEARLOCK, KEN MD - IAM 701 10TH ST SE CEDAR RAPIDS 52403 Not Asked Unreachable 12/17/2015
LINN CEARLOCK, KEN MD - IAM 701 10TH ST SE CEDAR RAPIDS 52403 Not Asked Unreachable 12/17/2015
LINN CELIS VALDIVIEZO, EDUARDO
ARTURO - IAM
788 8TH AVE SE #200 CEDAR RAPIDS 52401 LINN Female Accepted FC 12/17/2015
LINN CELIS VALDIVIEZO, EDUARDO
ARTURO - IAM
788 8TH AVE SE #200 CEDAR RAPIDS 52401 LINN Female Accepted FC 12/17/2015
LINN CHMIELEWSKI, ALBERT MD - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 Not Asked Unreachable 12/28/2015
LINN DANIELS, BENJAMIN DR - IAM 200 VIRGIL AVE MOUNT VERNON 52314 LINN Male Accepted FC 12/22/2015
LINN DHROOVE, GATI DR - IAM 115 8TH ST NE CEDAR RAPIDS 52404 LINN Female Accepted FC 12/8/2015
LINN EID, BASSEL MD - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 12/7/2015
LINN GOETZINGER, CHRIS DR - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 12/15/2015
LINN GOETZINGER, CHRIS DR - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 12/9/2015
LINN GOLDBLATT, FRED - IAM 2996 7TH AVE STE B MARION 52302 LINN Female Accepted FC 12/21/2015
LINN GOLDBLATT, FRED - IAM 2996 7TH AVE MARION 52302 Not Asked Unreachable 12/18/2015
LINN GOLDBLATT, FRED - IAM 2996 7TH AVE MARION 52302 LINN Female Unreachable 12/1/2015
LINN GUNNETT, CAROL MD - IAM 1350 BOYSON RD BLDG
C
HIAWATHA 52233 LINN Male Accepted FC 12/28/2015
LINN HACAP CEDAR RAPIDS 52404 Not Asked Unreachable 12/14/2015
LINN HARMON, KAREN MD - IAM 1790 BLAIRS FERRY RD HIAWATHA 52233 LINN Female Unreachable 12/1/2015
LINN HEGDE, SAVITA - IAM 2375 EDGEWOOD RD SW CEDAR RAPIDS 52404 LINN Male Accepted FC 12/14/2015
LINN HEGDE, SAVITA DR - IAM 2375 EDGEWOOD RD SW CEDAR RAPIDS 52404 Not Asked Unreachable 12/2/2015
LINN HENRY, MARY JO ARNP - IAM 855 A AVE NE CEDAR RAPIDS 52402 LINN Female Accepted FC 12/10/2015
LINN HIS HANDS FREE MEDICAL CLINIC CEDAR RAPIDS 52406 JACKSON Male Accepted FC 12/14/2015
LINN HIS HANDS FREE MEDICAL CLINIC CEDAR RAPIDS 52406 Not Asked Unreachable 12/10/2015
LINN HIS HANDS FREE MEDICAL CLINIC CEDAR RAPIDS 52406 Not Asked Unreachable 12/10/2015
LINN HOLMES, JENNIFER DR - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 12/10/2015
LINN KAUR, RAVNEET - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 12/16/2015
LINN KAUR, RAVNEET - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 12/22/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateLINN KAUR, RAVNEET - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Unreachable 12/1/2015
LINN LINDO, BRIAN MD - IAM 1030 5TH AVE STE 1400 CEDAR RAPIDS 52403 LINN Female Accepted FC 12/22/2015
LINN LIVERMORE, URSULA MD - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 12/30/2015
LINN LIVERMORE, URSULA MD - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Not Asked Unreachable 12/30/2015
LINN LOTTES, PAUL MD - IAM 1030 5TH AVE SE STE
1700
CEDAR RAPIDS 52403 LINN Female Accepted FC 12/9/2015
LINN MCGRAIL, DAN - IAM 1030 5TH AVE CEDAR RAPIDS 52403 LINN Female Accepted FC 12/18/2015
LINN MERCY CARE - CEDAR RAPIDS CEDAR RAPIDS 52401 Not Asked Unreachable 12/18/2015
LINN MERCY CARE - CEDAR RAPIDS CEDAR RAPIDS 52401 Not Asked Unreachable 12/9/2015
LINN MYERS, TONY - IAM 3701 KATZ DR MARION 52302 LINN Male Accepted FC 12/24/2015
LINN NORTON, DIANE ARNP - IAM 75 SHORT ST NW CEDAR RAPIDS 52405 LINN Male Accepted FC 12/9/2015
LINN OB GYN ASSOCIATES - CEDAR
RAPIDS
CEDAR RAPIDS 52406 Not Asked Unreachable 12/1/2015
LINN OB GYN ASSOCIATES PC PO BOX 3080 CEDAR RAPIDS 52406 Not Asked Unreachable 12/30/2015
LINN PENTICO, TODD DR - IAM 310 HWY 1 SE MOUNT VERNON 52314 LINN Female Unreachable 12/17/2015
LINN PORT, ABBIE PAC - IAM 400 S BLAIRS FERRY
CROSSING STE A
HIAWATHA 52233 Not Asked Unreachable 12/7/2015
LINN REYES, PASCUALA - IAM 1100 MEADOWVIEW DR MARION 52302 SCOTT Female Accepted FC 12/17/2015
LINN REYES, PASCUALA - IAM 1100 MEADOWVIEW DR MARION 52302 LINN Female Accepted FC 12/21/2015
LINN REYES, PASCUALA - IAM 1100 MEADOWVIEW DR MARION 52302 Not Asked Unreachable 12/1/2015
LINN REYES, PASCUALA - IAM 1100 MEADOWVIEW DR MARION 52302 Not Asked Unreachable 12/3/2015
LINN RICHMANN, THOMAS - IAM 2996 7TH AVE STE B MARION 52302 LINN Female Accepted FC 12/22/2015
LINN RISK II, WINTHROP DR - IAM 811 5TH AVE SE CEDAR RAPIDS 52403 LINN Male Accepted FC 12/24/2015
LINN ROBINSON, STEPHANIE ARNP - IAM 1790 BLAIRS FERRY RD HIAWATHA 52233 LINN Male Accepted FC 12/1/2015
LINN SCHULTES, ROBERT MD - IAM 1444 2ND AVE SE CEDAR RAPIDS 52403 LINN Male Accepted FC 12/2/2015
LINN SCHULTES, ROBERT MD - IAM 1444 2ND AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 12/8/2015
LINN SCHULTES, ROBERT MD - IAM 1444 2ND AVE SE CEDAR RAPIDS 52403 LINN Male Accepted FC 12/15/2015
LINN SCHULTES, ROBERT MD - IAM 1444 2ND AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 12/22/2015
LINN SCHULTES, ROBERT MD - IAM 1444 2ND AVE SE CEDAR RAPIDS 52403 Not Asked Unreachable 12/22/2015
LINN SHEFF, DAVID - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 12/1/2015
LINN SHEFF, DAVID - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Male Unreachable 12/3/2015
LINN SNITKER, SARA DO - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 12/7/2015
LINN SNITKER, SARA DO - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 12/14/2015
LINN STAHLBERG, MELANIE - IAM 543 7TH ST SE CEDAR RAPIDS 52401 LINN Female Accepted FC 12/9/2015
LINN STEIDL, KRISTEN - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 12/9/2015
LINN STEWART, TERESA PAC - IAM 6911 C AVE NE CEDAR RAPIDS 52402 LINN Female Accepted FC 12/14/2015
LINN STEWART, TERESA PAC - IAM 6911 C AVE NE CEDAR RAPIDS 52402 LINN Male Accepted FC 12/14/2015
LINN SWAILES, ERIN ARNP - IAM 1350 BOYSEN RD BLDG
B STE B
HIAWATHA 52233 LINN Female Accepted FC 12/8/2015
LINN VANDENBOSCH, DANIEL MD - IAM 2375 EDGWOOD RD SW CEDAR RAPIDS 52404 LINN Female Declined FC 12/22/2015
LINN WALLACE, JAMIE MD - IAM 200 VIRGILE AVE SE MOUNT VERNON 52314 CEDAR Female Accepted FC 12/17/2015
LINN WALLACE-SMITH, JAMIE - IAM 200 VIRGIL AVE SE MOUNT VERNON 52314 LINN Female Accepted FC 12/2/2015
LINN WALLACE-SMITH, JAMIE - IAM 200 VIRGIL AVE SE MOUNT VERNON 52314 CEDAR Female Accepted FC 12/22/2015
LINN WALLACE-SMITH, JAMIE - IAM 200 VIRGIL AVE SE MOUNT VERNON 52314 Not Asked Unreachable 12/29/2015
LINN WELSH, TRISH ARNP - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 12/10/2015
LINN WELSH, TRISHA - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 12/16/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateLINN WILKINSON, MARC MD - IAM 788 8TH AVE SE STE 202 CEDAR RAPIDS 52401 LINN Male Accepted FC 12/22/2015
LINN WILSON, AMY ARNP - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 12/8/2015
LINN WILSON, AMY ARNP - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Male Unreachable 12/17/2015
LINN YOUNGER, CLETE - IAM 1030 5TH AVE SE STE
1400
CEDAR RAPIDS 52403 LINN Male Accepted FC 12/17/2015
LOUISA DIRKS, SUSAN - IAM 2409 SPRING ST COLUMBUS CITY 52737 LOUISA Male Unreachable 12/9/2015
Lucas HARVEY, JULIA ARNP - IAM 1030 N 7TH CHARITON 50049 LUCAS Male Accepted FC 12/30/2015
Lucas HARVEY, JULIA ARNP - IAM 1030 N 7TH CHARITON 50049 LUCAS Female Accepted FC 12/30/2015
Lucas HARVEY, JULIA ARNP - IAM 1030 N 7TH CHARITON 50049 LUCAS Male Unreachable 12/24/2015
LUCAS COHEN, GREG DR - IAM 1200 N 7TH ST CHARITON 50049 Not Asked Unreachable 12/30/2015
MADISON CHEN, KASSIDY PAC - IAM 60 E CANT AVE WINTERSET 50273 MADISON Male Accepted FC 12/3/2015
MAHASKA BONNETT, VALERIE DR - IAM 1229 C AVE E OSKALOOSA 52577 MAHASKA Female Accepted FC 12/9/2015
MAHASKA BONNETT, VALERIE DR - IAM 1229 C AVE E OSKALOOSA 52577 POWESHIEK Female Unreachable 12/18/2015
MAHASKA MAIN, TANETTA ARNP - IAM 1229 C AVE E OSKALOOSA 52577 MAHASKA Female Accepted FC 12/17/2015
MAHASKA MAIN, TANETTA ARNP - IAM 1229 C AVE E OSKALOOSA 52577 MAHASKA Female Accepted FC 12/29/2015
MAHASKA MAIN, TANETTA ARNP - IAM 1229 C AVE E OSKALOOSA 52577 MAHASKA Female Unreachable 12/9/2015
MAHASKA MILLER, ERIC MD - IAM 1229 C AVE E OSKALOOSA 52577 MAHASKA Male Accepted FC 12/4/2015
MAHASKA RUCKMAN, LISA DR - IAM 1229 C AVE W OSKALOOSA 52577 POWESHIEK Female Accepted FC 12/14/2015
MAHASKA SCOTT, JENNIFER - IAM 1229 C AVE E OSKALOOSA 52577 Not Asked Declined FC 12/7/2015
Marhsall CLENDENING, DEBORAH - IAM 412 E CHURCH ST MARSHALLTOWN HARDIN Female Accepted FC 12/22/2015
Marhsall DALE, ALLEN PA - IAM 412 E CHURCH ST MARSHALLTOWN MARSHALL Female Accepted FC 12/17/2015
MARION BARCLAY, SCOTT MD - IAM 1208 N LINCOLN KNOXVILLE 50138 MARION Female Accepted FC 12/21/2015
MARION CARLSTONE, SPENCER MD - IAM 405 MONROE ST PELLA 50219 MARION Male Accepted FC 12/4/2015
MARION CARLSTONE, SPENCER MD - IAM 405 MONROE ST PELLA 50219 MARION Male Accepted FC 12/7/2015
MARION CHILDERSTON, RONALD - IAM 405 MONROE ST PELLA 50219 MAHASKA Not Asked Unreachable 12/24/2015
MARION KRUPICKA, JENNIFER PAC - IAM 405 MONROE ST PELLA 50219 Not Asked Active 12/31/2015
MARION LAUTENBACH, JULIE - IAM 405 MONROE ST PELLA 50219 MARION Female Accepted FC 12/4/2015
MARION ROWLEY, NATALIE - IAM 1202 W HOWARD KNOXVILLE 50138 MONROE Female Accepted FC 12/3/2015
MARION VANDERBROEK, NANCY DR - IAM 405 MONROE ST PELLA 50219 MARION Female Accepted FC 12/4/2015
Marshall DALE, ALLEN PA - IAM 412 E CHURCH ST MARSHALLTOWN MARSHALL Male Accepted FC 12/17/2015
MARSHALL ANDERSON, KOBY PAC - IAM 412 E CHURCH ST MARSHALLTOWN 50158 MARSHALL Female Accepted FC 12/31/2015
MARSHALL ANDERSON, KOBY PAC - IAM 412 E CHURCH ST MARSHALLTOWN 50158 MARSHALL Female Accepted FC 12/30/2015
MARSHALL CLENDENING, DEBORAH FNP - IAM 412 E CHURCH ST MARSHALLTOWN 50158 MARSHALL Female Accepted FC 12/28/2015
MARSHALL GASTALA, NICOLE DR - IAM 412 E CHURCH ST MARSHALLTOWN 50158 MARSHALL Male Accepted FC 12/31/2015
MARSHALL GASTALA, NICOLE DR - IAM 412 E CHURCH ST MARSHALLTOWN 50158 MARSHALL Female Unreachable 12/10/2015
MARSHALL PRIMARY HC - MARSHALLTOWN
MEDICAL CLINIC
MARSHALLTOWN 50158 Not Asked Unreachable 12/31/2015
MARSHALL SWINTON, TIM - IAM 412 E CHURCH ST MARSHALLTOWN 50158 Not Asked Unreachable 12/16/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateMARSHALL SWINTON, TIM - IAM 412 E CHURCH ST MARSHALLTOWN 50158 Not Asked Unreachable 12/16/2015
MARSHALL SWINTON, TIM DR - IAM 412 EAST CHURCH ST MARSHALLTOWN 50158 MARSHALL Female Accepted FC 12/17/2015
MARSHALL SWINTON, TIM DR - IAM 412 EAST CHURCH ST MARSHALLTOWN 50158 MARSHALL Male Accepted FC 12/10/2015
MARSHALL SWINTON, TIM DR - IAM 412 EAST CHURCH ST MARSHALLTOWN 50158 Not Asked Unreachable 12/31/2015
MILLS BAER, THOMAS DR - IAM 415 MAIN ST 1 MALVERN 51551 MILLS Female Accepted FC 12/17/2015
MILLS KENT, ROBERT MD - IAM 1203 S LOCUST GLENWOOD 51534 MILLS Male Accepted FC 12/31/2015
MILLS KENT, ROBERT MD - IAM 1203 S LOCUST GLENWOOD 51534 FREMONT Female Accepted FC 12/31/2015
MILLS SCHMIESING, MICHAEL MD - IAM 320 EBAUGHT ST GLENWOOD 51534 MILLS Female Accepted FC 12/24/2015
MINNEHAHA SANTELLA ROBERT N DR - IAM 1315 S CLIFF AVE SIOUX FALLS 57105 CLAY Male Accepted FC 12/15/2015
MINNEHAHA SPANOS, W CHAD MD - IAM 1310 W 22ND ST SIOUX FALLS 57105 WOODBURY Male Accepted FC 12/31/2015
MITCHELL HAGANMAN, MARK MD - IAM 620 N 8TH ST OSAGE 50461 MITCHELL Female Accepted FC 12/14/2015
MONONA DUDLEY, PAUL MD - IAM 1614 DIAMOND ST PL ONAWA 51040 MONONA Male Accepted FC 12/21/2015
MONONA KAHL, TRACY - IAM 1614 DIAMOND ST PL ONAWA 51040 MONONA Male Unreachable 12/21/2015
MONONA KENNEDY, SHANNON DR - IAM 1614 DIAMOND ST PL ONAWA 51040 MONONA Female Accepted FC 12/1/2015
MONONA MOORE, KATHRYN - IAM 1614 DIAMOND STREET
PL
ONAWA 51040 HARRISON Female Accepted FC 12/7/2015
MONONA MOSER, GAIL - IAM 1614 DIAMOND ST ONAWA 51040 MONONA Female Accepted FC 12/18/2015
MONONA MOSER, GAIL - IAM 1614 DIAMOND ST ONAWA 51040 WOODBURY Female Accepted FC 12/29/2015
MONROE CURIEL, ALEJANDRO - IAM 6580 165TH ST ALBIA 52531 MONROE Female Accepted FC 12/18/2015
MONROE HAAS, GERALD DO - IAM 6582 165TH ST ALBIA 52531 Not Asked Accepted FC 12/7/2015
MONROE VITKO, LORI ARNP - IAM 6582 165TH ST ALBIA 52531 WAPELLO Female Accepted FC 12/22/2015
Montgomery HAYES, WARREN DR - IAM 1400 SENATE AVE STE
105
RED OAK MONTGOMERY Female Accepted FC 12/4/2015
MONTGOMERY GOSSETT, SUSAN DENISE - IAM 301 E 4TH ST VILLISCA 50864 MONTGOMERY Female Accepted FC 12/10/2015
MONTGOMERY MARTINEZ, EFFIE ARNP - IAM 309 S 5TH AVE VILLISCA 50864 MONTGOMERY Male Accepted FC 12/16/2015
MONTGOMERY RED OAK INTERNAL MEDICINE RED OAK 51566 Not Asked Unreachable 12/4/2015
MONTGOMERY RED OAK INTERNAL MEDICINE RED OAK 51566 Not Asked Unreachable 12/17/2015
Muscatine COLON, BETH - IAM 1518 MULBERY AVE MUSCATINE MUSCATINE Female Accepted FC 12/9/2015
Muscatine COLON, BETH - IAM 1518 MULBERY AVE MUSCATINE MUSCATINE Male Accepted FC 12/14/2015
MUSCATINE THORNBURG, JASON - IAM 400 OVESEN DR WILTON 52778 MUSCATINE Female Accepted FC 12/10/2015
MUSCATINE UNITYPOINT CLINIC OB/GYN MUSCATINE 52761 MUSCATINE Female Accepted FC 12/15/2015
MUSCATINE WISEMAN, KIMBERLY - IAM 1518 MULBERRY AVE MUSCATINE 52761 MUSCATINE Female Accepted FC 12/9/2015
MUSCATINE WISEMAN, KIMBERLY - IAM 1518 MULBERRY AVE MUSCATINE 52761 Not Asked Unreachable 12/24/2015
Not Available BALTA, CYNTHIA PAC - IAM 1400 SENATE AVE STE
105
MONTGOMERY Female Accepted FC 12/18/2015
Not Available CAVEY, ANDREA MD - IAM 1345 W CENTRAL PARK SCOTT Male Accepted FC 12/21/2015
Not Available CAVEY, ANDREA MD - IAM 1345 W CENTRAL PARK Not Asked Unreachable 12/2/2015
Not Available CLARK, STEVEN - IAM COLLEGE OF
DENTISTRY
LINN Male Accepted FC 12/9/2015
Not Available FRAZEE, DANIE PAC - IAM 1751 MADISON AVE POTTAWATTAM
IE
Female Accepted FC 12/15/2015
Not Available HARDIE, RICHARD - IAM 1205 S GRANGE AVE
STE 407
SIOUX FALLS LYON Not Asked Unreachable 12/17/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateNot Available MCCREERY, RANDY - IAM 139 S 40TH ST OMAHA POTTAWATTAM
IE
Male Accepted FC 12/14/2015
Not Available MEIER, JEFF - IAM 200 HAWKINS DR LINN Male Accepted FC 12/24/2015
Not Available MEYER, AMBER DR - IAM 1345 W CENTRAL PARK Not Asked Unreachable 12/17/2015
Not Available NEYMEYER, MELISSA - IAM 1351 W CENTRAL PARK
AVE STE 4300
CEDAR Female Accepted FC 12/2/2015
Not Available REEDY, REGINA A-RNP - IAM 215 13TH AVE SW WRIGHT Female Accepted FC 12/10/2015
Not Available SCHOPE, RONALD DR - IAM 1515 DELHI STE 100 DUBUQUE Male Accepted FC 12/14/2015
Not Available SCHOPE, RONALD DR - IAM 1515 DELHI STE 100 DUBUQUE Male Accepted FC 12/16/2015
Not Available STEARNES, RACHEL - IAM 1 EDMUNDSON PL STE
310
POTTAWATTAM
IE
Male Accepted FC 12/10/2015
Not Available STEARNES, RACHEL - IAM 1 EDMUNDSON PL STE
310
POTTAWATTAM
IE
Female Accepted FC 12/9/2015
Not Available STEARNES, RACHEL - IAM 1 EDMUNDSON PL STE
310
POTTAWATTAM
IE
Female Accepted FC 12/3/2015
Not Available STILLE, CHRIS DR - IAM 1000 LANGWORTHY DUBUQUE Female Accepted FC 12/2/2015
Not Available STILLE, CHRIS DR - IAM 1000 LANGWORTHY DUBUQUE Female Accepted FC 12/24/2015
Not Available STROMBERG, MARY JO ARNP - IAM 217 20TH ST NW BUTLER Female Accepted FC 12/31/2015
Not Available TREIMER, TODD - IAM 1208 N LINCOLN ST MARION Female Accepted FC 12/24/2015
OBRIEN BADBERG, AMY - IAM 800 OAK ST BOX 10 SHELDON 51201 OBRIEN Female Accepted FC 12/31/2015
OBRIEN LICHTY, SCOTT - IAM 800 OAK ST SHELDON 51201 OBRIEN Female Accepted FC 12/2/2015
PAGE BUMGARNER, DONALD - IAM 1 JACK FOSTER DR SHENANDOAH 51601 PAGE Female Accepted FC 12/16/2015
PAGE BUMGARNER, DONALD - IAM 1 JACK FOSTER DR SHENANDOAH 51601 Not Asked Unreachable 12/7/2015
PAGE ISAACSON, TODD - IAM 1 JACK FOSTER DR SHENANDOAH 51601 PAGE Male Accepted FC 12/22/2015
PAGE STIRGWOLT, JENNIFER DO - IAM ONE JACK FOSTER DR SHENANDOAH 51601 FREMONT Female Accepted FC 12/16/2015
PAGE STIRGWOLT, JENNIFER DO - IAM ONE JACK FOSTER DR SHENANDOAH 51601 FREMONT Female Accepted FC 12/14/2015
PALO ALTO BEEHLER, JULIE - IAM 3201 1ST ST EMMETSBURG 50536 PALO ALTO Female Accepted FC 12/9/2015
PALO ALTO BEEHLER, JULIE ARNP - IAM 3201 1ST ST EMMETSBURG 50536 POCAHONTAS Female Accepted FC 12/9/2015
Plymouth WOLFF, CYNTHIA DR - IAM 321 MILL ST AKRON PLYMOUTH Male Accepted FC 12/16/2015
Plymouth WOLFF, CYNTHIA DR - IAM 321 MILL ST AKRON PLYMOUTH Female Accepted FC 12/14/2015
POCAHONTAS GREENLEE, ABBY - IAM 608 NW 7TH ST POCAHONTAS 50574 Not Asked Unreachable 12/3/2015
POCAHONTAS MAURER, KYLIE PAC - IAM 307 HIGHWAY 10 LAURENS 50554 POCAHONTAS Male Accepted FC 12/17/2015
Polk BENNETT, SALLY PAC - IAM 5900 E UNIVERSITY AVE PLEASANT HILL POLK Male Accepted FC 12/18/2015
Polk FEJFAR, JENNIFER DO - IAM 6000 UNIVERSITY AVE
STE 101
WEST DES
MOINES
POLK Female Accepted FC 12/15/2015
Polk KERSENBROCK, KATHRYN - IAM 1801 HICKMAN RD POLK Female Accepted FC 12/28/2015
Polk KESHWANI, ANISH - IAM 840 E UNIVERSITY AVE DES MOINES POLK Female Accepted FC 12/9/2015
Polk KRUSE, JASON DO - IAM 1801 HICKMAN RD POLK Female Accepted FC 12/18/2015
Polk KRUSE, JASON DO - IAM 1801 HICKMAN RD Not Asked Unreachable 12/3/2015
Polk OVERTON, RACHEL MD - IAM 6010 MILLS CIVIC PKWY
STE 200
POLK Female Accepted FC 12/9/2015
Polk QUESTAD, DEANNA - IAM 2515 SW STATE ST ANKENY POLK Female Accepted FC 12/21/2015
Polk QUESTAD, DEANNA - IAM 2515 SW STATE ST ANKENY POLK Female Declined FC 12/17/2015
Polk TRIPP, KATE - IAM 1200 UNIVERSITY AVE
STE 120
DES MOINES POLK Female Accepted FC 12/22/2015
POLK ABELS, LAURA MD - IAM 1350 DES MOINES ST DES MOINES 50309 Not Asked Unreachable 12/1/2015
POLK AICH, MUKTI MD - IAM 2301 E 14TH ST DES MOINES 50316 POLK Male Accepted FC 12/8/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DatePOLK ALARCON-SCHROEDER, CARLOS -
IAM
6200 AURORA AVE URBANDALE 50322 POLK Female Accepted FC 12/15/2015
POLK BAUMAN, KIM MD - IAM 6200 AURORA 100 W URBANDALE 50322 GREENE Female Accepted FC 12/17/2015
POLK BAUMERT, MARC - IAM 1801 HICKMAN DES MOINES 50314 POLK Male Accepted FC 12/8/2015
POLK BAUMERT, MARC - IAM 1801 HICKMAN DES MOINES 50314 POLK Male Accepted FC 12/8/2015
POLK BERMEL, HOLLEY - IAM 2301 E 14TH ST DES MOINES 50316 POLK Female Accepted FC 12/22/2015
POLK BOLLIN, REBECCA - IAM 1801 HICKMAN DES MOINES 50314 POLK Male Accepted FC 12/14/2015
POLK CHRISTIANSON, LINDSEY - IAM 1801 HICKMAN RD DES MOINES 50314 WARREN Female Accepted FC 12/8/2015
POLK CHRISTIANSON, LINDSEY - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 12/31/2015
POLK CLAIR, LAURIE - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 12/10/2015
POLK CLAIR, LAURIE - IAM 1801 HICKMAN RD DES MOINES 50314 Not Asked Unreachable 12/15/2015
POLK CRANE, AMY PAC - IAM 3200 GRAND AVE DES MOINES 50312 POLK Not Asked Unreachable 12/8/2015
POLK ENGEBRETSEN, BERY MD - IAM 1200 UNIVERSITY AVE
STE 120
DES MOINES 50314 POLK Female Accepted FC 12/31/2015
POLK FASBENDER, PATRICIA - IAM 4020 MERLE HAY RD DES MOINES 50310 POLK Female Unreachable 12/7/2015
POLK FLUG, RYAN ARNP - IAM 2353 SE 14TH ST DES MOINES 50320 Not Asked Unreachable 12/1/2015
POLK FRANCISCO, LAURA - IAM 2720 8TH ST SW ALTOONA 50009 POLK Not Asked Declined FC 12/31/2015
POLK FURNESS, KEVIN DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 12/31/2015
POLK FURNESS, KEVIN DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 12/7/2015
POLK FURNESS, KEVIN DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 12/7/2015
POLK FURNESS, KEVIN DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 12/15/2015
POLK FURNESS, KEVIN DR - IAM 1801 HICKMAN RD DES MOINES 50314 Not Asked Unreachable 12/9/2015
POLK FURNESS, KEVIN DR - IAM 1801 HICKMAN RD DES MOINES 50314 Not Asked Unreachable 12/7/2015
POLK FURNESS, KEVIN DR - IAM 1801 HICKMAN RD DES MOINES 50314 Not Asked Unreachable 12/31/2015
POLK GANSKE, CORRINE DR - IAM 840 E UNIVERSITY DES MOINES 50316 POLK Male Unreachable 12/14/2015
POLK GERRIETTS, JENNIFER - IAM 6601 SW 9TH ST DES MOINES 50315 Not Asked Unreachable 12/10/2015
POLK GILG, NICOLE - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 12/9/2015
POLK GUDGEL, ELIZABETH AR-NP - IAM 411 LAUREL ST STE A120 DES MOINES 50314 Not Asked Unreachable 12/2/2015
POLK HANSEN-PENMAN, WENDY - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 12/16/2015
POLK HANSEN-PENMAN, WENDY - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 12/23/2015
POLK HANSEN-PENMAN, WENDY - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 12/24/2015
POLK HANSEN-PENMAN, WENDY - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 12/21/2015
POLK HANSEN-PENMAN, WENDY - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Unreachable 12/1/2015
POLK HAWKINS, RONNIE DR - IAM PO BOX 1475 DES MOINES 50320 POLK Male Unreachable 12/3/2015
POLK HENDERSON, FLORITA - IAM 1005 E PENN DES MOINES 50305 WAPELLO Female Accepted FC 12/7/2015
POLK ISMAEL, ZIAD MD - IAM 1601 NW 114TH ST #347 CLIVE 50325 POLK Female Accepted FC 12/15/2015
POLK ISMAEL, ZIAD MD - IAM 1601 NW 114TH ST #347 CLIVE 50325 DALLAS Female Accepted FC 12/17/2015
POLK JUST, ZIWEI - IAM 2353 SE 14TH ST DES MOINES 50320 POLK Female Accepted FC 12/8/2015
POLK KLOCK, LISA DR - IAM PO BOX 1475 CLIVE 50325 POLK Female Accepted FC 12/8/2015
POLK KLOCK, LISA DR - IAM PO BOX 1475 CLIVE 50325 POLK Female Accepted FC 12/8/2015
POLK LAIR, BRADLEY MD - IAM 1801 HICKMAN RD DES MOINES 50314 MADISON Female Accepted FC 12/18/2015
POLK LAIR, BRADLEY MD - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 12/31/2015
POLK LAW, JAMES B DO - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 12/1/2015
POLK MAANUM, SCOTT MD - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 12/1/2015
POLK MADSON, BRANDON DR - IAM 2301 E 14TH ST DES MOINES 50316 Not Asked Unreachable 12/2/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DatePOLK MADSON, BRANDON DR - IAM 2301 E 14TH ST DES MOINES 50316 Not Asked Unreachable 12/15/2015
POLK MATHES, ASHLEY DO - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 12/16/2015
POLK MATHES, ASHLEY DO - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 12/15/2015
POLK MATHES, ASHLEY DO - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 12/30/2015
POLK MATHES, ASHLEY DO - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 12/21/2015
POLK MATHES, ASHLEY DO - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Unreachable 12/8/2015
POLK MATHES, ASHLEY DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 12/9/2015
POLK MATSON, CHRISTOPHER DO - IAM 1801 HICKMAN DES MOINES 50314 POLK Not Asked Unreachable 12/24/2015
POLK MAY, BRANDON - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Unreachable 12/9/2015
POLK MCGARGILL, JOSEPH MD - IAM 5900 E UNIVERSITY DES MOINES 50327 POLK Female Accepted FC 12/31/2015
POLK MEIN, LORENE ARNP - IAM 1350 DES MOINES ST DES MOINES 50309 POLK Female Accepted FC 12/21/2015
POLK MEIN, LORENE ARNP - IAM 1350 DES MOINES ST DES MOINES 50309 POLK Male Accepted FC 12/2/2015
POLK MEIN, LORENE ARNP - IAM 1350 DES MOINES ST DES MOINES 50309 POLK Female Accepted FC 12/2/2015
POLK MEIN, LORENE ARNP - IAM 1350 DES MOINES ST DES MOINES 50309 POLK Female Accepted FC 12/15/2015
POLK MEIN, LORENE ARNP - IAM 1350 DES MOINES ST DES MOINES 50309 POLK Female Accepted FC 12/9/2015
POLK MEIN, LORENE ARNP - IAM 1350 DES MOINES ST DES MOINES 50309 POLK Female Unreachable 12/18/2015
POLK MERCY CAMPUS MEDICAL CLINIC DES MOINES 50314 POLK Female Accepted FC 12/9/2015
POLK MERCY SLEEP CENTER CLIVE 50325 POLK Female Accepted FC 12/18/2015
POLK MEYER, SCOTT PAC - IAM 2720 8TH ST SW ALLEMAN 50007 POLK Male Accepted FC 12/14/2015
POLK MITCHELL, AMY - IAM 2605 SW WHITE BIRCH
DR
ANKENY 50023 POLK Female Unreachable 12/16/2015
POLK MOLAKAH, NEETHA MD - IAM 1200 UNIVERSITY AVE
STE 120
DES MOINES 50314 POLK Female Accepted FC 12/2/2015
POLK MOLAKAH, NEETHA MD - IAM 1200 UNIVERSITY AVE
STE 120
DES MOINES 50314 STORY Male Unreachable 12/30/2015
POLK MUNDT, NOELLE ARNP - IAM 840 E UNIVERSITY AVE DES MOINES 50316 POLK Female Accepted FC 12/22/2015
POLK NAEVE, LIBBY DR - IAM 5900 E UNIVERSITY AVE PLEASANT HILL 50327 POLK Female Accepted FC 12/17/2015
POLK NAEVE, LIBBY DR - IAM 5900 E UNIVERSITY AVE PLEASANT HILL 50327 POLK Female Accepted FC 12/16/2015
POLK PALAKURTHY, UMA MD - IAM 2353 SE 14TH ST DES MOINES 50320 POLK Male Accepted FC 12/9/2015
POLK PARKER, RACHAEL DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Unreachable 12/2/2015
POLK PARKER, RACHAEL DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Unreachable 12/9/2015
POLK PARKER, RACHEL DR IAM DES MOINES 50315 POLK Male Accepted FC 12/15/2015
POLK PODUSKA, ALEXIS PAC - IAM 3509 E 29TH ST A DES MOINES 50317 POLK Female Accepted FC 12/18/2015
POLK REMER, DEANNE - IAM 18010 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 12/28/2015
POLK REMER, DEANNE - IAM 18010 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 12/28/2015
POLK ROMINE, MEGAN - IAM 6010 MILISCINE PKWY WEST DES
MOINES
50266 DALLAS Female Declined FC 12/1/2015
POLK ROYSTON, CLINT PMHNPBC - IAM 6200 AURORA AVE 401E URBANDALE 50322 Not Asked Unreachable 12/9/2015
POLK SAMS, PAIGE - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 12/7/2015
POLK SCHISSEL, DAWN MD - IAM 230 S 68TH ST STE 1203 WEST DES
MOINES
50266 DALLAS Male Accepted FC 12/7/2015
POLK SCHOLTEN, SANDRA ARNP - IAM 1801 HICKMAN DES MOINES 50314 POLK Female Accepted FC 12/10/2015
POLK SHAHID, SAIMA - IAM 7481 HWY 65/69 DES MOINES 50320 POLK Female Accepted FC 12/31/2015
POLK SONNACK, MARIA PAC - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Unreachable 12/16/2015
POLK STEVENS, CRAIG - IAM 1301 PENN AVE STE 100 DES MOINES 50316 POLK Female Accepted FC 12/1/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DatePOLK STITT-LUX, STEPHANIE MD - IAM 5950 UNIVERSITY AVE WEST DES
MOINES
50266 POLK Male Accepted FC 12/24/2015
POLK STITT-LUX, STEPHANIE MD - IAM 5950 UNIVERSITY AVE WEST DES
MOINES
50266 POLK Male Unreachable 12/16/2015
POLK TAYLOR, HOLLAND - IAM 120 NW 36TH ST ANKENY 50023 POLK Female Accepted FC 12/10/2015
POLK VAN EFFEN, SARA ARNP - IAM 1350 DES MOINES ST DES MOINES 50309 POLK Female Accepted FC 12/2/2015
POLK WESTERLY, BLAIR DR - IAM 1601 NW 114TH ST STE
347
CLIVE 50325 BOONE Male Accepted FC 12/15/2015
POLK YOUNG, SHERYL - IAM 4821 SW 9TH ST DES MOINES 50315 POLK Female Accepted FC 12/14/2015
POLK YOUNG, SHERYL ARNP - IAM 4821 SW 9TH ST DES MOINES 50315 POLK Female Accepted FC 12/17/2015
POLK YOUNG, SHERYL ARNP - IAM 4821 SW 9TH ST DES MOINES 50315 POLK Female Accepted FC 12/2/2015
POLK YOUNG, SHERYL ARNP - IAM 4821 SW 9TH ST DES MOINES 50315 POLK Female Accepted FC 12/7/2015
POLK YOUNG, SHERYL ARNP - IAM 4821 SW 9TH ST DES MOINES 50315 POLK Female Unreachable 12/24/2015
POLK ZAFIROV, CLARISSA DR - IAM 250 LAUREL ST DES MOINES 50314 Not Asked Unreachable 12/29/2015
Pottawattamie IDEKER, TERRY ARNP - IAM 515 E BROADWAY COUNCIL BLUFFS POTTAWATTAM
IE
Female Accepted FC 12/31/2015
Pottawattamie IDEKER, TERRY ARNP - IAM 515 E BROADWAY COUNCIL BLUFFS POTTAWATTAM
IE
Female Accepted FC 12/31/2015
Pottawattamie MCCOOL, JESSICA - IAM 1 EDMUNDSON PL STE
310
COUNCIL BLUFFS POTTAWATTAM
IE
Female Unreachable 12/14/2015
Pottawattamie MCELDERRY, THOMAS DR - IAM ONE EDMUNDSON PL
#310
COUNCIL BLUFFS POTTAWATTAM
IE
Female Accepted FC 12/18/2015
Pottawattamie MCELDERRY, THOMAS DR - IAM ONE EDMUNDSON PL
#310
COUNCIL BLUFFS POTTAWATTAM
IE
Male Accepted FC 12/17/2015
Pottawattamie MCELDERRY, THOMAS DR - IAM ONE EDMUNDSON PL
#310
COUNCIL BLUFFS Not Asked Declined FC 12/16/2015
Pottawattamie MCELDERRY, THOMAS DR - IAM ONE EDMUNDSON PL
#310
COUNCIL BLUFFS Not Asked Unreachable 12/9/2015
POTTAWATTAMIE ARMBRUSTER, JAMIE - IAM 715 HARMONY 2ND
FLOOR
COUNCIL BLUFFS 51503 POTTAWATTAM
IE
Female Accepted FC 12/23/2015
POTTAWATTAMIE FAMILY INC COUNCIL BLUFFS 51503 Not Asked Unreachable 12/15/2015
POTTAWATTAMIE FRAZEE, DANIE - IAM 1751 MADISON AVE COUNCIL BLUFFS 51503 POTTAWATTAM
IE
Male Accepted FC 12/15/2015
POTTAWATTAMIE GONZALES, KELLY - IAM 902 S 6TH ST COUNCIL BLUFFS 51501 POTTAWATTAM
IE
Female Accepted FC 12/9/2015
POTTAWATTAMIE IDEKER, TERRY - IAM 1515 AVENUE J COUNCIL BLUFFS 51501 POTTAWATTAM
IE
Female Accepted FC 12/10/2015
POTTAWATTAMIE INROADS TO RECOVERY COUNCIL BLUFFS 51503 Not Asked Declined FC 12/7/2015
POTTAWATTAMIE JOHNSON, WENDY - IAM 3434 W BROADWAY COUNCIL BLUFFS 51501 POTTAWATTAM
IE
Female Accepted FC 12/23/2015
POTTAWATTAMIE JOHNSON, WENDY - IAM 3434 W BROADWAY COUNCIL BLUFFS 51501 POTTAWATTAM
IE
Female Accepted FC 12/29/2015
POTTAWATTAMIE JOHNSON, WENDY - IAM 3434 W BROADWAY COUNCIL BLUFFS 51501 POTTAWATTAM
IE
Female Accepted FC 12/26/2015
POTTAWATTAMIE KAWAMITSU, TAKASHI MD - IAM ONE EDMUNDSON PLA COUNCIL BLUFFS 51503 POTTAWATTAM
IE
Male Accepted FC 12/1/2015
POTTAWATTAMIE LEE, STEPHANIE PAC - IAM 1701 W BROADWAY COUNCIL BLUFFS 51501 POTTAWATTAM
IE
Female Accepted FC 12/14/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DatePOTTAWATTAMIE MADSON, CHERYL MD - IAM 1751 MADISON AVE COUNCIL BLUFFS 51503 POTTAWATTAM
IE
Male Accepted FC 12/1/2015
POTTAWATTAMIE MARAR, ISAM MD - IAM 1701 W BROADWAY COUNCIL BLUFFS 51501 POTTAWATTAM
IE
Female Accepted FC 12/2/2015
POTTAWATTAMIE MARAR, ISAM MD - IAM 1701 W BROADWAY COUNCIL BLUFFS 51501 Not Asked Unreachable 12/22/2015
POTTAWATTAMIE MCELDERRY, THOMAS - IAM ONE EDMUNDON PL STE
310
COUNCIL BLUFFS 51503 POTTAWATTAM
IE
Female Accepted FC 12/23/2015
POTTAWATTAMIE MCELDERRY, THOMAS - IAM ONE EDMUNDON PL STE
310
COUNCIL BLUFFS 51503 POTTAWATTAM
IE
Male Accepted FC 12/7/2015
POTTAWATTAMIE NANDA, SHELLY - IAM 801 HARMONY ST STE
401
COUNCIL BLUFFS 51503 POTTAWATTAM
IE
Male Accepted FC 12/9/2015
POTTAWATTAMIE POKORSKI, ALAN PA - IAM 201 RIDGE ST #201 COUNCIL BLUFFS 51503 POTTAWATTAM
IE
Female Accepted FC 12/1/2015
POTTAWATTAMIE RABADI-MARAR, DIANA - IAM 1701 W BROADWAY COUNCIL BLUFFS 51501 POTTAWATTAM
IE
Female Accepted FC 12/7/2015
POTTAWATTAMIE RABADI-MARAR, DIANA - IAM 1701 W BROADWAY COUNCIL BLUFFS 51501 POTTAWATTAM
IE
Female Accepted FC 12/14/2015
POTTAWATTAMIE ROCA, MEL MD - IAM 3135 WESTBROAD WAY COUNCIL BLUFFS 51501 POTTAWATTAM
IE
Female Accepted FC 12/16/2015
POTTAWATTAMIE ROHATGI, KAVISH - IAM 2201 W BDY COUNCIL BLUFFS 51501 POTTAWATTAM
IE
Male Accepted FC 12/16/2015
POTTAWATTAMIE SALARIA, VIKRANT DR - IAM 801 HARMONY ST STE
401
COUNCIL BLUFFS 51501 POTTAWATTAM
IE
Female Accepted FC 12/2/2015
POTTAWATTAMIE SHEPPARD, K NEIL DR - IAM 3135 W BROADWAY COUNCIL BLUFFS 51501 Not Asked Unreachable 12/28/2015
POTTAWATTAMIE THOMAS, J GREGORY MD - IAM 715 HARMONY ST COUNCIL BLUFFS 51503 POTTAWATTAM
IE
Female Accepted FC 12/3/2015
POTTAWATTAMIE WANZEK III, JOSEPH DO - IAM 3434 W BROADWAY COUNCIL BLUFFS 51501 POTTAWATTAM
IE
Female Accepted FC 12/8/2015
POTTAWATTAMIE WANZEK III, JOSEPH DO - IAM 3434 W BROADWAY COUNCIL BLUFFS 51501 POTTAWATTAM
IE
Female Accepted FC 12/9/2015
POTTAWATTAMIE WANZEK III, JOSEPH DO - IAM 3434 W BROADWAY COUNCIL BLUFFS 51501 Not Asked Unreachable 12/31/2015
POWESHIEK BOYER, JACOB PAC - IAM 210 4TH AVE GRINNELL 50112 POWESHIEK Female Accepted FC 12/1/2015
POWESHIEK GRINNELL REGIONAL FAMILY
MEDICINE
MONTEZUMA 50171 POWESHIEK Female Accepted FC 12/30/2015
POWESHIEK NOUN, STEFANIE PAC - IAM 122 4TH AVE GRINNELL 50112 APPANOOSE Male Accepted FC 12/31/2015
RINGGOLD GREGG, MARCY ARNP - IAM 504 N CLEVELAND ST MOUNT AYR 50854 RINGGOLD Female Accepted FC 12/1/2015
RINGGOLD WILSON, NICOLE DO - IAM 504 N CLEVELAND MOUNT AYR 50854 RINGGOLD Female Accepted FC 12/15/2015
RINGGOLD WILSON, NICOLE DO - IAM 504 N CLEVELAND MOUNT AYR 50854 Not Asked Unreachable 12/7/2015
Sac MARCZEWSKI, LESZEK - IAM 301 HIGHLAND AVE SAC CITY SAC Female Accepted FC 12/14/2015
SAC BLESSINGTON, KAY ARNP - IAM 208 MAIN ST LAKE VIEW 51450 SAC Female Accepted FC 12/24/2015
SAC GYANO, BERNADETTE - IAM 301 HIGHLAND AVE SAC CITY 50583 SAC Male Accepted FC 12/29/2015
Scott ABDULLAH, AFSANA - IAM 4480 UTICA RIDGE RD BETTENDORF SCOTT Female Accepted FC 12/21/2015
Scott SATTI, VINAY DR - IAM 500 W RIVER DR DAVENPORT SCOTT Female Accepted FC 12/3/2015
Scott SINGH, DHARAMVEER MD - IAM 4480 UTICA RIDGE RD
STE 2230
BETTENDORF SCOTT Male Accepted FC 12/17/2015
Scott TERRONEZ, JARED DR - IAM 3740 UTICA RIDGE RD
STE B
BETTENDORF SCOTT Female Accepted FC 12/14/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateScott WENRICH, DEVIN DR - IAM 1345 W CENTRAL PARK DAVENPORT SCOTT Female Accepted FC 12/2/2015
Scott WOLF, MATTHEW JOHN DR - IAM 1345 W CENTRAL PARK DAVENPORT SCOTT Male Accepted FC 12/10/2015
SCOTT AANESTAD, DAVID DR - IAM 1227 E RUSHOLME ST
STE 101
DAVENPORT 52803 SCOTT Female Unreachable 12/21/2015
SCOTT ALLA, NANDITA MD - IAM 1345 W CENTRAL PARK DAVENPORT 52804 SCOTT Female Accepted FC 12/10/2015
SCOTT ARNOLD, DANIEL MD - IAM 4480 UTICA RIDGE RD
STE 160
BETTENDORF 52722 SCOTT Female Accepted FC 12/9/2015
SCOTT BARKLEY, STEPHANIE ARNP - IAM 500 WEST RIVER DR DAVENPORT 52801 SCOTT Male Accepted FC 12/17/2015
SCOTT BARKLEY, STEPHANIE ARNP - IAM 500 WEST RIVER DR DAVENPORT 52801 SCOTT Male Accepted FC 12/7/2015
SCOTT BARKLEY, STEPHANIE ARNP - IAM 500 WEST RIVER DR DAVENPORT 52801 SCOTT Female Accepted FC 12/22/2015
SCOTT BESCH, JACKIE ARNP - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Male Accepted FC 12/22/2015
SCOTT BESCH, JACKIE ARNP - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Male Accepted FC 12/2/2015
SCOTT BESCH, JACKIE ARNP - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Female Accepted FC 12/15/2015
SCOTT BESCH, JACKIE ARNP - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Female Accepted FC 12/10/2015
SCOTT BESCH, JACKIE ARNP - IAM 500 W RIVER DR DAVENPORT 52801 Not Asked Unreachable 12/21/2015
SCOTT BESCH, JACKIE ARNP - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Female Unreachable 12/31/2015
SCOTT CLOOS, MICHAEL - IAM 1345 W CENTRAL PK DAVENPORT 52804 Not Asked Unreachable 12/10/2015
SCOTT COMMUNITY HEALTH CARE IA DAVENPORT 52801 CLINTON Female Accepted FC 12/9/2015
SCOTT DAVIS, JASON DO - IAM 3940 MARQUETTE DAVENPORT 52806 SCOTT Female Accepted FC 12/3/2015
SCOTT GEORGE-PAULSEN, LESLIE DR - IAM 1820 E 54TH ST DAVENPORT 52807 SCOTT Female Accepted FC 12/2/2015
SCOTT GEORGE-PAULSEN, LESLIE DR - IAM 1820 E 54TH ST DAVENPORT 52807 SCOTT Female Accepted FC 12/1/2015
SCOTT GEORGE-PAULSEN, LESLIE DR - IAM 1820 E 54TH ST DAVENPORT 52807 SCOTT Female Accepted FC 12/22/2015
SCOTT GEORGE-PAULSEN, LESLIE DR - IAM 1820 E 54TH ST DAVENPORT 52807 SCOTT Female Unreachable 12/14/2015
SCOTT GIMBEL, KATIE PA - IAM 500 WEST RIVER DR DAVENPORT 52801 SCOTT Female Accepted FC 12/1/2015
SCOTT GIMBEL, KATIE PA - IAM 500 WEST RIVER DR DAVENPORT 52801 SCOTT Female Accepted FC 12/3/2015
SCOTT GIMBEL, KATIE PA - IAM 500 WEST RIVER DR DAVENPORT 52801 SCOTT Male Accepted FC 12/18/2015
SCOTT GIMBEL, KATIE PA - IAM 500 WEST RIVER DR DAVENPORT 52801 SCOTT Male Accepted FC 12/24/2015
SCOTT GIMBEL, KATIE PA - IAM 500 WEST RIVER DR DAVENPORT 52801 Not Asked Unreachable 12/31/2015
SCOTT GIMBEL, KATIE PA - IAM 500 WEST RIVER DR DAVENPORT 52801 Not Asked Unreachable 12/31/2015
SCOTT GISLESON, ANDREW DO - IAM 1345 W CENTRAL PARK
AVE
DAVENPORT 52804 SCOTT Male Accepted FC 12/3/2015
SCOTT GISLESON, ANDREW DO - IAM 1345 W CENTRAL PARK
AVE
DAVENPORT 52804 SCOTT Female Accepted FC 12/1/2015
SCOTT GISLESON, ANDREW DO - IAM 1345 W CENTRAL PARK
AVE
DAVENPORT 52804 SCOTT Male Accepted FC 12/7/2015
SCOTT GROSS, BRIAN - IAM 1801 E 54TH ST DAVENPORT 52807 SCOTT Female Accepted FC 12/21/2015
SCOTT GROSS, BRIAN - IAM 1801 E 54TH ST DAVENPORT 52807 SCOTT Female Unreachable 12/21/2015
SCOTT JAMES, ELIZABETH - IAM 3740 UTICA RIDGE RD BETTENDORF 52722 SCOTT Female Accepted FC 12/17/2015
SCOTT JAURON, SARAH - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Male Accepted FC 12/15/2015
SCOTT JAURON, SARAH - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Female Accepted FC 12/8/2015
SCOTT JAURON, SARAH - IAM 500 W RIVER DR DAVENPORT 52801 MUSCATINE Female Accepted FC 12/1/2015
SCOTT JAURON, SARAH - IAM 500 W RIVER DR DAVENPORT 52801 Not Asked Unreachable 12/29/2015
SCOTT JOSHI, JANKI DR - IAM 4311 E 53RD ST DAVENPORT 52807 SCOTT Female Accepted FC 12/3/2015
SCOTT KAMMER, JENNIFER - IAM 1345 W CENTRAL PARK
AVE
DAVENPORT 52804 SCOTT Female Accepted FC 12/14/2015
SCOTT KAMMER, JENNIFER ARNP - IAM 1345 W CENTRAL PARK DAVENPORT 52804 SCOTT Female Accepted FC 12/9/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateSCOTT KELLY, MICHAEL MD - IAM 1820 WEST 3RD STREET DAVENPORT 52802 SCOTT Male Accepted FC 12/1/2015
SCOTT KELLY, MICHAEL MD - IAM 1820 WEST 3RD STREET DAVENPORT 52802 SCOTT Male Accepted FC 12/22/2015
SCOTT KOLAWOLE, OLA MD - IAM 1820 W 3RD ST DAVENPORT 52802 SCOTT Female Accepted FC 12/21/2015
SCOTT KOLNER, BEN MD - IAM 4311 E 53RD ST DAVENPORT 52807 SCOTT Female Accepted FC 12/1/2015
SCOTT MAURUS, JEFFREY DR - IAM 1510 E RUSHOLME ST DAVENPORT 52803 SCOTT Female Accepted FC 12/8/2015
SCOTT MAURUS, JEFFREY DR - IAM 1510 E RUSHOLME ST DAVENPORT 52803 SCOTT Female Accepted FC 12/7/2015
SCOTT MAURUS, JEFFREY DR - IAM 1510 E RUSHOLME ST DAVENPORT 52803 SCOTT Female Accepted FC 12/4/2015
SCOTT MAURUS, JEFFREY DR - IAM 1510 E RUSHOLME ST DAVENPORT 52803 SCOTT Female Accepted FC 12/16/2015
SCOTT MAURUS, JEFFREY DR - IAM 1510 E RUSHOLME ST DAVENPORT 52803 SCOTT Female Accepted FC 12/24/2015
SCOTT MAURUS, JEFFREY DR - IAM 1510 E RUSHOLME ST DAVENPORT 52803 Not Asked Unreachable 12/9/2015
SCOTT MEHTA, FALGUNI NILESH DR - IAM 4480 UTICA RIDGE RD
STE 2236
BETTENDORF 52722 SCOTT Female Accepted FC 12/7/2015
SCOTT MEHTA, FALGUNI NILESH DR - IAM 4480 UTICA RIDGE RD
STE 2236
BETTENDORF 52722 SCOTT Female Accepted FC 12/24/2015
SCOTT MEHTA, NILESH DR - IAM 4480 UTICA RIDGE RD BETTENDORF 52722 SCOTT Male Accepted FC 12/10/2015
SCOTT MEHTA, NILESH DR - IAM 4480 UTICA RIDGE RD BETTENDORF 52722 SCOTT Female Unreachable 12/3/2015
SCOTT METUGE, ANNE DR - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Female Accepted FC 12/8/2015
SCOTT METUGE, ANNE DR - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Male Accepted FC 12/15/2015
SCOTT METUGE, ANNE DR - IAM 500 W RIVER DR DAVENPORT 52801 MUSCATINE Female Unreachable 12/14/2015
SCOTT MOTTO, AMANDA DR - IAM 3411 SPRING ST DAVENPORT 52807 SCOTT Female Accepted FC 12/11/2015
SCOTT MOTTO, AMANDA DR - IAM 3411 SPRING ST DAVENPORT 52807 SCOTT Female Accepted FC 12/7/2015
SCOTT MOTTO, AMANDA DR - IAM 3411 SPRING ST DAVENPORT 52807 SCOTT Female Declined FC 12/8/2015
SCOTT NARAYANA, SUETHA DR - IAM 4311 E 53RD ST DAVENPORT 52807 SCOTT Female Accepted FC 12/14/2015
SCOTT NARAYANA, SUETHA DR - IAM 4311 E 53RD ST DAVENPORT 52807 SCOTT Female Unreachable 12/7/2015
SCOTT NARAYANA, SUETHA DR - IAM 4311 E 53RD ST DAVENPORT 52807 Not Asked Unreachable 12/31/2015
SCOTT SCHIERBROCK, CATHERINE MD - IAM 2140 53RD AVE BETTENDORF 52722 SCOTT Female Accepted FC 12/17/2015
SCOTT SEEMAN, CHRISTEL - IAM 1820 W 3RD ST DAVENPORT 52802 SCOTT Female Accepted FC 12/16/2015
SCOTT SMITH, DENICE - IAM 4480 UTICAL RIDGE RD
STE 140
BETTENDORF 52722 SCOTT Male Unreachable 12/8/2015
SCOTT SNYDER, WALTER K - IAM 1345 W CENTRAL PARK
AVE
DAVENPORT 52804 SCOTT Male Accepted FC 12/8/2015
SCOTT STROM, STEVEN MD - IAM 3618 N DIVISION ST DAVENPORT 52806 SCOTT Male Accepted FC 12/10/2015
SCOTT TREIBER, KARL - IAM 2140 53RD AVE BETTENDORF 52722 SCOTT Male Accepted FC 12/1/2015
SCOTT WOLF, MATTHEW DR - IAM 1345 W CENTRAL PARK DAVENPORT 52804 SCOTT Female Accepted FC 12/15/2015
SCOTT WONG, HUMPHREY - IAM 1801 E 54TH ST DAVENPORT 52807 JACKSON Male Accepted FC 12/10/2015
SHELBY ANDERSON, BRIAN DR - IAM 1213 GARFIELD AVE HARLAN 51537 SHELBY Male Accepted FC 12/4/2015
SHELBY SHELBY MEDICAL CLINIC SHELBY 51570 POTTAWATTAM
IE
Female Accepted FC 12/1/2015
SIOUX SIOUX CENTER MEDICAL CLINIC -
8426
SIOUX CENTER 51250 SIOUX Female Accepted FC 12/17/2015
STORY BAHAMADI, SWALEH MD - IAM 1111 DUFF AVE AMES 50010 STORY Female Accepted FC 12/18/2015
STORY EATON, KATHERINE ARNP - IAM 3510 LINCOLN WAY AMES 50014 STORY Female Accepted FC 12/15/2015
STORY JUST, ZIWEI P.A. - IAM 3510 W LINCOLN WAY AMES 50014 STORY Male Accepted FC 12/10/2015
STORY JUST, ZIWEI P.A. - IAM 3510 W LINCOLN WAY AMES 50014 STORY Male Accepted FC 12/3/2015
STORY KILLION, JENNIFER - IAM 1215 DUFF AVE AMES 50010 STORY Female Accepted FC 12/16/2015
STORY KILLION, JENNIFER - IAM 1215 DUFF AVE AMES 50010 STORY Female Accepted FC 12/21/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateSTORY PALAR, ADRIAN - IAM 519 F AVE NEVADA 50201 STORY Male Accepted FC 12/17/2015
STORY PALAR, ADRIAN - IAM 519 F AVE NEVADA 50201 STORY Female Accepted FC 12/9/2015
STORY PALAR, ADRIAN - IAM 519 F AVE NEVADA 50201 STORY Female Accepted FC 12/7/2015
STORY SUDDALA, SATHEESH MD - IAM 1202 DUFF AVE AMES 50010 STORY Female Accepted FC 12/31/2015
STORY WELCH, AMY PAC - IAM 1202 DUFF AVE AMES 50010 BOONE Female Accepted FC 12/30/2015
UNION BOLINGER, KRISTIN - IAM 1700 W TOWNLINE CRESTON 50801 UNION Female Accepted FC 12/24/2015
UNION CUNNINGHAM, LAURA - IAM 1700 W TOWNLINE ST CRESTON 50801 UNION Female Accepted FC 12/16/2015
UNION YOUNG, THOMAS DO - IAM 1700 W TOWNLINE STE 1 CRESTON 50801 UNION Female Accepted FC 12/16/2015
VAN BUREN BRECOUNT, DANA DR - IAM 304 FRANKLIN ST KEOSAUQUA 52565 VAN BUREN Female Accepted FC 12/14/2015
VAN BUREN PARSONS, DAVID - IAM 501 FRANKLIN ST KEOSAUQUA 52565 VAN BUREN Female Accepted FC 12/16/2015
VAN BUREN STRIEGEL, BELINDA ARNP - IAM 304 FRANKLIN ST KEOSAUQUA 52565 JEFFERSON Female Accepted FC 12/3/2015
Wapello YOUNADAM, SANDRO DR - IAM 1013 PENNSYLVANIA
STE A
OTTUMWA WAPELLO Female Accepted FC 12/31/2015
Wapello YOUNADAM, SANDRO DR - IAM 1013 PENNSYLVANIA
STE A
OTTUMWA Not Asked Active 12/31/2015
WAPELLO BARINSKY, CYNTHIA - IAM 301 W MAIN ST OTTUMWA 52501 WAPELLO Female Accepted FC 12/31/2015
WAPELLO BARINSKY, CYNTHIA - IAM 301 W MAIN ST OTTUMWA 52501 WAPELLO Male Accepted FC 12/18/2015
WAPELLO BROWN, KIMBERLY - IAM 1005 E PENN STE 104 OTTUMWA 52501 WAPELLO Female Accepted FC 12/18/2015
WAPELLO BROWN, KIMBERLY - IAM 1005 E PENN STE 104 OTTUMWA 52501 WAPELLO Male Unreachable 12/16/2015
WAPELLO BUTLER, VERONICA DR - IAM 1221 N COURT OTTUMWA 52501 WAPELLO Male Accepted FC 12/15/2015
WAPELLO BUTLER, VERONICA DR - IAM 1221 N COURT OTTUMWA 52501 WAPELLO Female Accepted FC 12/8/2015
WAPELLO DAWSON, SHAWN - IAM 1013 PENNSYLVANIA
AVE
OTTUMWA 52501 WAPELLO Female Accepted FC 12/3/2015
WAPELLO DAWSON, SHAWN - IAM 1013 PENNSYLVANIA
AVE
OTTUMWA 52501 WAPELLO Female Accepted FC 12/1/2015
WAPELLO DAWSON, SHAWN - IAM 1013 PENNSYLVANIA
AVE
OTTUMWA 52501 WAPELLO Female Accepted FC 12/30/2015
WAPELLO DAWSON, SHAWN - IAM 1013 PENNSYLVANIA
AVE
OTTUMWA 52501 Not Asked Unreachable 12/24/2015
WAPELLO DAWSON, SHAWN - IAM 1013 PENNSYLVANIA
AVE
OTTUMWA 52501 WAPELLO Female Unreachable 12/22/2015
WAPELLO HUMPHREY, DIANNE AR-NP - IAM 201 S MARKET OTTUMWA 52501 WAPELLO Male Accepted FC 12/2/2015
WAPELLO O'BRIEN, JUANITA ARNP - IAM PO BOX 458 OTTUMWA 52501 MAHASKA Female Accepted FC 12/17/2015
WAPELLO O'BRIEN, JUANITA ARNP - IAM PO BOX 458 OTTUMWA 52501 WAPELLO Female Accepted FC 12/18/2015
WAPELLO SIITARI, ELIZABETH MD - IAM 920 N QUINCY AVE OTTUMWA 52501 WAPELLO Female Accepted FC 12/10/2015
WAPELLO WALKER, KIM ARNP - IAM 201 S MARKET OTTUMWA 52501 WAPELLO Female Accepted FC 12/16/2015
WAPELLO WALKER, KIM ARNP - IAM 201 S MARKET OTTUMWA 52501 WAPELLO Female Unreachable 12/14/2015
Warren MORAN, JENNIFER - IAM 307 E SCENIC VALLEY
DR
INDIANOLA POLK Female Accepted FC 12/10/2015
WARREN CHASE, WILLIAM MD - IAM 801 COLONIAL CIRCLE NORWALK 50211 WARREN Female Accepted FC 12/24/2015
WARREN LEHR, JERRY DR - IAM 1504 N 1ST ST INDIANOLA 50125 WARREN Male Declined FC 12/17/2015
WARREN MCCORMICK, KELLI ARNP - IAM 307 E SCENIC VALLEY
AVE
INDIANOLA 50125 WARREN Female Accepted FC 12/14/2015
WARREN MORAN, ROBERT - IAM 307 EAST SCENIC
VALLEY AVE
INDIANOLA 50125 WARREN Female Accepted FC 12/16/2015
WARREN SUTCLIFFE, MICHAEL - IAM 1504 N 1ST ST INDIANOLA 50125 WARREN Female Accepted FC 12/22/2015
WARREN UNITY POINT NORWALK NORWALK 50211 WARREN Female Unreachable 12/7/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateWASHINGTON BEDELL, DAVID - IAM 3056 RIVER CROSSING
CT
RIVERSIDE 52327 Not Asked Unreachable 12/14/2015
WAYNE BAKER, JOEL DR - IAM 417 S EAST ST CORYDON 50060 APPANOOSE Male Accepted FC 12/2/2015
WAYNE BAKER, JOEL DR - IAM 417 S EAST ST CORYDON 50060 WAYNE Female Declined FC 12/18/2015
WAYNE RUBLE, NICOLE PAC - IAM 417 S EAST ST CORYDON 50060 WAYNE Female Accepted FC 12/15/2015
WAYNE RUBLE, NICOLE PAC - IAM 417 S EAST ST CORYDON 50060 APPANOOSE Female Unreachable 12/14/2015
WAYNE WARDLOW, DEB - IAM 515 W WALL ST SEYMOUR 52590 APPANOOSE Male Accepted FC 12/14/2015
Webster FECHER, SHANNON - IAM 1428 2ND AVE N FORT DODGE WEBSTER Female Accepted FC 12/22/2015
Webster FECHER, SHANNON - IAM 1428 2ND AVE N FORT DODGE WEBSTER Female Accepted FC 12/9/2015
Webster TURNER, DARLENE ARNP - IAM 126 N 10TH ST FT DODGE WEBSTER Female Accepted FC 12/31/2015
Webster TURNER, DARLENE ARNP - IAM 126 N 10TH ST FT DODGE WEBSTER Female Accepted FC 12/2/2015
webster TURNER, DARLENE ARNP - IAM 126 N 10TH ST FT DODGE WEBSTER Male Accepted FC 12/14/2015
WEBSTER ANDERSON, DEBRA - IAM 126 N 10TH ST FORT DODGE 50501 WEBSTER Female Accepted FC 12/9/2015
WEBSTER ANDERSON, DEBRA - IAM 126 N 10TH ST FORT DODGE 50501 WEBSTER Female Accepted FC 12/16/2015
WEBSTER ANDERSON, DEBRA - IAM 126 N 10TH ST FORT DODGE 50501 WEBSTER Female Accepted FC 12/16/2015
WEBSTER BALIK, BRITTNEY PAC - IAM 800 KENYON RD STE S FORT DODGE 50501 WEBSTER Female Unreachable 12/17/2015
WEBSTER BIRKETT, JOHN MD - IAM 1428 2ND AVE N FORT DODGE 50501 WEBSTER Female Accepted FC 12/14/2015
WEBSTER CHASE, LISA ARNP - IAM 126 N 10TH ST FORT DODGE 50501 WEBSTER Female Accepted FC 12/22/2015
WEBSTER CHASE, LISA ARNP - IAM 126 N 10TH ST FORT DODGE 50501 WEBSTER Male Accepted FC 12/31/2015
WEBSTER CHASE, LISA ARNP - IAM 126 N 10TH ST FORT DODGE 50501 WEBSTER Female Unreachable 12/8/2015
WEBSTER CONDON, JENNY ARNP - IAM 800 KENYON RD FORT DODGE 50501 WEBSTER Male Accepted FC 12/14/2015
WEBSTER CONDON, JENNY ARNP - IAM 800 KENYON RD FORT DODGE 50501 WEBSTER Female Accepted FC 12/24/2015
WEBSTER CONDON, JENNY ARNP - IAM 800 KENYON RD FORT DODGE 50501 WEBSTER Male Declined FC 12/7/2015
WEBSTER CONDON, JENNY ARNP - IAM 800 KENYON RD FORT DODGE 50501 WEBSTER Male Declined FC 12/1/2015
WEBSTER KARIM, SHAHNAWAZ - IAM 800 KENYON RD STE D FORT DODGE 50501 WEBSTER Female Unreachable 12/17/2015
WEBSTER MEYER, JAMES DO - IAM 800 KENYON RD FORT DODGE 50501 HUMBOLDT Female Accepted FC 12/17/2015
WEBSTER SYMENS, SANDRA ARNP - IAM 1428 2ND AVE N FORT DODGE 50501 WEBSTER Female Accepted FC 12/22/2015
WEBSTER UBBEN, MICHELLE - IAM 126 N 10TH ST FORT DODGE 50501 WEBSTER Female Accepted FC 12/18/2015
WEBSTER WEBSTER COUNTY HEALTH DEPT FORT DODGE 50501 WEBSTER Male Declined FC 12/17/2015
WINNEBAGO CARLSON, BYRON - IAM 635 HWY 9E FOREST CITY 50436 WINNEBAGO Not Asked Unreachable 12/22/2015
WINNEBAGO MCGUIRE, JIM - IAM 115 N MAIN BUFFALO
CENTER
50424 Not Asked Unreachable 12/10/2015
WINNESHIEK DECORAH CLINIC WINNESHIEK
MEDICAL CENTER
DECORAH 52101 WINNESHIEK Male Accepted FC 12/30/2015
WINNESHIEK KRIENER, RENE NP - IAM 106 E MAIN CALMAR 52132 WINNESHIEK Female Accepted FC 12/3/2015
WINNESHIEK WINNESHIEK MEDICAL CENTER DECORAH 52101 Not Asked Declined FC 12/17/2015
WOODBURY ANDRAWIS, AMIR - IAM 4545 SERGEANT RD SIOUX CITY 51106 WOODBURY Female Accepted FC 12/8/2015
WOODBURY ANDRAWIS, AMIR - IAM 4545 SERGEANT RD SIOUX CITY 51106 WOODBURY Female Accepted FC 12/8/2015
WOODBURY CFY - SIOUXLAND DIST HEALTH
DEPT
SIOUX CITY 51105 WOODBURY Female Unreachable 12/2/2015
WOODBURY CROFT, TERESA PAC - IAM 1021 NEBRASKA ST SIOUX CITY 51105 WOODBURY Female Accepted FC 12/8/2015
WOODBURY CROFT, TERESA PAC - IAM 1021 NEBRASKA ST SIOUX CITY 51105 WOODBURY Male Accepted FC 12/22/2015
WOODBURY EARLYWINE, MOLLY PAC - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Female Accepted FC 12/7/2015
WOODBURY EARLYWINE, MOLLY PAC - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Male Accepted FC 12/14/2015
WOODBURY EARLYWINE, MOLLY PAC - IAM 1021 NEBRASKA ST SIOUX CITY 51102 Not Asked Unreachable 12/3/2015
WOODBURY FITCH, DIANE PAC - IAM 1021 NEBRASKA SIOUX CITY 51102 WOODBURY Female Accepted FC 12/8/2015
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateWOODBURY GUERDAT, RANDY PAC - IAM 1021 NEBRASKA ST SIOUX CITY 51104 WOODBURY Male Accepted FC 12/3/2015
WOODBURY HATTAN, GARY DR - IAM 1021 NEBRASKA SIOUX CITY 51105 WOODBURY Male Accepted FC 12/24/2015
WOODBURY HATTAN, GARY DR - IAM 1021 NEBRASKA SIOUX CITY 51105 Not Asked Unreachable 12/31/2015
WOODBURY HATTAN, GARY DR - IAM 1021 NEBRASKA SIOUX CITY 51105 Not Asked Unreachable 12/10/2015
WOODBURY IRWIN, DAN DR - IAM 2501 PIERCE SIOUX CITY 51104 WOODBURY Male Accepted FC 12/2/2015
WOODBURY JACOBS, CHRISTOPHER - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Female Accepted FC 12/16/2015
WOODBURY JACOBS, CHRISTOPHER - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Male Accepted FC 12/16/2015
WOODBURY JACOBS, CHRISTOPHER - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Male Accepted FC 12/23/2015
WOODBURY KRAUSE, LORI - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Female Accepted FC 12/9/2015
WOODBURY KRAUSE, LORI - IAM 1021 NEBRASKA ST SIOUX CITY 51102 Not Asked Unreachable 12/16/2015
WOODBURY KRAUSE, LORI - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Male Unreachable 12/21/2015
WOODBURY MARINO, FRANK DO - IAM 2600 OUTER DR SIOUX CITY 51104 WOODBURY Female Accepted FC 12/14/2015
WOODBURY MERCY MEDICAL CENTER - SIOUX
CITY
SIOUX CITY 51102 Not Asked Declined FC 12/14/2015
WOODBURY MERCY MEDICAL CENTER - SIOUX
CITY
SIOUX CITY 51102 Not Asked Declined FC 12/9/2015
WOODBURY MERCY MEDICAL CENTER - SIOUX
CITY
SIOUX CITY 51102 Not Asked Unreachable 12/28/2015
WOODBURY MERCY MEDICAL CENTER - SIOUX
CITY
SIOUX CITY 51102 Not Asked Unreachable 12/30/2015
WOODBURY PALLONE, STEPHEN M.D. - IAM 2501 PIERCE ST SIOUX CITY 51104 WOODBURY Male Accepted FC 12/24/2015
WOODBURY PIPLANI, MICHAEL DR - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Male Accepted FC 12/10/2015
WOODBURY SAHASRANAMAN, VENKETRAMAN DR
- IAM
2730 PIERCE ST STE 401 SIOUX CITY 51104 WOODBURY Female Accepted FC 12/10/2015
WOODBURY SAHASRANAMAN, VENKETRAMAN DR
- IAM
2730 PIERCE ST STE 401 SIOUX CITY 51104 WOODBURY Male Accepted FC 12/15/2015
WOODBURY SAHASRANAMAN, VENKETRAMAN DR
- IAM
2730 PIERCE ST STE 401 SIOUX CITY 51104 WOODBURY Female Accepted FC 12/16/2015
WOODBURY SAHASRANAMAN, VENKETRAMAN DR
- IAM
2730 PIERCE ST STE 401 SIOUX CITY 51104 WOODBURY Female Accepted FC 12/8/2015
WOODBURY SAHASRANAMAN, VENKETRAMAN DR
- IAM
2730 PIERCE ST STE 401 SIOUX CITY 51104 WOODBURY Female Accepted FC 12/22/2015
WOODBURY SOPHER, LAVONE - IAM 1021 NEBRASKA ST SIOUX CITY 51105 WOODBURY Male Accepted FC 12/18/2015
WOODBURY SOPHER, LAVONE - IAM 1021 NEBRASKA ST SIOUX CITY 51105 WOODBURY Male Accepted FC 12/19/2015
WOODBURY STERUD-BLANCHE, STACI - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Female Accepted FC 12/23/2015
WOODBURY STERUD-BLANCHE, STACI - IAM 1021 NEBRASKA ST SIOUX CITY 51102 Not Asked Unreachable 12/4/2015
WOODBURY SUGATHAN, PRASANNA DR - IAM 5885 SUNNYBROOK DR
STE L200
SIOUX CITY 51106 CHEROKEE Female Accepted FC 12/16/2015
WOODBURY UNITYPOINT PULMONARY SIOUX CITY 51104 Not Asked Unreachable 12/31/2015
WOODBURY WURTH, RACHEL - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Male Accepted FC 12/9/2015
WOODBURY WURTH, RACHEL - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Female Accepted FC 12/8/2015
WORTH JENKINS, REBECCA MD - IAM 803 9TH AVE N NORTHWOOD 50459 WORTH Male Accepted FC 12/16/2015
WRIGHT HAYES, CHARITY - IAM 115 S PARK EAGLE GROVE 50533 WEBSTER Not Asked Declined FC 12/22/2015
WRIGHT HAYES, CHARITY - IAM 115 S PARK EAGLE GROVE 50533 WEBSTER Not Asked Unreachable 12/4/2015
WRIGHT NAGEL, TIMOTHY DR - IAM 215 13TH AVE SW CLARION 50525 HANCOCK Female Accepted FC 12/16/2015
WRIGHT SMITH, DUSTIN - IAM 115 S PARK EAGLE GROVE 50533 WRIGHT Male Accepted FC 12/16/2015
WRIGHT SMITH, DUSTIN - IAM 115 S PARK EAGLE GROVE 50533 WRIGHT Male Accepted FC 12/18/2015