Clinic County Clinic Name Clinic Address Clinic City ... folder/march 16... · Clinic County Clinic...
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Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant County Participant Gender Enrollment Status Fax Received Date ADAIR JENSEN FAMILY CHIROPRACTIC DCPC GREENFIELD 50849 Not Asked Unreachable 3/9/2016 ADAIR PETERSON, CINDY - IAM 401 AUDUBON ST ADAIR 50002 GREENE Female Unreachable 3/1/2016 ADAIR PIEARSON, TIMOTHY DR - IAM 609 SE KENT GREENFIELD 50849 ADAIR Male Accepted FC 3/15/2016 ADAIR PIEARSON, TIMOTHY DR - IAM 609 SE KENT GREENFIELD 50849 ADAIR Female Accepted FC 3/21/2016 ADAMS ROBINSON, LINDA MD - IAM 601 ROSARY DR CORNING 50841 MONTGOMER Y Male Unreachable 3/21/2016 ALLAMAKEE EVERMAN, JESSICA - IAM 120 2ND AVE SE WAUKON 52172 ALLAMAKEE Female Accepted FC 3/22/2016 ALLAMAKEE NESSEIM, BENJAMIN - IAM 105 EAST MAIN ST WAUKON 52172 ALLAMAKEE Female Accepted FC 3/21/2016 ALLAMAKEE NESSEIM, BENJAMIN - IAM 105 EAST MAIN ST WAUKON 52172 ALLAMAKEE Male Accepted FC 3/8/2016 ALLAMAKEE NESSEIM, BENJAMIN - IAM 105 EAST MAIN ST WAUKON 52172 Not Asked Active 3/31/2016 ALLAMAKEE NESSEIM, BENJAMIN - IAM 105 EAST MAIN ST WAUKON 52172 Not Asked Unreachable 3/22/2016 ALLAMAKEE PERKINS, STEVEN - IAM 105 E MAIN ST WAUKON 52172 ALLAMAKEE Female Accepted FC 3/24/2016 APPANOOSE BLACKLEDGE, PATRICIA - IAM 1015 N 18TH ST CENTERVILLE 52544 APPANOOSE Female Accepted FC 3/7/2016 APPANOOSE BLACKLEDGE, PATRICIA - IAM 1015 N 18TH ST CENTERVILLE 52544 APPANOOSE Male Accepted FC 3/3/2016 APPANOOSE PONCY, PAUL DO - IAM 236 W MAPLE CENTERVILLE 52544 APPANOOSE Female Accepted FC 3/8/2016 BENTON VOGELER, STEPHANIE PAC - IAM 401 CARDINAL AVE ATKINS LINN Female Accepted FC 3/21/2016 BENTON BURNS, MICHELLE - IAM 1002 W MAIN ST URBANA 52345 BLACK HAWK Female Accepted FC 3/29/2016 BENTON FULTS, ANGELA DR - IAM 105 9TH AVE BELLE PLAINE 52208 BENTON Male Accepted FC 3/22/2016 BENTON HOFFMAN, JULIE ARNP - IAM 400 CANTON ST # B NW SHELLSBURG 52332 BENTON Female Accepted FC 3/31/2016 BENTON HOLMES, KARL PAC - IAM 1010 8TH AVE BELLE PLAINE 52208 BENTON Female Accepted FC 3/22/2016 BENTON HOLMES, KARL PAC - IAM 1010 8TH AVE BELLE PLAINE 52208 Not Asked Unreachable 3/11/2016 BENTON MANGOLD, MARGARET MD - IAM 504 N 9TH AVE VINTON 52349 Not Asked Unreachable 3/17/2016 BENTON MEEKER, BRIAN - IAM 504 N 9TH AVE VINTON 52349 BENTON Female Accepted FC 3/21/2016 BENTON MEEKER, BRIAN - IAM 504 N 9TH AVE VINTON 52349 BENTON Female Declined FC 3/24/2016 BENTON SHEFF, DAVID MD - IAM 504 N 9TH AVE VINTON 52349 BLACK HAWK Male Accepted FC 3/21/2016 BENTON TAYLOR-STEWART, RITA PAC - IAM 205 MAIN ST VAN HORNE 52346 BENTON Male Accepted FC 3/8/2016 BENTON TAYLOR-STEWART, RITA PAC - IAM 205 MAIN ST VAN HORNE 52346 BENTON Female Accepted FC 3/4/2016 BLACK HAWK COVENANT CLINIC - WATERLOO WATERLOO BLACK HAWK Male Declined FC 3/1/2016 BLACK HAWK COVENANT CLINIC - WATERLOO WATERLOO BLACK HAWK Female Declined FC 3/1/2016 BLACK HAWK DOUGLAS, SARA A-RNP - IAM 266 BLUEBELL RD CEDAR FALLS BLACK HAWK Male Accepted FC 3/24/2016 BLACK HAWK DOUGLAS, SARA A-RNP - IAM 266 BLUEBELL RD CEDAR FALLS BLACK HAWK Female Accepted FC 3/4/2016 BLACK HAWK DOUGLAS, SARA A-RNP - IAM 266 BLUEBELL RD CEDAR FALLS BLACK HAWK Male Declined FC 3/24/2016 BLACK HAWK GETTMAN, SUZANNE, ARNP - IAM 212 W DALE ST WATERLOO BLACK HAWK Female Accepted FC 3/1/2016 BLACK HAWK GETTMAN, SUZANNE, ARNP - IAM 212 W DALE ST WATERLOO BLACK HAWK Female Accepted FC 3/29/2016 BLACK HAWK GETTMAN, SUZANNE, ARNP - IAM 212 W DALE ST WATERLOO BLACK HAWK Female Accepted FC 3/30/2016 BLACK HAWK SADLER, HELEN - IAM 146 W BALE ST STE 201 WATERLOO BLACK HAWK Female Accepted FC 3/21/2016 BLACK HAWK TEKLEHAIMANOT, AWOT DR - IAM 2710 ST FRANCIS DR WATERLOO BLACK HAWK Female Accepted FC 3/9/2016 BLACK HAWK ZBARACKI, ANNE DR - IAM 2055 KIMBALL AVE WATERLOO BLACK HAWK Female Accepted FC 3/11/2016 BLACK HAWK ZBARACKI, ANNE DR - IAM 2055 KIMBALL AVE WATERLOO BLACK HAWK Female Accepted FC 3/14/2016 BLACK HAWK ZBARACKI, ANNE DR - IAM 2055 KIMBALL AVE WATERLOO BLACK HAWK Female Unreachable 3/11/2016 BLACK HAWK BALL, EMILY ARNP - IAM 1015 S HACKETT STE100 WATERLOO 50701 BUTLER Female Accepted FC 3/22/2016 BLACK HAWK BERRY, CARRIE ARNP - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Female Accepted FC 3/21/2016 BLACK HAWK BERRY, CARRIE ARNP - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Female Accepted FC 3/25/2016 BLACK HAWK BITAJIAN, SHIRIN - IAM 2055 KIMBALL AVE WATERLOO 50701 Not Asked Unreachable 3/17/2016
Transcript of Clinic County Clinic Name Clinic Address Clinic City ... folder/march 16... · Clinic County Clinic...
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateADAIR JENSEN FAMILY CHIROPRACTIC DCPC GREENFIELD 50849 Not Asked Unreachable 3/9/2016
ADAIR PETERSON, CINDY - IAM 401 AUDUBON ST ADAIR 50002 GREENE Female Unreachable 3/1/2016
ADAIR PIEARSON, TIMOTHY DR - IAM 609 SE KENT GREENFIELD 50849 ADAIR Male Accepted FC 3/15/2016
ADAIR PIEARSON, TIMOTHY DR - IAM 609 SE KENT GREENFIELD 50849 ADAIR Female Accepted FC 3/21/2016
ADAMS ROBINSON, LINDA MD - IAM 601 ROSARY DR CORNING 50841 MONTGOMER
Y
Male Unreachable 3/21/2016
ALLAMAKEE EVERMAN, JESSICA - IAM 120 2ND AVE SE WAUKON 52172 ALLAMAKEE Female Accepted FC 3/22/2016
ALLAMAKEE NESSEIM, BENJAMIN - IAM 105 EAST MAIN ST WAUKON 52172 ALLAMAKEE Female Accepted FC 3/21/2016
ALLAMAKEE NESSEIM, BENJAMIN - IAM 105 EAST MAIN ST WAUKON 52172 ALLAMAKEE Male Accepted FC 3/8/2016
ALLAMAKEE NESSEIM, BENJAMIN - IAM 105 EAST MAIN ST WAUKON 52172 Not Asked Active 3/31/2016
ALLAMAKEE NESSEIM, BENJAMIN - IAM 105 EAST MAIN ST WAUKON 52172 Not Asked Unreachable 3/22/2016
ALLAMAKEE PERKINS, STEVEN - IAM 105 E MAIN ST WAUKON 52172 ALLAMAKEE Female Accepted FC 3/24/2016
APPANOOSE BLACKLEDGE, PATRICIA - IAM 1015 N 18TH ST CENTERVILLE 52544 APPANOOSE Female Accepted FC 3/7/2016
APPANOOSE BLACKLEDGE, PATRICIA - IAM 1015 N 18TH ST CENTERVILLE 52544 APPANOOSE Male Accepted FC 3/3/2016
APPANOOSE PONCY, PAUL DO - IAM 236 W MAPLE CENTERVILLE 52544 APPANOOSE Female Accepted FC 3/8/2016
BENTON VOGELER, STEPHANIE PAC - IAM 401 CARDINAL AVE ATKINS LINN Female Accepted FC 3/21/2016
BENTON BURNS, MICHELLE - IAM 1002 W MAIN ST URBANA 52345 BLACK HAWK Female Accepted FC 3/29/2016
BENTON FULTS, ANGELA DR - IAM 105 9TH AVE BELLE PLAINE 52208 BENTON Male Accepted FC 3/22/2016
BENTON HOFFMAN, JULIE ARNP - IAM 400 CANTON ST # B NW SHELLSBURG 52332 BENTON Female Accepted FC 3/31/2016
BENTON HOLMES, KARL PAC - IAM 1010 8TH AVE BELLE PLAINE 52208 BENTON Female Accepted FC 3/22/2016
BENTON HOLMES, KARL PAC - IAM 1010 8TH AVE BELLE PLAINE 52208 Not Asked Unreachable 3/11/2016
BENTON MANGOLD, MARGARET MD - IAM 504 N 9TH AVE VINTON 52349 Not Asked Unreachable 3/17/2016
BENTON MEEKER, BRIAN - IAM 504 N 9TH AVE VINTON 52349 BENTON Female Accepted FC 3/21/2016
BENTON MEEKER, BRIAN - IAM 504 N 9TH AVE VINTON 52349 BENTON Female Declined FC 3/24/2016
BENTON SHEFF, DAVID MD - IAM 504 N 9TH AVE VINTON 52349 BLACK HAWK Male Accepted FC 3/21/2016
BENTON TAYLOR-STEWART, RITA PAC - IAM 205 MAIN ST VAN HORNE 52346 BENTON Male Accepted FC 3/8/2016
BENTON TAYLOR-STEWART, RITA PAC - IAM 205 MAIN ST VAN HORNE 52346 BENTON Female Accepted FC 3/4/2016
BLACK HAWK COVENANT CLINIC - WATERLOO WATERLOO BLACK HAWK Male Declined FC 3/1/2016
BLACK HAWK COVENANT CLINIC - WATERLOO WATERLOO BLACK HAWK Female Declined FC 3/1/2016
BLACK HAWK DOUGLAS, SARA A-RNP - IAM 266 BLUEBELL RD CEDAR FALLS BLACK HAWK Male Accepted FC 3/24/2016
BLACK HAWK DOUGLAS, SARA A-RNP - IAM 266 BLUEBELL RD CEDAR FALLS BLACK HAWK Female Accepted FC 3/4/2016
BLACK HAWK DOUGLAS, SARA A-RNP - IAM 266 BLUEBELL RD CEDAR FALLS BLACK HAWK Male Declined FC 3/24/2016
BLACK HAWK GETTMAN, SUZANNE, ARNP - IAM 212 W DALE ST WATERLOO BLACK HAWK Female Accepted FC 3/1/2016
BLACK HAWK GETTMAN, SUZANNE, ARNP - IAM 212 W DALE ST WATERLOO BLACK HAWK Female Accepted FC 3/29/2016
BLACK HAWK GETTMAN, SUZANNE, ARNP - IAM 212 W DALE ST WATERLOO BLACK HAWK Female Accepted FC 3/30/2016
BLACK HAWK SADLER, HELEN - IAM 146 W BALE ST STE 201 WATERLOO BLACK HAWK Female Accepted FC 3/21/2016
BLACK HAWK TEKLEHAIMANOT, AWOT DR - IAM 2710 ST FRANCIS DR WATERLOO BLACK HAWK Female Accepted FC 3/9/2016
BLACK HAWK ZBARACKI, ANNE DR - IAM 2055 KIMBALL AVE WATERLOO BLACK HAWK Female Accepted FC 3/11/2016
BLACK HAWK ZBARACKI, ANNE DR - IAM 2055 KIMBALL AVE WATERLOO BLACK HAWK Female Accepted FC 3/14/2016
BLACK HAWK ZBARACKI, ANNE DR - IAM 2055 KIMBALL AVE WATERLOO BLACK HAWK Female Unreachable 3/11/2016
BLACK HAWK BALL, EMILY ARNP - IAM 1015 S HACKETT
STE100
WATERLOO 50701 BUTLER Female Accepted FC 3/22/2016
BLACK HAWK BERRY, CARRIE ARNP - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Female Accepted FC 3/21/2016
BLACK HAWK BERRY, CARRIE ARNP - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Female Accepted FC 3/25/2016
BLACK HAWK BITAJIAN, SHIRIN - IAM 2055 KIMBALL AVE WATERLOO 50701 Not Asked Unreachable 3/17/2016
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DateBLACK HAWK BOLING, VICKI - IAM 3251 WEST 9TH ST WATERLOO 50702 BLACK HAWK Male Accepted FC 3/8/2016
BLACK HAWK CHRIST, MEREDITH - IAM 1015 S HACKETT RD WATERLOO 50701 BLACK HAWK Female Accepted FC 3/18/2016
BLACK HAWK CHRIST, MEREDITH - IAM 1015 S HACKETT RD WATERLOO 50701 BREMER Female Accepted FC 3/24/2016
BLACK HAWK CHRIST, MEREDITH - IAM 1015 S HACKETT RD WATERLOO 50701 BLACK HAWK Female Accepted FC 3/24/2016
BLACK HAWK CHRIST, MEREDITH - IAM 1015 S HACKETT RD WATERLOO 50701 BLACK HAWK Female Declined FC 3/24/2016
BLACK HAWK COVENANT CLINIC - WATERLOO WATERLOO 50702 BLACK HAWK Female Accepted FC 3/23/2016
BLACK HAWK COVENANT CLINIC - WATERLOO WATERLOO 50702 Not Asked Unreachable 3/23/2016
BLACK HAWK CROWLEY, WILLIAM MD - IAM 3251 W 9TH ST WATERLOO 50702 BLACK HAWK Male Accepted FC 3/8/2016
BLACK HAWK DAVENPORT, DANIELLE - IAM 2055 KIMBALL AVE STE
101
WATERLOO 50702 Not Asked Unreachable 3/21/2016
BLACK HAWK DUCLOS, SHARON DR - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Male Accepted FC 3/9/2016
BLACK HAWK FAMILY PRACTICE CENTER -
WATERLOO
WATERLOO 50702 BLACK HAWK Female Accepted FC 3/8/2016
BLACK HAWK FAMILY PRACTICE CENTER -
WATERLOO
WATERLOO 50702 BLACK HAWK Female Declined FC 3/10/2016
BLACK HAWK FEDDERSON, GARRETT - IAM 2055 KIMBALL AVE STE
101
WATERLOO 50702 BLACK HAWK Male Accepted FC 3/8/2016
BLACK HAWK FRIEDMAN, ROBERT DO - IAM 2055 KIMBALL AVE WATERLOO 50702 BLACK HAWK Female Unreachable 3/11/2016
BLACK HAWK GILL, MANPREET - IAM 2055 KIMBALL AVE WATERLOO 50702 BLACK HAWK Female Accepted FC 3/21/2016
BLACK HAWK GILL, MANPREET - IAM 2055 KIMBALL AVE WATERLOO 50702 BLACK HAWK Female Unreachable 3/14/2016
BLACK HAWK GINGRICH, ANGELLA ARNP - IAM 226 BLUEBELL RD CEDAR FALLS 50613 BLACK HAWK Male Accepted FC 3/8/2016
BLACK HAWK GLASCOCK, DAN MD - IAM 2624 ORCHARD DR CEDAR FALLS 50613 BLACK HAWK Female Accepted FC 3/30/2016
BLACK HAWK GREGERSEN, JAMEY - IAM 3251 W 9TH ST WATERLOO 50702 BLACK HAWK Female Accepted FC 3/3/2016
BLACK HAWK HALL, MARTHA 212 W DALE ST STE 101 WATERLOO 50703 BLACK HAWK Female Accepted FC 3/10/2016
BLACK HAWK HALL, MARTHA 212 W DALE ST STE 101 WATERLOO 50703 Not Asked Unreachable 3/4/2016
BLACK HAWK HALL, MARTHA - IAM 212 W DALE ST STE 101 WATERLOO 50703 BLACK HAWK Male Accepted FC 3/8/2016
BLACK HAWK HALL, MARTHA - IAM 212 W DALE ST STE 101 WATERLOO 50703 BLACK HAWK Female Accepted FC 3/1/2016
BLACK HAWK HALL, MARTHA - IAM 212 W DALE ST STE 101 WATERLOO 50703 BLACK HAWK Female Accepted FC 3/10/2016
BLACK HAWK HALL, MARTHA - IAM 212 W DALE ST STE 101 WATERLOO 50703 Not Asked Unreachable 3/11/2016
BLACK HAWK HALL, MARTHA - IAM 212 W DALE ST STE 101 WATERLOO 50703 BLACK HAWK Female Unreachable 3/4/2016
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DateBLACK HAWK HARTER, GREG MD - IAM 2710 ST FRANCIS DR
STE 210
WATERLOO 50702 BLACK HAWK Male Accepted FC 3/29/2016
BLACK HAWK HENDERSON, VICKI DR - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Female Accepted FC 3/3/2016
BLACK HAWK HENDERSON, VICKI DR - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Female Accepted FC 3/14/2016
BLACK HAWK HENDERSON, VICKI DR - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Not Asked Unreachable 3/4/2016
BLACK HAWK HORRIGAN, TIMOTHY - IAM 212 W DALE ST STE 101 WATERLOO 50703 BREMER Female Unreachable 3/14/2016
BLACK HAWK JOYLANI, CONNIE DR - IAM 2055 KIMBALL AVE WATERLOO 50702 BLACK HAWK Not Asked Declined FC 3/8/2016
BLACK HAWK KANE, SARAH - IAM 905 E FRANKLIN ST WATERLOO 50703 BREMER Male Accepted FC 3/24/2016
BLACK HAWK KANE, SARAH - IAM 905 E FRANKLIN ST WATERLOO 50703 BLACK HAWK Male Unreachable 3/3/2016
BLACK HAWK KANE, SARAH ARNP - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Male Accepted FC 3/9/2016
BLACK HAWK KEERAN, SANTHI - IAM 1015 S HACKETT RD WATERLOO 50701 BUTLER Female Accepted FC 3/3/2016
BLACK HAWK KHAPER, BHUPINDER - IAM 2055 KIMBALL AVE WATERLOO 50701 BLACK HAWK Female Accepted FC 3/22/2016
BLACK HAWK KHAPER, BHUPINDER - IAM 2055 KIMBALL AVE WATERLOO 50701 BLACK HAWK Not Asked Unreachable 3/4/2016
BLACK HAWK KHURANA, SHERRY MD - IAM 3701 LAFAYETTE RD EVANSDALE 50707 BLACK HAWK Female Accepted FC 3/1/2016
BLACK HAWK LIES, MARILYN MD - IAM EVANSDALE 50707 BLACK HAWK Female Accepted FC 3/21/2016
BLACK HAWK LUCK, TONI ARNP - IAM 2710 ST FRANCIS DR
STE 320
CEDAR FALLS 50613 BLACK HAWK Not Asked Unreachable 3/28/2016
BLACK HAWK LUKE, ANDREW DR - IAM 2205 KIMBALL AVE WATERLOO 50702 BLACK HAWK Female Accepted FC 3/28/2016
BLACK HAWK LUKE, ANDREW DR - IAM 2205 KIMBALL AVE WATERLOO 50702 BLACK HAWK Male Accepted FC 3/31/2016
BLACK HAWK MONROE, ASHLEY A-RNP - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Female Accepted FC 3/1/2016
BLACK HAWK MONROE, ASHLEY A-RNP - IAM 905 FRANKLIN ST WATERLOO 50703 BUTLER Female Accepted FC 3/8/2016
BLACK HAWK MONROE, ASHLEY A-RNP - IAM 905 FRANKLIN ST WATERLOO 50703 Not Asked Unreachable 3/15/2016
BLACK HAWK MUNNS, SUZANNE MD - IAM 2155 KIMBALL WATERLOO 50702 BLACK HAWK Female Accepted FC 3/16/2016
BLACK HAWK NADIPURAM, MUKUND DR - IAM 200 E RIDGEWAY AVE WATERLOO 50702 BLACK HAWK Male Accepted FC 3/16/2016
BLACK HAWK NORTHEAST IA FAMILY PRACTICE
CENTER
WATERLOO 50702 BLACK HAWK Female Accepted FC 3/7/2016
BLACK HAWK PEOPLE'S CLINIC - WATERLOO WATERLOO 50702 Not Asked Unreachable 3/14/2016
BLACK HAWK PITKIN, STEFANI K - IAM 3567 LAFAYETTE RD EVANSDALE 50707 BLACK HAWK Female Accepted FC 3/24/2016
BLACK HAWK RIAD ZAKY, WAHID A - IAM 905 FRANKLIN ST WATERLOO 50702 BLACK HAWK Male Accepted FC 3/4/2016
BLACK HAWK RIAD ZAKY, WAHID A - IAM 905 FRANKLIN ST WATERLOO 50702 BLACK HAWK Female Accepted FC 3/3/2016
BLACK HAWK RIAD ZAKY, WAHID ALFONSE MD - IAM 905 FRANKLIN ST WATERLOO 50703 BLACK HAWK Male Accepted FC 3/15/2016
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DateBLACK HAWK SANDELL, JULIE - IAM 226 BLUEBELL RD CEDAR FALLS 50613 BLACK HAWK Female Accepted FC 3/29/2016
BLACK HAWK SANKEY, BRIAN DR - IAM 2710 ST FRANCIS DR WATERLOO 50702 BLACK HAWK Female Accepted FC 3/4/2016
BLACK HAWK SANKEY, BRIAN DR - IAM 2710 ST FRANCIS DR WATERLOO 50702 BLACK HAWK Male Accepted FC 3/8/2016
BLACK HAWK SANKEY, BRIAN MD - IAM 2710 ST FRANCIS DR WATERLOO 50702 Not Asked Unreachable 3/11/2016
BLACK HAWK SARTORI SENIOR BEHAVIORAL
HEALTH
CEDAR FALLS 50613 Female Accepted FC 3/22/2016
BLACK HAWK SHAIKH, RAHIL MD - IAM 2710 ST FRANCIS DR WATERLOO 50702 BLACK HAWK Female Accepted FC 3/24/2016
BLACK HAWK STANDING, LARRY - IAM 226 BLUEBELL RD CEDAR FALLS 50613 BLACK HAWK Female Accepted FC 3/22/2016
BLACK HAWK STANDING, LARRY - IAM 226 BLUEBELL RD CEDAR FALLS 50613 BUCHANAN Female Accepted FC 3/24/2016
BLACK HAWK STANDING, LARRY - IAM 226 BLUEBELL RD CEDAR FALLS 50613 BLACK HAWK Female Unreachable 3/14/2016
BLACK HAWK STENGER, QUENTIN - IAM 37010 LAFAYETTE RD EVANSDALE 50707 BLACK HAWK Female Accepted FC 3/4/2016
BLACK HAWK WELSHONS, ROBERT - IAM 2055 KIMBALL AVE STE
101
WATERLOO 50701 BLACK HAWK Male Accepted FC 3/24/2016
BLACK HAWK WELSHONS, ROBERT - IAM 2055 KIMBALL AVE STE
101
WATERLOO 50701 BLACK HAWK Male Accepted FC 3/27/2016
BLACK HAWK WELSHONS, ROBERT - IAM 2055 KIMBALL AVE STE
101
WATERLOO 50701 BLACK HAWK Male Accepted FC 3/28/2016
BLACK HAWK ZBARACKI, ANNE - IAM 2055 KIMBALL AVE WATERLOO 50701 BLACK HAWK Not Asked Unreachable 3/1/2016
BOONE ANDERSON, JOSHUA DR - IAM 1115 S MARSHALL ST BOONE 50036 BOONE Female Accepted FC 3/10/2016
BOONE BOONE COUNTY COMPREHENSIVE
SPECIALTY CARE
BOONE 50036 BOONE Female Accepted FC 3/30/2016
BOONE FILIPIAK, TRISHA - IAM 120 S STORY ST BOONE 50036 BOONE Female Accepted FC 3/1/2016
BOONE FILIPIAK, TRISHA - IAM 120 S STORY ST BOONE 50036 BOONE Female Active 3/31/2016
BOONE FILIPIAK, TRISHA - IAM 120 S STORY ST BOONE 50036 BOONE Female Unreachable 3/28/2016
BOONE MEHLHAUS, BRIAN - IAM 120 S STORY ST BOONE 50036 BOONE Female Accepted FC 3/22/2016
BOONE MEHLHAUS, BRIAN - IAM 120 S STORY ST BOONE 50036 BOONE Female Unreachable 3/21/2016
BOONE MEHLHAUS, BRIAN - IAM 120 S STORY ST BOONE 50036 BOONE Female Unreachable 3/8/2016
BOONE VANDERMEIDE, JOEL DR - IAM 120 S STORY ST BOONE 50036 GREENE Male Accepted FC 3/17/2016
BREMER DAHLQUIST, CLAY DO - IAM 312 9TH ST SW WAVERLY 50677 BREMER Male Accepted FC 3/24/2016
BREMER FAGRE, LEE - IAM 21720TH ST NW WAVERLY 50677 BUTLER Female Accepted FC 3/8/2016
BREMER STROMBERG, MARY JO ARNP - IAM 217 20TH ST NW WAVERLY 50677 BREMER Female Accepted FC 3/4/2016
BREMER WAVERLY HEALTH CENTER -
WOMEN'S CLINIC
WAVERLY 50677 BREMER Female Accepted FC 3/1/2016
BREMER WAVERLY HEALTH CENTER -
WOMEN'S CLINIC
WAVERLY 50677 BREMER Female Accepted FC 3/24/2016
BREMER WAVERLY HEALTH CENTER -
WOMEN'S CLINIC
WAVERLY 50677 CHICKASAW Male Accepted FC 3/25/2016
BREMER WAVERLY HEALTH CENTER -
WOMEN'S CLINIC
WAVERLY 50677 Not Asked Unreachable 3/2/2016
BUCHANAN BEERMAN, KRISTIN ARNP - IAM 1094 220TH ST JESUP 50648 BUCHANAN Female Accepted FC 3/15/2016
BUCHANAN COVENANT CLINIC - FAIRBANK FAIRBANK 50629 Not Asked Declined FC 3/1/2016
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DateBUCHANAN FELDKAMP, MARK DR - IAM 1094 220TH ST JESUP 50648 JONES Female Accepted FC 3/15/2016
BUCHANAN MCCORMICK, RICK - IAM 1100 1ST ST E INDEPENDENC
E
50644 BUCHANAN Female Accepted FC 3/11/2016
BUENA VISTA UNITY POINT BV CLINIC - STORM LAKE STORM LAKE 50588 SAC Female Accepted FC 3/22/2016
BUTLER HENSLEY, TARA PAC - IAM 1001 MASON WAY SHELL ROCK CHICKASAW Male Accepted FC 3/22/2016
BUTLER HENSLEY, TARA PAC - IAM 1001 MASON WAY SHELL ROCK CHICKASAW Female Accepted FC 3/22/2016
BUTLER DURBIN, WILLIAM - IAM 502 3RD ST PARKERSBUR
G
50665 BLACK HAWK Female Accepted FC 3/17/2016
BUTLER HOELSCHER, COURTNEY ARNP - IAM 118 S MAIN CLARKSVILLE 50619 BUTLER Female Accepted FC 3/30/2016
BUTLER HOELSCHER, COURTNEY ARNP - IAM 118 S MAIN CLARKSVILLE 50619 BUTLER Female Accepted FC 3/8/2016
BUTLER HOELSCHER, COURTNEY ARNP - IAM 118 S MAIN CLARKSVILLE 50619 BUTLER Male Accepted FC 3/14/2016
BUTLER HOELSCHER, COURTNEY ARNP - IAM 118 S MAIN CLARKSVILLE 50619 BREMER Female Accepted FC 3/31/2016
BUTLER HOELSCHER, COURTNEY ARNP - IAM 118 S MAIN CLARKSVILLE 50619 FLOYD Male Active 3/31/2016
BUTLER HULL, SHANNON - IAM 1001 MASON WAY SHELL ROCK 50670 BUTLER Female Accepted FC 3/24/2016
BUTLER SCHAFER, ERICA ARNP - IAM 1306 HWY 57 PARKERSBUR
G
50665 Not Asked Unreachable 3/4/2016
CALHOUN ANDERSON, DANNIELE PAC - IAM 1351 W MAIN LAKE CITY 51449 SAC Female Accepted FC 3/15/2016
CALHOUN LEPPERT, LISA ARNP - IAM MANSON FAMILY
HEALTH
MANSON 50563 Not Asked Unreachable 3/8/2016
CALHOUN LEPPERT, LISA ARNP - IAM MANSON FAMILY
HEALTH
MANSON 50563 Not Asked Unreachable 3/1/2016
CARROLL MCQUEEN, JAMES DO - IAM 1214 S GRANT CARROLL Not Asked Active 3/29/2016
CARROLL FLORES, TINA DR - IAM 405 S CLAR KST STE 100 CARROLL 51401 CARROLL Female Accepted FC 3/22/2016
CARROLL FLORES, TINA DR - IAM 405 S CLAR KST STE 100 CARROLL 51401 CARROLL Male Accepted FC 3/22/2016
CARROLL JENSEN, HOPE - IAM 405 S CLARK ST STE 100 CARROLL 51401 SAC Female Accepted FC 3/14/2016
CARROLL PERKINS, JULIE DR - IAM 1214 S GRANT RD CARROLL 51401 CARROLL Female Accepted FC 3/14/2016
CASS COOK, VANESSA - IAM 1501 E 10TH ST ATLANTIC CASS Male Accepted FC 3/17/2016
CASS COOK, VANESSA - IAM 1501 E 10TH ST ATLANTIC CASS Female Accepted FC 3/14/2016
CASS ATKINSON, SEANN DR - IAM 1501 E 10TH ST ATLANTIC 50022 CASS Female Accepted FC 3/24/2016
CASS FULLER, MARY - IAM 1501 E 10TH ATLANTIC 50022 MONTGOMER
Y
Female Unreachable 3/28/2016
CASS HIXSON, SCOTT PAC MPAS - IAM 1501 E 10TH ATLANTIC 50022 MONTGOMER
Y
Female Accepted FC 3/9/2016
CASS KICKLAND, HALEY - IAM 1101 E 7TH ST ATLANTIC 50022 CASS Female Accepted FC 3/17/2016
CEDAR BRUSS, KAYLA - IAM 411 1ST AVE CLARENCE 52216 CEDAR Female Accepted FC 3/24/2016
CEDAR WINEKAUF, TONJA ARNP - IAM 56 CEDAR ST TIPTON 52772 CEDAR Female Accepted FC 3/28/2016
CERRO GORDO BOTTJEN, BURT DR - IAM 1410 6TH AVE S CLEAR LAKE CERRO
GORDO
Male Accepted FC 3/24/2016
CERRO GORDO LINDSTROM, LORI - IAM 1327 6TH ST SW MASON CITY Not Asked Unreachable 3/29/2016
CERRO GORDO ANCHOR FAMILY HEALTH CENTER MASON CITY 50401 Not Asked Unreachable 3/2/2016
CERRO GORDO EISENLOHR, TARA ARNP - IAM 1681 4TH ST MASON CITY 50401 HANCOCK Female Accepted FC 3/30/2016
CERRO GORDO HABERMAN, ANALISA- IAM 621 S ILLINOIS AVE STE
100
MASON CITY 50401 WORTH Female Accepted FC 3/14/2016
CERRO GORDO HABERMAN, ANALISA- IAM 621 S ILLINOIS AVE STE
100
MASON CITY 50401 WORTH Female Unreachable 3/4/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateCERRO GORDO KIRSCH, JANICE - IAM 1010 4TH ST SW MASON CITY 50401 CERRO
GORDO
Female Accepted FC 3/31/2016
CERRO GORDO MERCY FAMILY RESIDENCY - NORTH
IOWA
MASON CITY 50401 Not Asked Unreachable 3/22/2016
CERRO GORDO SINGH, PRANAV MD - IAM 1000 4TH ST SW MASON CITY 50401 CERRO
GORDO
Female Accepted FC 3/24/2016
CHEROKEE BILLINGS, JAMIE ARNP - IAM 212 E BOW DR CHEROKEE 51012 CHEROKEE Male Accepted FC 3/14/2016
CHEROKEE BILLINGS, JAMIE ARNP - IAM 212 E BOW DR CHEROKEE 51012 Not Asked Unreachable 3/1/2016
CHEROKEE PARKER, WESLEY MD - IAM 300 SIOUX VALLEY DR CHEROKEE 51012 CHEROKEE Female Accepted FC 3/28/2016
CHEROKEE RICE, TIMOTHY - IAM 300 SIOUX VALLEY DR CHEROKEE 51012 CHEROKEE Female Accepted FC 3/9/2016
CHEROKEE VANDELUNE, CHRIS DR - IAM 300 SIOUX VALLEY DR CHEROKEE 51012 CHEROKEE Female Accepted FC 3/10/2016
CHEROKEE VANDELUNE, CHRIS DR - IAM 300 SIOUX VALLEY DR CHEROKEE 51012 CHEROKEE Male Accepted FC 3/1/2016
CHEROKEE VANDELUNE, CHRIS DR - IAM 300 SIOUX VALLEY DR CHEROKEE 51012 Not Asked Unreachable 3/29/2016
CHEROKEE VANDELUNE, CHRISTOPHER - IAM 300 SIOUX VALLEY DR CHEROKEE 51012 CHEROKEE Not Asked Unreachable 3/4/2016
CHICKASAW BRINKMAN, LUCAS - IAM 115 SCHULT RIDGE RD FREDERICKSB
URG
50630 FAYETTE Male Accepted FC 3/3/2016
CLARKE CANNON, LORI - IAM 827 S JACKSON OSCEOLA CLARKE Male Accepted FC 3/14/2016
CLARKE PATTERSON, KATHLEEN - IAM 827 S JACKSON ST OSCEOLA 50213 CLARKE Female Accepted FC 3/16/2016
CLAY KEITH, DAVID - IAM 116 E 11TH ST SPENCER 51301 CLAY Female Accepted FC 3/22/2016
CLAY KERRICK, HILARY DR - IAM 116 E 11TH ST SPENCER 51301 PALO ALTO Female Accepted FC 3/24/2016
CLAY KERRICK, HILARY DR - IAM 116 E 11TH ST SPENCER 51301 Not Asked Unreachable 3/22/2016
CLAY KERRICK, HILARY DR - IAM 116 E 11TH ST SPENCER 51301 Not Asked Unreachable 3/15/2016
CLAY SATHER, SONIA DR - IAM 116 E 11TH ST SPENCER 51301 CLAY Female Accepted FC 3/17/2016
CLAY WITT, TRAVIS DR - IAM 116 E 11TH ST STE 101 SPENCER 51301 CLAY Male Accepted FC 3/30/2016
CLAYTON BERNS, BARB - IAM 911 CARTER ST ELKADER 52043 CLAYTON Male Accepted FC 3/24/2016
CLAYTON BERNS, BARB - IAM 911 CARTER ST ELKADER 52043 CLAYTON Female Accepted FC 3/14/2016
CLAYTON BERNS, BARB - IAM 911 CARTER ST ELKADER 52043 CLAYTON Female Unreachable 3/3/2016
CLAYTON BOCKENSTEDT, KRIS ARNP - IAM 200 MAIN ST GUTTENBERG 52052 CLAYTON Female Accepted FC 3/4/2016
CLAYTON BOCKENSTEDT, KRIS ARNP - IAM 200 MAIN ST GUTTENBERG 52052 CLAYTON Male Accepted FC 3/14/2016
CLAYTON DANNER, KRISTINE DR - IAM 345 W STEAMBOAT DR
STE 300
DAKOTA
DUNES
WOODBURY Male Accepted FC 3/4/2016
CLAYTON DANNER, KRISTINE DR - IAM 345 W STEAMBOAT DR
STE 300
DAKOTA
DUNES
WOODBURY Female Accepted FC 3/24/2016
CLINTON BARAKAT, SUHEIL DR - IAM 915 13TH AVE CLINTON 52732 JACKSON Male Accepted FC 3/1/2016
CLINTON COMMUNITY HEALTHCARE CLINTON 52732 CLINTON Male Accepted FC 3/8/2016
CLINTON FLORY, DONALD MD - IAM 915 13TH AVE N CLINTON 52732 CLINTON Female Accepted FC 3/28/2016
CLINTON FULLER, ASHLEY ARNP - IAM 925 S 4TH ST CLINTON 52732 CLINTON Male Accepted FC 3/31/2016
CLINTON FULLER, ASHLEY ARNP - IAM 925 S 4TH ST CLINTON 52732 CLINTON Male Accepted FC 3/17/2016
CLINTON KAUFFMAN, THERSA ARNP - IAM 915 13TH AVE N CLINTON 52732 Not Asked Unreachable 3/24/2016
CLINTON KIBLER, AMY DR - IAM 915 13TH AVE N CLINTON 52732 Female Declined FC 3/24/2016
CLINTON KIBLER, AMY DR - IAM 915 13TH AVE N CLINTON 52732 Female Declined FC 3/24/2016
CLINTON KOLUSU, HANUMANTHA R DR - IAM 2304 N WASHINGTON
BLVD
CAMANCHE 52730 Not Asked Unreachable 3/4/2016
CLINTON LAUREIJS, PETER DR - IAM 1021 11TH ST DE WITT 52742 SCOTT Female Accepted FC 3/21/2016
CLINTON MANKARIOUS, MICHAEL - IAM 638 S BLUFF BLVD CLINTON 52732 CLINTON Female Unreachable 3/1/2016
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 CLINTON Female Accepted FC 3/9/2016
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 CLINTON Female Accepted FC 3/24/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateCLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 Not Asked Declined FC 3/17/2016
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 Not Asked Declined FC 3/9/2016
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 CLINTON Not Asked Declined FC 3/14/2016
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 Not Asked Unreachable 3/14/2016
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 Not Asked Unreachable 3/14/2016
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 Not Asked Unreachable 3/9/2016
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 Not Asked Unreachable 3/9/2016
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 Not Asked Unreachable 3/24/2016
CLINTON MERCY MEDICAL CENTER - CLINTON CLINTON 52732 Not Asked Unreachable 3/24/2016
CLINTON MILLER, CHELSEY - IAM 2027 S 21ST ST CLINTON 52732 CLINTON Male Accepted FC 3/8/2016
CLINTON MILLER, CHELSEY - IAM 2027 S 21ST ST CLINTON 52732 CLINTON Female Accepted FC 3/8/2016
CLINTON PLA, RAMON - IAM 915 13TH AVE CLINTON 52732 CLINTON Male Accepted FC 3/24/2016
CLINTON ROBINSON, RANDY DR - IAM 2027 S 21ST ST CLINTON 52732 CLINTON Female Accepted FC 3/24/2016
CRAWFORD KEY, ROBERT - IAM 800 E BLACKHAWK AVE PRAIRIE DU
CHIEN
53821 CLAYTON Female Accepted FC 3/16/2016
CRAWFORD KEY, ROBERT - IAM 800 E BLACKHAWK AVE PRAIRIE DU
CHIEN
53821 Not Asked Unreachable 3/17/2016
CRAWFORD KEY, ROBERT - IAM 800 E BLACKHAWK AVE PRAIRIE DU
CHIEN
53821 Not Asked Unreachable 3/29/2016
DAKOTA BRENNER, MICHAEL MD - IAM 3250 PLAZA DR SOUTH SIOUX
CITY
68776 WOODBURY Male Accepted FC 3/15/2016
DAKOTA FAMILY HEALTHCARE OF SIOUXLAND -
SOUTH SIOUX CITY
SOUTH SIOUX
CITY
68776 WOODBURY Female Accepted FC 3/1/2016
DAKOTA PRATT, ELIZABETH - IAM 3250 PLAZA DR SOUTH SIOUX
CITY
68776 WOODBURY Female Accepted FC 3/4/2016
DALLAS MEDICI-FEICK, DEBORAH - IAM 616 10TH ST PERRY DALLAS Female Accepted FC 3/17/2016
DALLAS ASH, ERIC - IAM 616 10TH ST PERRY 50220 GUTHRIE Female Accepted FC 3/16/2016
DALLAS BOWSHIER, LAURA MD - IAM 25 W HICKMAN RD WAUKEE 50263 DALLAS Male Unreachable 3/24/2016
DALLAS DALLAS COUNTY HOSPITAL PERRY 50220 Not Asked Unreachable 3/22/2016
DALLAS MERCY FAMILY CARE PERRY 50220 DALLAS Female Accepted FC 3/23/2016
DALLAS MERCY FAMILY CARE PERRY 50220 DALLAS Female Accepted FC 3/24/2016
DALLAS MERCY FAMILY CARE PERRY 50220 DALLAS Female Accepted FC 3/9/2016
DALLAS MERCY FAMILY CARE PERRY 50220 Not Asked Active 3/31/2016
DALLAS MERCY FAMILY CARE PERRY 50220 Not Asked Unreachable 3/24/2016
DALLAS MERCY FAMILY CARE PERRY 50220 Not Asked Unreachable 3/25/2016
DALLAS MERCY FAMILY CARE PERRY 50220 Not Asked Unreachable 3/17/2016
DALLAS MERCY FAMILY CARE PERRY 50220 Not Asked Unreachable 3/17/2016
DALLAS MERCY FAMILY CARE PERRY 50220 Not Asked Unreachable 3/4/2016
DALLAS MERCY FAMILY CARE PERRY 50220 Not Asked Unreachable 3/2/2016
DALLAS SANDERS, MEGAN PAC - IAM 1120 GREENE ST ADEL 50003 DALLAS Female Accepted FC 3/18/2016
DALLAS SANDERS, MEGAN PAC - IAM 1120 GREENE ST ADEL 50003 DALLAS Female Unreachable 3/3/2016
DALLAS WEBER, LINDSAY - IAM 616 10TH ST PERRY 50220 DALLAS Male Accepted FC 3/14/2016
DALLAS WEBER, LINDSAY - IAM 616 10TH ST PERRY 50220 DALLAS Female Unreachable 3/10/2016
DAVIS FLOYD, ROBERT DO - IAM 509 E MADISON BLOOMFIELD 52537 Not Asked Unreachable 3/16/2016
DAVIS OLIVER, BEVERLY - IAM 509 N MADISON BLOOMFIELD 52537 DAVIS Female Accepted FC 3/14/2016
DAVIS OLIVER, BEVERLY - IAM 509 N MADISON BLOOMFIELD 52537 DAVIS Female Accepted FC 3/3/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateDAVIS OLIVER, BEVERLY - IAM 509 N MADISON BLOOMFIELD 52537 DAVIS Male Accepted FC 3/3/2016
DAVIS OLIVER, BEVERLY ARNP - IAM 509 N MADISON BLOOMFIELD 52537 DAVIS Female Accepted FC 3/11/2016
DECATUR ALLEN, NATHAN - IAM 302 NE 14TH ST LEON 50144 DECATUR Male Accepted FC 3/30/2016
DECATUR DEVINE, REBECCA ARNP - IAM 302 NE 14TH ST LEON 50144 Not Asked Active 3/31/2016
DECATUR EASTER, MARK DO - IAM 802 E ACKERLEY LAMONI 50140 Not Asked Unreachable 3/9/2016
DECATUR JACKEL, TERRILEE ARNP - IAM 802 E ACKERLEY LAMONI 50140 DECATUR Male Accepted FC 3/29/2016
DECATUR JACKEL, TERRILEE ARNP - IAM 802 E ACKERLEY LAMONI 50140 RINGGOLD Male Accepted FC 3/24/2016
DECATUR JACKEL, TERRILEE ARNP - IAM 802 E ACKERLEY LAMONI 50140 RINGGOLD Male Declined FC 3/24/2016
DECATUR RICHARD, LARRY MD - IAM 302 NE 14TH ST LEON 50144 DECATUR Female Unreachable 3/28/2016
DECATUR SPOERL, JENNIFER ARNP - IAM 305 NE 14TH ST LEON 50144 DECATUR Female Accepted FC 3/30/2016
DELAWARE BUSCHMAN, JILL ARNP - IAM 709 W MAIN MANCHESTER 52057 DELAWARE Female Unreachable 3/4/2016
DELAWARE CHRISTIANSEN, SCOT MD - IAM 709 W MAIN MANCHESTER 52057 DELAWARE Female Accepted FC 3/21/2016
DELAWARE MAY, NICOLAS - IAM 709 W MAIN ST MANCHESTER 52057 DELAWARE Male Accepted FC 3/29/2016
DELAWARE MEAD, ANN PAC - IAM 709 W MAIN ST MANCHESTER 52057 Not Asked Unreachable 3/30/2016
DELAWARE MEYER, DANIEL PAC - IAM 709 W MAIN ST MANCHESTER 52057 DELAWARE Male Accepted FC 3/1/2016
DES MOINES HAUENSTEIN, NAARAH - IAM 1706 W AGENCY RD W
BURLINGTON
DES MOINES Male Accepted FC 3/29/2016
DES MOINES HAUENSTEIN, NAARAH - IAM 1706 W AGENCY RD W
BURLINGTON
LEE Male Accepted FC 3/14/2016
DES MOINES KISWANI, VANDHANA DR - IAM 1760 W AGENCY RD WEST
BURLINGTON
DES MOINES Female Accepted FC 3/22/2016
DES MOINES KISWANI, VANDHANA DR - IAM 1760 W AGENCY RD WEST
BURLINGTON
DES MOINES Male Accepted FC 3/31/2016
DES MOINES MEEKER, MONICA MD - IAM 1706 AGENCY RD WEST
BURLINGTON
DES MOINES Female Accepted FC 3/25/2016
DES MOINES MEEKER, MONICA MD - IAM 1706 AGENCY RD WEST
BURLINGTON
LEE Female Unreachable 3/29/2016
DES MOINES MEEKER, MONICA MD - IAM 1706 AGENCY RD WEST
BURLINGTON
DES MOINES Female Unreachable 3/28/2016
DES MOINES REYNEN, PETER MD - IAM 1225 S GEAR AVE #159 WEST
BURLINGTON
Not Asked Unreachable 3/14/2016
DES MOINES ABOUASSALY, MICHAEL MD - IAM 1225 S GEAR AVE WEST
BURLINGTON
52655 DES MOINES Female Accepted FC 3/22/2016
DES MOINES ALWAHDANI, ABDULLAH - IAM 1223 S GEAR AVE STE
109
WEST
BURLINGTON
52655 DES MOINES Male Accepted FC 3/14/2016
DES MOINES DECKER, LISA DNP - IAM 401 N ORCHARD ST MEDIAPOLIS 52637 HENRY Male Accepted FC 3/24/2016
DES MOINES DECKER, LISA DNP - IAM 401 N ORCHARD ST MEDIAPOLIS 52637 HENRY Male Accepted FC 3/22/2016
DES MOINES ELLIOTT, CHARISSA FNP - IAM 1706 WEST AGENCY RD WEST
BURLINGTON
52655 DES MOINES Female Accepted FC 3/29/2016
DES MOINES ELLIOTT, CHARISSA FNP - IAM 1706 WEST AGENCY RD WEST
BURLINGTON
52655 DES MOINES Female Accepted FC 3/10/2016
DES MOINES GREAT RIVER MEDICAL CENTER -
RESPIRATORY CARE
WEST
BURLINGTON
52655 DES MOINES Male Accepted FC 3/10/2016
DES MOINES GREAT RIVER MEDICAL CENTER -
RESPIRATORY CARE
WEST
BURLINGTON
52655 DES MOINES Male Accepted FC 3/9/2016
DES MOINES GREAT RIVER MEDICAL CENTER -
RESPIRATORY CARE
WEST
BURLINGTON
52655 Not Asked Unreachable 3/10/2016
DES MOINES GREAT RIVER MEDICINE SPECIALIST WEST
BURLINGTON
52655 DES MOINES Female Accepted FC 3/17/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateDES MOINES GREAT RIVER MENTAL HEALTH WEST
BURLINGTON
52655 DES MOINES Female Accepted FC 3/25/2016
DES MOINES KRAUS., SARA ARNP - IAM 1223 S GEAR AVE WEST
BURLINGTON
52655 DES MOINES Female Accepted FC 3/24/2016
DES MOINES KRAUS., SARA ARNP - IAM 1223 S GEAR AVE WEST
BURLINGTON
52655 LOUISA Female Accepted FC 3/15/2016
DES MOINES LAPINID, MARICRIS - IAM 1201 W AGENCY ST WEST
BURLINGTON
52655 LEE Female Accepted FC 3/14/2016
DES MOINES LAUER, GEORGIA - IAM 1706 W AGENCY BURLINGTON 52601 DES MOINES Male Accepted FC 3/11/2016
DES MOINES LAUER, GEORGIA - IAM 1706 W AGENCY BURLINGTON 52601 DES MOINES Female Accepted FC 3/21/2016
DES MOINES MCDANOLDS, LINDA ARNP - IAM 1225 S GEAR AVE STE
254
WEST
BURLINGTON
52655 LEE Not Asked Unreachable 3/3/2016
DES MOINES MURPHY, JEREMY DR - IAM 1201 W AGENCY RD WEST
BURLINGTON
52655 Not Asked Unreachable 3/3/2016
DES MOINES SAMBERG, KELLY ARNP - IAM 1223 S GEAR AVE STE
304
WEST
BURLINGTON
52655 DES MOINES Female Accepted FC 3/8/2016
DES MOINES ZWANZIGER, REBECCA NP - IAM 1706 W AGENCY RD WEST
BURLINGTON
52655 DES MOINES Female Accepted FC 3/1/2016
DICKINSON BORUS, ZACHARY - IAM 2700 23RD ST SPIRIT LAKE DICKINSON Female Accepted FC 3/8/2016
DICKINSON KALKHOFF, THOMAS - IAM 2700 23RD ST SPIRIT LAKE 51360 OSCEOLA Male Accepted FC 3/24/2016
DICKINSON OLBERDING, CAROL PAC - IAM 2004 OKOBOJI AVE MILFORD 51351 DICKINSON Female Accepted FC 3/9/2016
DICKINSON PORTRAMENT, NATALIE ARNP - IAM 2700 23RD ST STE C SPIRIT LAKE 51360 EMMET Female Accepted FC 3/9/2016
DOUGLAS ALEGENT CREIGHTON CLINIC -
FLORENCE
OMAHA 68112 Not Asked Unreachable 3/29/2016
DOUGLAS BRAU, KAITLIN - IAM 139 S 40TH ST OMAHA 68131 Not Asked Unreachable 3/14/2016
DOUGLAS BRINKMAN, TYLOR - IAM NEBRASKA MEDICAL
CENTER
OMAHA 68198 POTTAWATT
AMIE
Not Asked Unreachable 3/10/2016
DOUGLAS BRINKMAN, TYLOR - IAM NEBRASKA MEDICAL
CENTER
OMAHA 68198 POTTAWATT
AMIE
Not Asked Unreachable 3/24/2016
DOUGLAS KEAN-PUCCIONI, EMILY - IAM 10707 PACIFIC ST OMAHA 68114 POTTAWATT
AMIE
Female Accepted FC 3/11/2016
DOUGLAS SHANER, JOHN MD OMAHA 68178 Not Asked Active 3/31/2016
DOUGLAS STEIER, NICHOLAS - IAM 42308613 N BOTH OMAHA 68122 POTTAWATT
AMIE
Male Accepted FC 3/31/2016
DOUGLAS STORMONT, REBECCA - IAM 601 N 30TH ST OMAHA 68131 Not Asked Unreachable 3/9/2016
DUBUQUE BOXMANN, DIETER - IAM 200 MERCY DR STE 200 DUBUQUE DUBUQUE Female Accepted FC 3/8/2016
DUBUQUE BOXLEITER, THOMAS - IAM 1000 LANGWORTHY DUBUQUE 52001 DUBUQUE Male Accepted FC 3/28/2016
DUBUQUE CARTER, TASSIE NP - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Female Accepted FC 3/29/2016
DUBUQUE CARTER, TASSIE NP - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Female Accepted FC 3/11/2016
DUBUQUE DUBUQUE FAMILY PRACTICE DUBUQUE 52001 DUBUQUE Male Accepted FC 3/16/2016
DUBUQUE FAMUYIDE, VICTORIA DO - IAM 1515 DELHI DUBUQUE 52001 DUBUQUE Male Accepted FC 3/22/2016
DUBUQUE HUBANKS, ANGELA - IAM 1515 DELHI ST DUBUQUE 52001 DUBUQUE Male Unreachable 3/14/2016
DUBUQUE KHAN, TAUSEEF - IAM 350 N GRANDVIEW AVE
STE 2145
DUBUQUE 52001 DUBUQUE Female Accepted FC 3/8/2016
DUBUQUE NOBLE, LANE DR - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Male Accepted FC 3/3/2016
DUBUQUE NOBLE, LANE DR - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Male Accepted FC 3/24/2016
DUBUQUE NOBLE, LANE DR - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Male Accepted FC 3/17/2016
DUBUQUE NOBLE, LANE DR - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Female Accepted FC 3/31/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateDUBUQUE NOBLE, LANE DR - IAM 1789 ELM ST DUBUQUE 52001 Male Accepted FC 3/25/2016
DUBUQUE NOBLE, LANE DR - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Male Accepted FC 3/25/2016
DUBUQUE NOBLE, LANE DR - IAM 1789 ELM ST DUBUQUE 52001 Male Unreachable 3/1/2016
DUBUQUE ROHR, DEBRA - IAM 610 2ND AVE NE CASCADE 52033 DUBUQUE Female Accepted FC 3/8/2016
DUBUQUE TOWNSEND, HEIDI - IAM 1000 LONGWORTHY DUBUQUE 52001 DUBUQUE Female Accepted FC 3/16/2016
DUBUQUE WOLBERS, REGAN - IAM 1515 DELHI DUBUQUE 52001 DUBUQUE Female Accepted FC 3/21/2016
DUBUQUE ZALAZNIK, JENNIFER NP - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Female Accepted FC 3/18/2016
DUBUQUE ZALAZNIK, JENNIFER NP - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Female Accepted FC 3/17/2016
DUBUQUE ZALAZNIK, JENNIFER NP - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Female Accepted FC 3/8/2016
DUBUQUE ZALAZNIK, JENNIFER NP - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Male Accepted FC 3/8/2016
DUBUQUE ZALAZNIK, JENNIFER NP - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Female Accepted FC 3/4/2016
DUBUQUE ZALAZNIK, JENNIFER NP - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Female Accepted FC 3/3/2016
DUBUQUE ZALAZNIK, JENNIFER NP - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Female Accepted FC 3/14/2016
DUBUQUE ZALAZNIK, JENNIFER NP - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Male Accepted FC 3/15/2016
DUBUQUE ZALAZNIK, JENNIFER NP - IAM 1789 ELM ST DUBUQUE 52001 DUBUQUE Female Unreachable 3/11/2016
EMMET AVERA MEDICAL GROUP
ESTHERVILLE
ESTHERVILLE 51334 KOSSUTH Male Accepted FC 3/7/2016
EMMET AVERA MEDICAL GROUP
ESTHERVILLE
ESTHERVILLE 51334 Not Asked Declined FC 3/9/2016
FAYETTE GREENWALDT, STEVE - IAM 110 KING ST FAYETTE 52142 FAYETTE Female Accepted FC 3/9/2016
FAYETTE GREENWALDT, STEVE - IAM 110 KING ST FAYETTE 52142 FAYETTE Female Accepted FC 3/14/2016
FAYETTE LENZ, ROXANNE ARNP - IAM 129 8TH AVE SE OELWEIN 50662 FAYETTE Female Accepted FC 3/8/2016
FAYETTE LENZ, ROXANNE ARNP - IAM 129 8TH AVE SE OELWEIN 50662 FAYETTE Male Accepted FC 3/17/2016
FAYETTE LENZ, ROXANNE ARNP - IAM 129 8TH AVE SE OELWEIN 50662 FAYETTE Female Unreachable 3/14/2016
FAYETTE TOMMASIN, LINDY JO - IAM 124 1ST AVE SE OELWEIN 50662 Female Accepted FC 3/28/2016
FLOYD MOLNAR, JOSEPH - IAM 1501 S MAIN STE 6 CHARLES CITY 50616 FLOYD Female Accepted FC 3/8/2016
FLOYD ROBINSON, JO ANNE A-RNP - IAM 1000 4TH ST CHARLES CITY 50616 Not Asked Unreachable 3/16/2016
FLOYD SCHRODT, DAVID - IAM 1501 S MAIN STE 1 CHARLES CITY 50616 FLOYD Male Accepted FC 3/1/2016
FREMONT OURADA, MICHAEL MD - IAM 1219 MAIN ST HAMBURG 51640 FREMONT Male Accepted FC 3/8/2016
FREMONT WOLTEMATH, KELLI DR - IAM 710 CENTER ST TABOR 51653 FREMONT Not Asked Accepted FC 3/8/2016
FREMONT ZANKER, JAYLENE PAC - IAM 710 CENTER ST TABOR 51653 FREMONT Female Accepted FC 3/4/2016
GREENE FLEECS, SARA - IAM 100 W LINCOLN WAY JEFFERSON 50129 GREENE Female Accepted FC 3/30/2016
GRUNDY KNUTSEN, MICHAEL - IAM 101 EAST J AVE GRUNDY
CENTER
50638 TAMA Not Asked Unreachable 3/10/2016
GUTHRIE ROENFELD, MARCIA - IAM 312 N FREMONT ST STUART 50250 GUTHRIE Female Declined FC 3/8/2016
GUTHRIE BLACK, DAVID PAC 363 SW 7TH ST STE B STUART 50250 DALLAS Male Accepted FC 3/8/2016
GUTHRIE BLACK, DAVID PAC 363 SW 7TH ST STE B STUART 50250 Not Asked Accepted FC 3/24/2016
GUTHRIE BLACK, DAVID PAC - IAM 363 SW 7TH ST STE B STUART 50250 GUTHRIE Female Accepted FC 3/4/2016
GUTHRIE BLACK, DAVID PAC - IAM 363 SW 7TH ST STE B STUART 50250 GUTHRIE Female Accepted FC 3/4/2016
GUTHRIE ERICKSON, TONIA - IAM PO BOX 1475 PANORA 50216 GUTHRIE Female Accepted FC 3/14/2016
HAMILTON EKLUND, DARIN - IAM 1610 COLLINS WEBSTER
CITY
Not Asked Declined FC 3/8/2016
HAMILTON RIDER, CHRISTINE - IAM 1610 COLLINS WEBSTER
CITY
HAMILTON Female Unreachable 3/8/2016
HAMILTON EHN, NICOLE - IAM 1610 COLLINS WEBSTER
CITY
50595 HAMILTON Female Accepted FC 3/8/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateHAMILTON EHN, NIKKI - IAM WC MEDICAL CENTER WEBSTER
CITY
50595 HAMILTON Male Accepted FC 3/8/2016
HANCOCK LARSON, JULIE ARNP - IAM 532 1ST ST NW BRITT 50423 HANCOCK Female Accepted FC 3/24/2016
HANCOCK LARSON, JULIE ARNP - IAM 532 1ST ST NW BRITT 50423 HANCOCK Male Accepted FC 3/31/2016
HARDIN SCHMIDT, ERIN MD - IAM 920 S OAK IOWA FALLS FRANKLIN Male Accepted FC 3/1/2016
HARDIN GEHRKE, LINDA ARNP - IAM 324 S MAPLE ST HUBBARD 50122 HARDIN Female Accepted FC 3/29/2016
HARRISON CHI MISSOURI VALLEY MISSOURI
VALLEY
51555 POTTAWATT
AMIE
Female Declined FC 3/22/2016
HARRISON CHI MISSOURI VALLEY MISSOURI
VALLEY
51555 Not Asked Unreachable 3/16/2016
HARRISON CUNARD, ROBERT D - IAM 809 E ELM ST MISSOURI
VALLEY
51555 HARRISON Male Accepted FC 3/16/2016
HARRISON CUNARD, ROBERT D - IAM 809 E ELM ST MISSOURI
VALLEY
51555 HARRISON Male Accepted FC 3/22/2016
HARRISON CUNARD, ROBERT D - IAM 809 E ELM ST MISSOURI
VALLEY
51555 HARRISON Male Accepted FC 3/24/2016
HARRISON CUNARD, ROBERT D - IAM 809 E ELM ST MISSOURI
VALLEY
51555 POTTAWATT
AMIE
Female Accepted FC 3/29/2016
HARRISON CUNARD, ROBERT D - IAM 809 E ELM ST MISSOURI
VALLEY
51555 POTTAWATT
AMIE
Female Accepted FC 3/28/2016
HARRISON HALL, JENNIFER ARNP - IAM 707 IOWA AVE DUNLAP 51529 CRAWFORD Female Accepted FC 3/29/2016
HARRISON RICHTER, DANIEL DR - IAM 809 E ELM ST MISSOURI
VALLEY
51555 Not Asked Unreachable 3/4/2016
HENRY GRABER, SYLVIA ARNP - IAM 111 W WASHINGTON ST NEW LONDON 52645 HENRY Female Accepted FC 3/8/2016
HENRY METCALF, KENT - IAM 501 S WHITE ST STE 1 MOUNT
PLEASANT
52641 HENRY Female Accepted FC 3/21/2016
HENRY WAGNER, JULIE DO - IAM 501 S WHITE STE 1 MOUNT
PLEASANT
52641 HENRY Male Accepted FC 3/1/2016
HOWARD DUTKA, JESSICA - IAM 321 8TH AVE W CRESCO 52136 HOWARD Female Accepted FC 3/22/2016
HOWARD KAMMERER, JON DR - IAM 321 8TH AVE W CRESCO 52136 HOWARD Female Accepted FC 3/28/2016
HOWARD MAHER, JON MD - IAM 321 8TH AVE W CRESCO 52136 Not Asked Unreachable 3/11/2016
HOWARD SCHLANGEN, TRACEY A-RNP - IAM 101 W MAIN LIME SPRINGS 52155 Not Asked Unreachable 3/3/2016
IOWA MILLER, BEN DO - IAM 255 W LUCAS ST MARENGO 52301 IOWA Female Accepted FC 3/24/2016
IOWA MOHR, JOY PAC - IAM 255 W LUCAS ST MARENGO 52301 BENTON Male Accepted FC 3/15/2016
IOWA MOHR, JOY PAC - IAM 255 W LUCAS ST MARENGO 52301 BENTON Male Unreachable 3/3/2016
IOWA MOHR, JOY PAC - IAM 255 W LUCAS ST MARENGO 52301 Not Asked Unreachable 3/4/2016
IOWA NEYMAN, GREGORY - IAM 498 N HIGHLAND WILLIAMSBUR
G
52361 BENTON Female Accepted FC 3/22/2016
IOWA NEYMAN, GREGORY - IAM 498 N HIGHLAND WILLIAMSBUR
G
52361 IOWA Male Accepted FC 3/21/2016
JACKSON KOPPES, SANDRA FNP - IAM 206 N ARCADE ST MAQUOKETA 52060 JACKSON Female Accepted FC 3/9/2016
JACKSON LIVESAY, JODY - IAM 918 W PLATT #1 MAQUOKETA 52060 JACKSON Female Unreachable 3/21/2016
JACKSON STEINES, TRICIA ARNP - IAM 918 W PLATT ST MAQUOKETA 52060 JACKSON Male Accepted FC 3/1/2016
JACKSON THOMPSON, KIM - IAM 918 W SUMMIT MAQUOKETA 52060 Not Asked Active 3/31/2016
JASPER ALEXANDER, ZACHARY - IAM 300 N 4TH AVE E #200 NEWTON 50208 JASPER Female Accepted FC 3/1/2016
JASPER COPE, ANDREW - IAM 300 N 4TH AVE E STE
200
NEWTON 50208 JASPER Male Accepted FC 3/14/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateJASPER COPE, ANDREW - IAM 300 N 4TH AVE E STE
200
NEWTON 50208 JASPER Female Accepted FC 3/28/2016
JASPER EDWARDS, PATRICK - IAM 300 N 4TH AVE E NEWTON 50208 JASPER Female Accepted FC 3/25/2016
JASPER GUARIN, ESGAR DR - IAM 300 N 4TH AVE E STE
200
NEWTON 50208 JASPER Female Accepted FC 3/16/2016
JASPER HILL, STEVEN - IAM 300 N 4TH AVE STE 200 NEWTON 50208 JASPER Female Accepted FC 3/22/2016
JASPER HILL, STEVEN - IAM 300 N 4TH AVE STE 200 NEWTON 50208 JASPER Female Unreachable 3/10/2016
JASPER INGLE, GREG - IAM 100 E JEFFERSON ST PRAIRIE CITY 50228 JASPER Female Accepted FC 3/29/2016
JASPER PAK, MIN - IAM 300 N 4TH AVE E NEWTON 50208 JASPER Female Accepted FC 3/29/2016
JEFFERSON MEDICAL ARTS CLINIC FAIRFIELD 52556 JEFFERSON Female Accepted FC 3/17/2016
JEFFERSON SWAITZ, EILENE MD - IAM 2709 W BRIGGS STE 1 FAIRFIELD 52556 JEFFERSON Female Accepted FC 3/17/2016
JEFFERSON TRENT, JAMES MD - IAM 2000 S MAIN ST FAIRFIELD 52556 JEFFERSON Female Accepted FC 3/24/2016
JOHNSON ELANGOVAN, SATHEESH DR - IAM 801 NEWTON RD IOWA CITY MARSHALL Male Accepted FC 3/31/2016
JOHNSON GEBSKA, MILENA - IAM 105 E 9TH ST CORALVILLE Female Unreachable 3/29/2016
JOHNSON ABERNATHY, M GLENN - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Accepted FC 3/28/2016
JOHNSON ANDREWS, JANET - IAM 200 HAWKINS DR IOWA CITY 52242 JEFFERSON Female Accepted FC 3/15/2016
JOHNSON APPENHEIMER, STACY DR - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Male Accepted FC 3/29/2016
JOHNSON APPENHEIMER, STACY DR - IAM 200 HAWKINS DR IOWA CITY 52242 DES MOINES Female Accepted FC 3/22/2016
JOHNSON BANU, HUSSAIN DR - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Accepted FC 3/17/2016
JOHNSON BANU, HUSSAIN DR. - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Male Accepted FC 3/8/2016
JOHNSON BERRY-STOELZLE, MARESY - IAM 200 HAWKINS DR IOWA CITY 52242 JONES Male Accepted FC 3/15/2016
JOHNSON BUTLER, NICHOLAS - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Accepted FC 3/31/2016
JOHNSON CAPIZZANO, JUANA MD - IAM 1130 S SCOTT BLVD IOWA CITY 52240 JOHNSON Female Accepted FC 3/22/2016
JOHNSON CAPIZZANO, JUANA MD - IAM 1130 S SCOTT BLVD IOWA CITY 52240 JOHNSON Female Accepted FC 3/22/2016
JOHNSON CONNETT, MEGHAN DR - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Accepted FC 3/16/2016
JOHNSON CONNETT, MEGHAN DR - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Declined FC 3/10/2016
JOHNSON COOLEY, MEGHAN ARNP - IAM 1765 LININGER LN NORTH
LIBERTY
52317 JOHNSON Female Accepted FC 3/14/2016
JOHNSON FARRELL, ANGELA - IAM 3 LIONS DR NORTH
LIBERTY
52317 JOHNSON Female Accepted FC 3/24/2016
JOHNSON FEELEY, JAMES - IAM 613 E BLOOMINGTON ST IOWA CITY 52245 JOHNSON Female Accepted FC 3/15/2016
JOHNSON FLANDERS, KATHY A-RNP - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Accepted FC 3/15/2016
JOHNSON FLANDERS, KATHY A-RNP - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Unreachable 3/4/2016
JOHNSON HEGEMAN, ROBERT - IAM 105 E 9TH ST CORALVILLE 52241 Refused Unreachable 3/16/2016
JOHNSON HOFFMAN, MICHAEL ARNP - IAM 200 HAWKINS DR IOWA CITY 52242 IOWA Male Unreachable 3/4/2016
JOHNSON IMBOREK, KATIE - IAM 1130 SCOTT BLVD IOWA CITY 52245 JOHNSON Female Accepted FC 3/22/2016
JOHNSON IOWA RIVER LANDING - INTERNAL
MEDICINE
CORALVILLE 52241 JOHNSON Female Accepted FC 3/23/2016
JOHNSON JACKSON, JAMES DR - IAM 200 HAWKINS DR IOWA CITY 52242 LINN Female Accepted FC 3/21/2016
JOHNSON JACKSON, JAMES DR - IAM 200 HAWKINS DR IOWA CITY 52242 LINN Female Unreachable 3/15/2016
JOHNSON JEPSON, MATTHEW DR - IAM 3 LIONS DR NORTH
LIBERTY
52317 JOHNSON Female Accepted FC 3/14/2016
JOHNSON JEPSON, MATTHEW MD - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Accepted FC 3/24/2016
JOHNSON KATZ, DAVID DR - IAM 105 E 9TH ST CORALVILLE 52241 LINN Male Accepted FC 3/28/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateJOHNSON LANTERNIER, MATTHEW - IAM 1130 S SCOTT BLVD IOWA CITY 52240 Not Collected Accepted FC 3/24/2016
JOHNSON MEIER, JEFF MD - IAM 200 HAWKINS DR IOWA CITY 52242 TAMA Male Accepted FC 3/15/2016
JOHNSON NISLY, NICOLE - IAM 105 E 9TH ST CORALVILLE 52241 LINN Female Accepted FC 3/22/2016
JOHNSON PHILLIPS, SHANNON PAC - IAM 1130 SCOTT BLVD IOWA CITY 52240 JOHNSON Male Accepted FC 3/8/2016
JOHNSON RANE, NANCY ARNP - IAM 3 LIONS DR NORTH
LIBERTY
52317 JOHNSON Female Accepted FC 3/22/2016
JOHNSON RAY, BRIGIT DR - IAM 200 HAWKINS DR IOWA CITY 52242 HENRY Male Unreachable 3/8/2016
JOHNSON RAY, BRIGIT MD - IAM 200 HAWKINS DR IOWA CITY 52242 LINN Male Accepted FC 3/8/2016
JOHNSON RAY, BRIGIT MD - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Accepted FC 3/21/2016
JOHNSON ROY, RUPALI - IAM 200 HAWKINS DR IOWA CITY 52242 WAPELLO Male Accepted FC 3/14/2016
JOHNSON SHAIK, SHALINA - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Accepted FC 3/15/2016
JOHNSON SHAIK, SHALINA - IAM 200 HAWKINS DR IOWA CITY 52242 JACKSON Male Accepted FC 3/25/2016
JOHNSON SHAIK, SHALINA - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Not Asked Unreachable 3/16/2016
JOHNSON SHULTZ, SAMUEL DR - IAM 200 HAWKINS DR IOWA CITY 52242 SCOTT Male Accepted FC 3/29/2016
JOHNSON TAEGER, VINCENT DR - IAM 1765 LININGER LN NORTH
LIBERTY
52317 JOHNSON Female Accepted FC 3/17/2016
JOHNSON TAEGER, VINCENT DR - IAM 1765 LININGER LN NORTH
LIBERTY
52317 LINN Male Accepted FC 3/17/2016
JOHNSON TAEGER, VINCENT DR - IAM 1765 LININGER LN NORTH
LIBERTY
52317 LINN Male Accepted FC 3/21/2016
JOHNSON TAEGER, VINCENT DR - IAM 1765 LININGER LN NORTH
LIBERTY
52317 LINN Female Accepted FC 3/8/2016
JOHNSON TAEGER, VINCENT DR - IAM 1765 LININGER LN NORTH
LIBERTY
52317 Not Asked Unreachable 3/22/2016
JOHNSON TERVEEN, MARGARET DR - IAM 200 HAWKINS DR IOWA CITY 52242 JEFFERSON Female Accepted FC 3/21/2016
JOHNSON TERVEEN, MARGARET DR - IAM 200 HAWKINS DR IOWA CITY 52242 HENRY Female Unreachable 3/24/2016
JOHNSON THOMA, KATE - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Accepted FC 3/17/2016
JOHNSON THOMA, KATE - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Unreachable 3/9/2016
JOHNSON TOKACA, ADISA - IAM 200 HAWKINS DR IOWA CITY 52242 KEOKUK Female Accepted FC 3/16/2016
JOHNSON TOKACA, ADISA - IAM 200 HAWKINS DR IOWA CITY 52242 IOWA Male Accepted FC 3/25/2016
JOHNSON TOKACA, ADISA - IAM 200 HAWKINS DR IOWA CITY 52242 IOWA Male Unreachable 3/9/2016
JOHNSON TOKACA, ADISA - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Female Unreachable 3/4/2016
JOHNSON UIHC BURN CLINIC IOWA CITY 52242 Not Asked Declined FC 3/17/2016
JOHNSON WIBLIN, RAYMOND TODD MD - IAM 105 9TH ST CORALVILLE 52241 HENRY Male Unreachable 3/24/2016
JOHNSON WILCOX, GARRETT - IAM 200 HAWKINS DR IOWA CITY 52242 MUSCATINE Male Accepted FC 3/1/2016
JOHNSON WILLIAMS, NANCY DR - IAM 200 HAWKINS DR IOWA CITY 52242 JOHNSON Male Accepted FC 3/24/2016
JONES GREIF, ANGELA DR - IAM 1791 HWY 69 E ANAMOSA 52205 JONES Female Accepted FC 3/9/2016
JONES O'REILLY ALBER, KELLY ARNP - IAM 619 S MAIN ST MONTICELLO 52310 DELAWARE Male Accepted FC 3/14/2016
JONES O'REILLY ALBER, KELLY ARNP - IAM 619 S MAIN ST MONTICELLO 52310 JONES Male Unreachable 3/15/2016
KEOKUK MALLOY, MICHELLE ARNP - IAM 1314 S STUART SIGOURNEY 52591 KEOKUK Female Accepted FC 3/15/2016
KEOKUK UI FAMILY CARE SIGNORNEY SIGOURNEY 52591 KEOKUK Male Accepted FC 3/2/2016
KOSSUTH DAVIS, MARK - IAM 1519 S PHILLIPS ALGONA KOSSUTH Male Accepted FC 3/17/2016
KOSSUTH ETHERINGTON, KIMBERLY PAC - IAM 1519 S PHILLIPS ST ALGONA 50511 KOSSUTH Female Accepted FC 3/29/2016
KOSSUTH LAMPE, MICHAEL DO - IAM 1519 S PHILLIPS ALGONA 50511 POCAHONTA
S
Female Accepted FC 3/25/2016
LANCASTER HIBBARD, ROBERT MD - IAM 1600 S 48TH ST LINCOLN 68506 PAGE Female Accepted FC 3/21/2016
LANCASTER HIBBARD, ROBERT MD - IAM 1600 S 48TH ST LINCOLN 68506 PAGE Female Unreachable 3/4/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateLEE ORDONA, TRUCE MD - IAM 5409 AVE O STE 125 FORT
MADISON
Not Asked Unreachable 3/4/2016
LEE BARROWS, LINDSEY - IAM 400 N 17TH ST KEOKUK 52632 LEE Male Accepted FC 3/10/2016
LEE BARROWS, LINDSEY - IAM 400 N 17TH ST KEOKUK 52632 LEE Male Accepted FC 3/17/2016
LEE CLOKE, TIA NP - IAM 400 N 17TH KEOKUK 52632 LEE Female Accepted FC 3/8/2016
LEE CLOKE, TIA NP - IAM 400 N 17TH KEOKUK 52632 Not Asked Active 3/31/2016
LEE CLOKE, TIA NP - IAM 400 N 17TH KEOKUK 52632 Not Asked Unreachable 3/16/2016
LEE DEMMEL, JAMES DR - IAM 400 N 17TH ST KEOKUK 52632 LEE Female Accepted FC 3/29/2016
LEE DEMMEL, JAMES DR - IAM 400 N 17TH ST KEOKUK 52632 LEE Male Accepted FC 3/8/2016
LEE DEMMEL, JAMES DR - IAM 400 N 17TH ST KEOKUK 52632 LEE Male Accepted FC 3/10/2016
LEE HIRTE, PEGGY - IAM 706 AVE C STE A WEST POINT 52656 DES MOINES Male Accepted FC 3/17/2016
LEE HIRTE, PEGGY - IAM 706 AVE C STE A WEST POINT 52656 DES MOINES Not Asked Unreachable 3/24/2016
LEE O'TOOL, AMANDA - IAM 5409 AVE O STE 135 FORT
MADISON
52627 LEE Male Accepted FC 3/24/2016
LEE PADAM, SRIPAL MD - IAM 1603 MORGAN ST STE 2 KEOKUK 52632 LEE Male Accepted FC 3/3/2016
LEE STROPE, MARK - IAM 400 N 17TH KEOKUK 52632 LEE Not Asked Unreachable 3/3/2016
LEE STROPE, MARK - IAM 400 N 17TH KEOKUK 52632 LEE Not Asked Unreachable 3/16/2016
LEE THE KEOKUK CLINIC KEOKUK 52632 LEE Female Accepted FC 3/31/2016
LEE VOLM, TIMOTHY DR - IAM 5409 AVENUE O FORT
MADISON
52627 LEE Male Accepted FC 3/3/2016
LEE WENGER-KELLER, DAVID - IAM 5409 AVE O FORT
MADISON
52627 LEE Female Accepted FC 3/8/2016
LEE WENGER-KELLER, DAVID - IAM 5409 AVE O FORT
MADISON
52627 LEE Female Accepted FC 3/29/2016
LEE WHEELER, ERIN - IAM 400 N 17TH ST KEOKUK 52632 LEE Female Accepted FC 3/11/2016
LINN ACHERKAN, DMITRIY MD - IAM 9255 ATLANTIC DR SW CEDAR RAPIDS LINN Male Accepted FC 3/21/2016
LINN BACCAM, NICOLE A-RNP - IAM 1201 3RD AVE SE CEDAR RAPIDS Not Asked Unreachable 3/11/2016
LINN BREITBACH, KRISTIN ARNP - IAM 2990 7T HAVE STE B MARION LINN Male Accepted FC 3/17/2016
LINN NATVIG, ELLEN PA - IAM 520 11TH ST NW CEDAR RAPIDS Not Asked Declined FC 3/3/2016
LINN PRICE, JACLYN DO - IAM 3701 KATZ DR MARION LINN Male Accepted FC 3/24/2016
LINN PRICE, JACLYN DO - IAM 3701 KATZ DR MARION LINN Female Accepted FC 3/31/2016
LINN PRICE, JACLYN DO - IAM 3701 KATZ DR MARION LINN Female Accepted FC 3/15/2016
LINN SIWKIEWICZ, ALEKSANDRA F - IAM 1201 3RD AVE CEDAR RAPIDS LINN Male Accepted FC 3/28/2016
LINN SIWKIEWICZ, ALEKSANDRA F - IAM 1201 3RD AVE CEDAR RAPIDS LINN Female Accepted FC 3/28/2016
LINN WALL, PHILLY - IAM 830 4TH AVE SE CEDAR RAPIDS LINN Male Accepted FC 3/3/2016
LINN ALLEN, ALECIA MD - IAM 400 S BLAIRSFERRY
CROSSING
HIAWATHA 52233 LINN Female Accepted FC 3/3/2016
LINN ANWAR, QADANA - IAM 2735 EDGEWOOD RD
SW
CEDAR RAPIDS 52405 LINN Female Accepted FC 3/22/2016
LINN ANWAR, QADANA - IAM 2735 EDGEWOOD RD
SW
CEDAR RAPIDS 52405 LINN Female Accepted FC 3/24/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
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Participant
County
Participant
Gender
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Status
Fax Received
DateLINN ANWAR, QADANA - IAM 2735 EDGEWOOD RD
SW
CEDAR RAPIDS 52405 Not Asked Unreachable 3/24/2016
LINN ASSAD, ABRAHAM MD - IAM 3115 12TH ST SW CEDAR RAPIDS 52404 LINN Male Accepted FC 3/22/2016
LINN BECK, ROBERT MD - IAM 1201 3RD AVE SE CEDAR RAPIDS 52404 LINN Not Asked Unreachable 3/24/2016
LINN BOELTER, NANCY MD - IAM 3701 KATZ DR MARION 52302 LINN Female Accepted FC 3/29/2016
LINN BOPANNA, SURAJ - IAM 788 8TH AVE SE STE 200 CEDAR RAPIDS 52401 LINN Male Accepted FC 3/24/2016
LINN BRADLEY, JENNIFER DO - IAM 1340 BLAIRSFERRY RD
STE A
HIAWATHA 52233 LINN Female Accepted FC 3/30/2016
LINN BRADLEY, JENNIFER DO - IAM 1340 BLAIRSFERRY RD
STE A
HIAWATHA 52233 LINN Female Unreachable 3/22/2016
LINN BUTLER, SARA - IAM 788 8TH AVE SE CEDAR RAPIDS 52401 LINN Female Accepted FC 3/30/2016
LINN CEARLOCK, KEN MD - IAM 701 10TH ST SE CEDAR RAPIDS 52403 LINN Male Accepted FC 3/8/2016
LINN CEARLOCK, KEN MD - IAM 701 10TH ST SE CEDAR RAPIDS 52403 LINN Female Accepted FC 3/31/2016
LINN CEARLOCK, KEN MD - IAM 701 10TH ST SE CEDAR RAPIDS 52403 Not Asked Active 3/31/2016
LINN CEARRAS, MARTIN - IAM 788 8TH AVE SE STE 200 CEDAR RAPIDS 52401 LINN Female Accepted FC 3/29/2016
LINN CEARRAS, MARTIN - IAM 788 8TH AVE SE STE 200 CEDAR RAPIDS 52401 Not Asked Unreachable 3/30/2016
LINN CEARRAS, MARTIN - IAM 788 8TH AVE SE STE 200 CEDAR RAPIDS 52401 Not Asked Unreachable 3/21/2016
LINN CELIS VALDIVIEZO, EDUARDO
ARTURO - IAM
788 8TH AVE SE #200 CEDAR RAPIDS 52401 LINN Male Accepted FC 3/30/2016
LINN CELIS VALDIVIEZO, EDUARDO
ARTURO - IAM
788 8TH AVE SE #200 CEDAR RAPIDS 52401 LINN Female Accepted FC 3/1/2016
LINN CHMIELEWSKI, ALBERT MD - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Male Accepted FC 3/17/2016
LINN DANIELS, BENJAMIN DR - IAM 200 VIRGIL AVE MOUNT
VERNON
52314 LINN Female Accepted FC 3/24/2016
LINN DANIELS, BENJAMIN DR - IAM 200 VIRGIL AVE MOUNT
VERNON
52314 CEDAR Female Accepted FC 3/14/2016
LINN DANIELS, BENJAMIN DR - IAM 200 VIRGIL AVE MOUNT
VERNON
52314 Not Asked Unreachable 3/3/2016
LINN DHROOVE, GATI DR - IAM 115 8TH ST NE CEDAR RAPIDS 52404 LINN Female Accepted FC 3/8/2016
LINN DOVE, CRAIG DR - IAM 1026 A AVE NE CEDAR RAPIDS 52402 Not Asked Active 3/31/2016
LINN HARMON, KAREN MD - IAM 1790 BLAIRS FERRY RD HIAWATHA 52233 LINN Female Accepted FC 3/17/2016
LINN HARMON, KAREN MD - IAM 1790 BLAIRS FERRY RD HIAWATHA 52233 Not Asked Unreachable 3/4/2016
LINN HEGDE, SAVITA DR - IAM 2375 EDGEWOOD RD
SW
CEDAR RAPIDS 52404 LINN Male Accepted FC 3/19/2016
LINN HEGDE, SAVITA DR - IAM 2375 EDGEWOOD RD
SW
CEDAR RAPIDS 52404 LINN Male Unreachable 3/3/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateLINN HEGDE, SAVITA DR - IAM 2375 EDGEWOOD RD
SW
CEDAR RAPIDS 52404 LINN Male Unreachable 3/1/2016
LINN HODGMAN, NICHOLAS - IAM 788 8TH AVE SE CEDAR RAPIDS 52401 Not Asked Unreachable 3/28/2016
LINN HOGENSEN, MARK - IAM 3933 MT VERNON RD SE CEDAR RAPIDS 52403 LINN Female Accepted FC 3/1/2016
LINN HOKE, MARIS - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 3/14/2016
LINN HOKE, MARIS - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 3/24/2016
LINN HOKE, MARIS - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 3/21/2016
LINN HOKE, MARIS - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 Not Asked Unreachable 3/16/2016
LINN KAHLER, MELISSA MD - IAM 2375 EDGEWOOD RD
SW
CEDAR RAPIDS 52404 LINN Female Accepted FC 3/4/2016
LINN KAUR, RAVNEET - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 3/28/2016
LINN KUMAR, ABHISKEK - IAM 788 8TH AVE SE STE 200 CEDAR RAPIDS 52401 LINN Male Accepted FC 3/22/2016
LINN LI, WEI MD - IAM 543 7TH ST SE CEDAR RAPIDS 52401 LINN Male Accepted FC 3/30/2016
LINN LIVERMORE, URSULA MD - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 3/24/2016
LINN LIVERMORE, URSULA MD - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 3/22/2016
LINN MCLAUGHLIN, LAURA RN - IAM 2815 EDGEWOOD RD
SW
CEDAR RAPIDS 52404 LINN Female Active 3/31/2016
LINN MERCY CARDIOLOGY CEDAR RAPIDS 52401 LINN Female Accepted FC 3/2/2016
LINN MYERS, TONY - IAM 3701 KATZ DR MARION 52302 LINN Female Unreachable 3/11/2016
LINN NETOLICKY, BRYAN MD - IAM 1730 1ST AVE NE CEDAR RAPIDS 52402 LINN Female Accepted FC 3/10/2016
LINN O'DONNEL, PATRICIA - IAM 543 7TH ST SE CEDAR RAPIDS 52403 LINN Female Accepted FC 3/14/2016
LINN OB GYN ASSOCIATES CEDAR RAPIDS 52406 LINN Not Asked Unreachable 3/30/2016
LINN PAYNTER, DONALD - IAM 855 A AVE NE CEDAR RAPIDS 52402 LINN Female Unreachable 3/8/2016
LINN PENTICO, TODD DR - IAM 310 HWY 1 SE MOUNT
VERNON
52314 LINN Female Accepted FC 3/30/2016
LINN PENTICO, TODD DR - IAM 310 HWY 1 SE MOUNT
VERNON
52314 LINN Female Accepted FC 3/22/2016
LINN PENTICO, TODD DR - IAM 310 HWY 1 SE MOUNT
VERNON
52314 Not Asked Unreachable 3/22/2016
LINN PORT, ABBIE PAC - IAM 400 S BLAIRS FERRY
CROSSING STE A
HIAWATHA 52233 LINN Female Accepted FC 3/25/2016
LINN RADDATZ, MEGAN ARNP - IAM 202 10TH ST SE CEDAR RAPIDS 52403 LINN Male Accepted FC 3/29/2016
LINN RAMSEY, MERRILEE ARNP - IAM 1444 2ND AVE SE CEDAR RAPIDS 52403 Not Asked Active 3/30/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateLINN RAMSEY, MERRILEE ARNP - IAM 1444 2ND AVE SE CEDAR RAPIDS 52403 Not Asked Unreachable 3/21/2016
LINN REXROTH, JASON - IAM 788 8TH AVE SE CEDAR RAPIDS 52401 LINN Not Asked Unreachable 3/17/2016
LINN REYES, PASCUALA - IAM 1100 MEADOWVIEW DR MARION 52302 LINN Female Accepted FC 3/16/2016
LINN REYES, PASCUALA - IAM 1100 MEADOWVIEW DR MARION 52302 LINN Male Accepted FC 3/8/2016
LINN REYES, PASCUALA - IAM 1100 MEADOWVIEW DR MARION 52302 LINN Male Accepted FC 3/31/2016
LINN REYES, PASCUALA - IAM 1100 MEADOWVIEW DR MARION 52302 LINN Female Accepted FC 3/31/2016
LINN ROBINSON, STEPHANIE ARNP - IAM 1790 BLAIRS FERRY RD HIAWATHA 52233 LINN Female Accepted FC 3/3/2016
LINN SCHABILION, ROSE MD - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 Not Asked Unreachable 3/9/2016
LINN SHEELEY, TRISHA DR - IAM 543 7TH ST SE CEDAR RAPIDS 52401 LINN Female Accepted FC 3/22/2016
LINN SNITKER, SARA DO - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 3/17/2016
LINN THOMAS, PAUL DO - IAM 900 BANK COURT CENTER POINT 52213 Not Asked Unreachable 3/14/2016
LINN THOMAS, PAUL DO - IAM 900 BANK COURT CENTER POINT 52213 Not Asked Unreachable 3/3/2016
LINN VANDENBOSCH, DANIEL DR - IAM 2373 EDGEWOOD RD
SW
CEDAR RAPIDS 52403 LINN Male Accepted FC 3/16/2016
LINN VANDENBOSCH, DANIEL DR - IAM 2373 EDGEWOOD RD
SW
CEDAR RAPIDS 52403 LINN Female Accepted FC 3/21/2016
LINN VANDENBOSCH, DANIEL DR - IAM 2373 EDGEWOOD RD
SW
CEDAR RAPIDS 52403 LINN Female Accepted FC 3/21/2016
LINN VANDENBOSCH, DANIEL DR - IAM 2373 EDGEWOOD RD
SW
CEDAR RAPIDS 52403 Not Asked Declined FC 3/24/2016
LINN VANDENBOSCH, DANIEL DR - IAM 2373 EDGEWOOD RD
SW
CEDAR RAPIDS 52403 Not Asked Unreachable 3/24/2016
LINN VANDENBOSCH, DANIEL DR - IAM 2373 EDGEWOOD RD
SW
CEDAR RAPIDS 52403 LINN Female Unreachable 3/24/2016
LINN WALLACE-SMITH, JAMIE - IAM 200 VIRGIL AVE SE MOUNT
VERNON
52314 JONES Male Accepted FC 3/21/2016
LINN WELSH, TRISHA - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 3/9/2016
LINN WILKINSON, MARC MD - IAM 788 8TH AVE SE STE 202 CEDAR RAPIDS 52401 LINN Male Accepted FC 3/15/2016
LINN WILKINSON, MARC MD - IAM 788 8TH AVE SE STE 202 CEDAR RAPIDS 52401 LINN Male Unreachable 3/8/2016
LINN WILSON, AMY ARNP - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Male Accepted FC 3/4/2016
LINN WILSON, AMY ARNP - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Male Accepted FC 3/3/2016
LINN WILSON, AMY ARNP - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 3/1/2016
LINN WILSON, AMY ARNP - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Female Accepted FC 3/10/2016
LINN WILSON, AMY ARNP - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 LINN Male Accepted FC 3/17/2016
LINN WILSON, AMY ARNP - IAM 1201 3RD AVE SE CEDAR RAPIDS 52403 Not Asked Unreachable 3/24/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateLINN YACOUB, FADI DR - IAM 543 7TH ST SE CEDAR RAPIDS 52401 LINN Female Unreachable 3/28/2016
LINN YOUNGER, CLETE - IAM 1030 5TH AVE SE STE
1400
CEDAR RAPIDS 52403 LINN Female Accepted FC 3/1/2016
LINN YOUNGER, CLETE - IAM 1030 5TH AVE SE STE
1400
CEDAR RAPIDS 52403 LINN Female Accepted FC 3/7/2016
LINN ZENISEK, LAUREN PAC - IAM 9255 ATLANTIC DR SW CEDAR RAPIDS 52404 LINN Female Unreachable 3/30/2016
LINN ZILLMAN, JACQUELYN PAC - IAM 310 HWY 1 SE MOUNT
VERNON
52314 LINN Female Unreachable 3/21/2016
LOUISA BURKE, STEVEN - IAM 2409 SPRING ST COLUMBUS
CITY
52737 DES MOINES Male Accepted FC 3/16/2016
LOUISA KOFFEND, RICHARD - IAM 220 MULBERRY ST WAPELLO 52653 Not Asked Unreachable 3/17/2016
lucas HARVEY, JULIA ARNP - IAM 1030 N 7TH CHARITON 50049 LUCAS Female Accepted FC 3/30/2016
LUCAS HARVEY, JULIA ARNP - IAM 1030 N 7TH CHARITON 50049 WAYNE Female Accepted FC 3/28/2016
LUCAS HARTER, MARILYN ARNP - IAM 1200 N 7TH ST CHARITON 50049 LUCAS Female Accepted FC 3/4/2016
LUCAS HARTER, MARILYN ARNP - IAM 1200 N 7TH ST CHARITON 50049 Not Asked Unreachable 3/25/2016
LUCAS PONCELOW, AMY PAC - IAM 1200 N 7TH ST CHARITON 50049 LUCAS Male Accepted FC 3/9/2016
LUCAS PONCELOW, AMY PAC - IAM 1200 N 7TH ST CHARITON 50049 LUCAS Male Declined FC 3/9/2016
LYON ROEMAN, REBECCA PAC - IAM 803 S GREENE ST ROCK RAPIDS 51246 LYON Female Accepted FC 3/22/2016
LYON ROEMAN, REBECCA PAC - IAM 803 S GREENE ST ROCK RAPIDS 51246 LYON Female Unreachable 3/3/2016
MAHASKA BONNETT, VALERIE MD - IAM 1229 C AVE E OSKALOOSA POWESHIEK Female Accepted FC 3/3/2016
MAHASKA YEARIAN, STEFANIE - IAM 1229 C AVE E OSKALOOSA MAHASKA Not Asked Unreachable 3/30/2016
MAHASKA HOFTIEZER, PETER - IAM 1229 C AVE OSKALOOSA 52577 MAHASKA Male Accepted FC 3/4/2016
MAHASKA MILLER, ERIC MD - IAM 1229 C AVE E OSKALOOSA 52577 MAHASKA Male Accepted FC 3/4/2016
MARION CLARK, DANIELLE - IAM 405 MONROE ST PELLA 50219 Not Asked Unreachable 3/29/2016
MARION KANIS, DOUG - IAM 405 MONROE ST PELLA 50219 MARION Male Accepted FC 3/28/2016
MARION MACE, KEVIN DR - IAM 405 MONROE ST PELLA 50219 MARION Female Accepted FC 3/3/2016
MARION MACE, KEVIN MD - IAM 405 MONROE ST PELLA 50219 MAHASKA Male Accepted FC 3/3/2016
MARION PRHC BUSSEY CLINIC BUSSEY 50044 MARION Male Accepted FC 3/25/2016
MARION SCHAEFFER, BRYAN DO - IAM 220 ESSIE DAVISON KNOXVILLE 50138 MONTGOMER
Y
Male Accepted FC 3/8/2016
MARION VANDERBROEK, NANCY MD - IAM 405 MONROE ST PELLA 50219 MARION Female Accepted FC 3/30/2016
MARION VANDERBROEK, NANCY MD - IAM 405 MONROE ST PELLA 50219 MARION Male Accepted FC 3/21/2016
MARION VANDEVOORT, ROBIN DR - IAM 405 MONROE ST PELLA 50219 MAHASKA Female Accepted FC 3/21/2016
MARION VANZEE, TEREASA - IAM 405 MONROE ST PELLA 50219 Not Asked Unreachable 3/29/2016
MARSHALL DALE, ALLEN PA - IAM 412 E CHURCH ST MARSHALLTO
WN
Not Asked Unreachable 3/3/2016
MARSHALL DESOTEL, LYNNE DR - IAM 312 E MAIN ST MARSHALLTO
WN
50158 MARSHALL Female Accepted FC 3/15/2016
MARSHALL GASTALA, NICOLE DR - IAM 412 E CHURCH ST MARSHALLTO
WN
50158 MARSHALL Female Accepted FC 3/16/2016
MARSHALL GOERING, KARISA PA - IAM 412 E CHURCH ST MARSHALLTO
WN
50158 MARSHALL Female Accepted FC 3/16/2016
MARSHALL HATCHER, ERIN - IAM 9 N 4TH AVE MARSHALLTO
WN
50158 MARSHALL Male Accepted FC 3/31/2016
MARSHALL JONES, ANN PAC - IAM 303 NICHOLAS DRIVE MARSHALLTO
WN
50158 MARSHALL Female Accepted FC 3/16/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateMARSHALL JONES, ANN PAC - IAM 303 NICHOLAS DRIVE MARSHALLTO
WN
50158 Not Asked Unreachable 3/30/2016
MARSHALL POLLPETER, JOSEPH - IAM 312 E MAIN ST MARSHALLTO
WN
50158 MARSHALL Male Accepted FC 3/10/2016
MILLS BAER, THOMAS DR - IAM 415 MAIN ST 1 MALVERN 51551 MILLS Female Accepted FC 3/29/2016
MILLS KENT, ROBERT MD - IAM 1203 S LOCUST GLENWOOD 51534 POTTAWATT
AMIE
Female Accepted FC 3/31/2016
MILLS KENT, ROBERT MD - IAM 1203 S LOCUST GLENWOOD 51534 FREMONT Female Accepted FC 3/15/2016
MILLS KENT, ROBERT MD - IAM 1203 S LOCUST GLENWOOD 51534 Not Asked Active 3/31/2016
MILLS SILVIUS, RON DO - IAM 320 EBAUGH ST GLENWOOD 51534 MILLS Female Accepted FC 3/31/2016
MILLS SILVIUS, RON DO - IAM 320 EBAUGH ST GLENWOOD 51534 MILLS Female Accepted FC 3/24/2016
MINNEHAHA SANFORD EAR NOSE AND THROAT SIOUX FALLS 57105 EMMET Male Accepted FC 3/4/2016
MITCHELL NASSTROM, JEFFREY DR - IAM 620 N 8TH ST OSAGE 50461 WORTH Female Accepted FC 3/28/2016
MONONA DUDLEY, PAUL MD - IAM 1614 DIAMOND ST PL ONAWA 51040 MONONA Male Accepted FC 3/21/2016
MONONA KAHL, TRACY - IAM 1614 DIAMOND ST PL ONAWA 51040 MONONA Female Accepted FC 3/24/2016
MONONA KENNEDY, SHANNON DR - IAM 1614 DIAMOND ST PL ONAWA 51040 Not Asked Unreachable 3/28/2016
MONONA MOORE, KATHRYN - IAM 1614 DIAMOND STREET
PL
ONAWA 51040 MONONA Female Accepted FC 3/8/2016
MONONA MOORE, KATIE FNP - IAM 1600 DIAMOND ST PL ONAWA 51040 HARRISON Female Unreachable 3/29/2016
MONONA SCHENNE, ALAN DO - IAM 513 S MUCKEY ST MAPLETON 51034 MONONA Male Accepted FC 3/17/2016
MONTGOMERY BUTZ, WILLIAM DR - IAM 1400 SENATE AVE RED OAK 51566 Not Asked Unreachable 3/1/2016
MONTGOMERY HUMPAL, MATTHEW MD - IAM 1400 SEBNATE AVE RED OAK 51566 MONTGOMER
Y
Male Accepted FC 3/15/2016
MONTGOMERY MARTINEZ, EFFIE ARNP - IAM 309 S 5TH AVE VILLISCA 50864 MONTGOMER
Y
Female Accepted FC 3/8/2016
MUSCATINE COLON, BETH - IAM 1518 MULBERY AVE MUSCATINE MUSCATINE Female Accepted FC 3/4/2016
MUSCATINE COLON, BETH - IAM 1518 MULBERY AVE MUSCATINE MUSCATINE Male Accepted FC 3/8/2016
MUSCATINE COLON, BETH - IAM 1518 MULBERY AVE MUSCATINE MUSCATINE Female Accepted FC 3/3/2016
MUSCATINE COLON, BETH - IAM 1518 MULBERY AVE MUSCATINE MUSCATINE Female Accepted FC 3/21/2016
MUSCATINE COLON, BETH - IAM 1518 MULBERY AVE MUSCATINE MUSCATINE Male Accepted FC 3/29/2016
MUSCATINE MAHARRY, MICHAEL MD - IAM 3465 MULBERRY AVE MUSCATINE 52761 MUSCATINE Female Accepted FC 3/24/2016
MUSCATINE MAHARRY, MICHAEL MD - IAM 3465 MULBERRY AVE MUSCATINE 52761 MUSCATINE Female Unreachable 3/15/2016
MUSCATINE NELSON, CHRISTINA PAC - IAM 3465 MULBERRY CT MUSCATINE 52761 MUSCATINE Female Accepted FC 3/8/2016
MUSCATINE NELSON, CHRISTINA PAC - IAM 3465 MULBERRY CT MUSCATINE 52761 MUSCATINE Male Accepted FC 3/4/2016
MUSCATINE NELSON, CHRISTINA PAC - IAM 3465 MULBERRY CT MUSCATINE 52761 LOUISA Female Accepted FC 3/4/2016
MUSCATINE NELSON, CHRISTINA PAC - IAM 3465 MULBERRY CT MUSCATINE 52761 Not Asked Unreachable 3/8/2016
MUSCATINE PAULSRUD, STEVEN - IAM 3426 NORTHPORT DR MUSCATINE 52761 LOUISA Female Accepted FC 3/28/2016
MUSCATINE UNITY POINT CLINIC - MUSCATINE MUSCATINE 52761 Not Asked Declined FC 3/4/2016
MUSCATINE UNITY POINT FP MUSCATINE MUSCATINE 52761 Not Asked Unreachable 3/16/2016
MUSCATINE WETTACH, DAVID - IAM 1518 MULBERRY AVE MUSCATINE 52761 MUSCATINE Male Accepted FC 3/29/2016
MUSCATINE WETTACH, DAVID - IAM 1518 MULBERRY AVE MUSCATINE 52761 MUSCATINE Female Accepted FC 3/21/2016
Not Available CHI HEALTH CLINIC HARRISON Female Accepted FC 3/4/2016
Not Available COLLISON, MARK R - IAM 405 S CLARK ST Not Asked Unreachable 3/8/2016
Not Available EDGERTON WOMEN'S HEALTH Not Asked Unreachable 3/16/2016
Not Available GEHLING, SUE ARNP - IAM 10 OPPORTUNITY DR CRAWFORD Female Accepted FC 3/18/2016
Not Available GEHLING, SUE ARNP - IAM 10 OPPORTUNITY DR CRAWFORD Female Accepted FC 3/21/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateNot Available GEHLING, SUE ARNP - IAM 10 OPPORTUNITY DR CRAWFORD Female Unreachable 3/14/2016
Not Available IOWA CITY VA HEALTH CARE SYSTEM -
PARKER, CHRIS
Not Asked Unreachable 3/4/2016
Not Available JAIN, ANSHUL DR - IAM 2375 EDGEWOOD RD
SW
LINN Female Accepted FC 3/1/2016
Not Available KELLEY, ANGELA - IAM 1515 DELHI STE 100 DUBUQUE Male Accepted FC 3/21/2016
Not Available KUMOR, BENJAMIN DR - IAM 1515 DELHI ST STE 100 DUBUQUE Female Accepted FC 3/15/2016
Not Available MATHEW, STANLEY MD - IAM 1026 A AVE NE 6TH FL BENTON Male Declined FC 3/3/2016
Not Available MOGENSEN-KRUGER, REBECCA - IAM 300 SIOUX VALLEY DR CHEROKEE Female Accepted FC 3/30/2016
Not Available SHEYBANI, ARSHIN DR - IAM 1221 PLEASANT ST STE
A100
DALLAS Female Accepted FC 3/15/2016
Not Available UNKNOWN CLINIC - IA DUBUQUE Female Accepted FC 3/31/2016
Not Available WALZ, KRISTI DR - IAM 1021 NEBRASKA ST SIOUX CITY Not Asked Unreachable 3/29/2016
Not Available WOLF, MATTHEW JOHN DR - IAM 1345 W CENTRAL PARK DAVENPORT Not Asked Unreachable 3/29/2016
OBRIEN SANFORD CLINIC - HARTLEY HARTLEY 51346 OBRIEN Male Declined FC 3/4/2016
OBRIEN TOWNE, ANGIE - IAM 512 3RD ST NE HARTLEY 51346 OBRIEN Male Accepted FC 3/10/2016
OLMSTED BOILSON, BARRY MD - IAM 200 1ST ST SW ROCHESTER 55905 CLAY Male Accepted FC 3/11/2016
OLMSTED BOILSON, BARRY MD - IAM 200 1ST ST SW ROCHESTER 55905 CLAY Male Accepted FC 3/4/2016
OLMSTED EBBERT, JON MD - IAM 200 1ST ST SW ROCHESTER 55905 POLK Male Unreachable 3/16/2016
PAGE BJORN, MICHELE - IAM 220 ESSIE DAVISON DR CLARINDA 51632 PAGE Female Accepted FC 3/9/2016
PAGE CHAUDHRY, RAHILA - IAM 220 ESSIE DAVISON DR CLARINDA 51632 PAGE Male Accepted FC 3/24/2016
PAGE CHAUDHRY, RAHILA - IAM 220 ESSIE DAVISON DR CLARINDA 51632 PAGE Male Unreachable 3/21/2016
PAGE CHAUDHRY, RAHILA - IAM 220 ESSIE DAVISON DR CLARINDA 51632 LINN Male Unreachable 3/24/2016
PAGE HOLMES, CONNIE ARNP - IAM 1 JACK FOSTER DR SHENANDOAH 51601 PAGE Female Accepted FC 3/4/2016
PAGE ISAACSON, TODD - IAM 1 JACK FOSTER DR SHENANDOAH 51601 FREMONT Female Accepted FC 3/21/2016
PAGE ISAACSON, TODD - IAM 1 JACK FOSTER DR SHENANDOAH 51601 Not Asked Unreachable 3/30/2016
PAGE ISAACSON, TODD - IAM 1 JACK FOSTER DR SHENANDOAH 51601 Not Asked Unreachable 3/9/2016
PAGE KING, SCOTT DR - IAM 300 PERSHING AVE SHENANDOAH 51601 PAGE Female Accepted FC 3/16/2016
PAGE KING, SCOTT DR - IAM 300 PERSHING AVE SHENANDOAH 51601 POTTAWATT
AMIE
Male Accepted FC 3/30/2016
PAGE KING, SCOTT DR - IAM 300 PERSHING AVE SHENANDOAH 51601 MONTGOMER
Y
Female Accepted FC 3/30/2016
PAGE KING, SCOTT DR - IAM 300 PERSHING AVE SHENANDOAH 51601 PAGE Female Unreachable 3/4/2016
PAGE SHENANDOAH PHYSICIANS CLINIC SHENANDOAH 51601 Not Asked Unreachable 3/16/2016
PAGE THIPPAREDDI, SATYA DR - IAM ONE JACK FOSTER DR SHENANDOAH 51601 PAGE Male Accepted FC 3/15/2016
PAGE THIPPAREDDI, SATYA DR - IAM ONE JACK FOSTER DR SHENANDOAH 51601 PAGE Male Accepted FC 3/22/2016
PAGE THIPPAREDDI, SATYA DR - IAM ONE JACK FOSTER DR SHENANDOAH 51601 PAGE Male Unreachable 3/4/2016
PAGE WOODS, MICHAEL DR - IAM 1 JACK FOSTER DR SHENANDOAH 51601 CARROLL Female Accepted FC 3/1/2016
PALO ALTO CARE FOR YOURSELF - EMMETSBURG EMMETSBURG 50536 DICKINSON Female Accepted FC 3/2/2016
PLYMOUTH WOLFF, CYNTHIA DR - IAM 321 MILL ST AKRON PLYMOUTH Female Accepted FC 3/30/2016
PLYMOUTH MEIS, STEVEN - IAM 194 6TH AVE LE MARS 51031 PLYMOUTH Female Accepted FC 3/11/2016
PLYMOUTH MEIS, STEVEN - IAM 194 6TH AVE LE MARS 51031 PLYMOUTH Male Accepted FC 3/21/2016
PLYMOUTH SPECHT, GINA - IAM 194 6TH AVE NE LE MARS 51031 WOODBURY Female Accepted FC 3/14/2016
PLYMOUTH WOLFF, DAVID DR - IAM 321 MILL ST AKRON 51001 OBRIEN Male Accepted FC 3/28/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DatePLYMOUTH WOLFF, DAVID DR - IAM 321 MILL ST AKRON 51001 CERRO
GORDO
Female Unreachable 3/8/2016
POCAHONTAS GREENLEE, ABBY - IAM 608 NW 7TH ST POCAHONTAS 50574 CALHOUN Female Accepted FC 3/8/2016
POCAHONTAS MAURER, KYLIE PAC - IAM 307 HIGHWAY 10 LAURENS 50554 POCAHONTA
S
Female Accepted FC 3/8/2016
POCAHONTAS PETERSON, ERIN ARNP - IAM 608 NW 7TH ST POCAHONTAS 50574 POCAHONTA
S
Female Accepted FC 3/8/2016
POIK TRIPP, KATE - IAM 1200 UNIVERSITY AVE
STE 120
DES MOINES POLK Female Accepted FC 3/11/2016
POLK BENNETT, SALLY PAC - IAM 5900 E UNIVERSITY AVE PLEASANT
HILL
POLK Female Accepted FC 3/11/2016
POLK DREWRY, DANNEY - IAM 1215 PLEASANT ST STE
206
DES MOINES Not Asked Unreachable 3/28/2016
POLK EGLI, KAYLA DO - IAM 250 LAUREL ST DES MOINES POLK Male Accepted FC 3/11/2016
POLK ELSBERRY, KATELYN ARNP - IAM 800 E 1ST ST STE 1700 ANKENY POLK Female Accepted FC 3/30/2016
POLK FAHEY, DAVID - IAM 1801 HICKMAN RD DES MOINES POLK Male Accepted FC 3/17/2016
POLK KESHWANI, ANISH - IAM 840 E UNIVERSITY AVE DES MOINES Not Asked Unreachable 3/8/2016
POLK KRUSE, JASON DO - IAM 1801 HICKMAN RD POLK Female Accepted FC 3/23/2016
POLK KRUSE, JASON DO - IAM 1801 HICKMAN RD POLK Female Accepted FC 3/21/2016
POLK KRUSE, JASON DO - IAM 1801 HICKMAN RD POLK Female Accepted FC 3/16/2016
POLK KRUSE, JASON DO - IAM 1801 HICKMAN RD POLK Male Accepted FC 3/8/2016
POLK KRUSE, JASON DO - IAM 1801 HICKMAN RD POLK Female Unreachable 3/8/2016
POLK KRUSE, JASON DR - IAM 1801 HICKMAN RD DES MOINES POLK Female Unreachable 3/3/2016
POLK KRUSE, JASON DR - IAM 1801 HICKMAN RD DES MOINES POLK Female Unreachable 3/9/2016
POLK RICHARDSON-COLBY, TAMRA - IAM 4005 NW URBANDALE
DR
URBANDALE POLK Female Accepted FC 3/28/2016
POLK TRIPP, KATE - IAM 1200 UNIVERSITY AVE
STE 120
DES MOINES POLK Female Accepted FC 3/11/2016
POLK TRIPP, KATE - IAM 1200 UNIVERSITY AVE
STE 120
DES MOINES POLK Female Accepted FC 3/4/2016
POLK TRIPP, KATE - IAM 1200 UNIVERSITY AVE
STE 120
DES MOINES POLK Not Asked Unreachable 3/10/2016
POLK AICH, MUKTI MD - IAM 2301 E 14TH ST DES MOINES 50316 POLK Male Accepted FC 3/8/2016
POLK ATZEN, ANGELIA DR - IAM 160 ADVENTURELAND
DR #C
ALTOONA 50009 POLK Female Accepted FC 3/3/2016
POLK ATZEN, ANGELIA DR - IAM 160 ADVENTURELAND
DR #C
ALTOONA 50009 POLK Female Accepted FC 3/3/2016
POLK BARGER, MIKE PAC - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 3/8/2016
POLK BARGER, MIKE PAC - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Unreachable 3/10/2016
POLK BAUCH, TAWNYA JEAN - IAM 5900 E UNIVERSITY PLEASANT
HILL
50327 POLK Male Accepted FC 3/10/2016
POLK BEBENSEE, JEFFREY - IAM 4020 MERLE HAY RD
STE 100
DES MOINES 50310 POLK Female Accepted FC 3/22/2016
POLK BENNET, SALLY P-AC - IAM 5900 UNIVERSITY AVE PLEASANT
HILL
50327 POLK Male Accepted FC 3/14/2016
POLK BOLLIN, REBECCA - IAM 1801 HICKMAN DES MOINES 50314 POLK Female Accepted FC 3/3/2016
POLK BOLLIN, REBECCA - IAM 1801 HICKMAN DES MOINES 50314 Female Accepted FC 3/22/2016
POLK BOLLIN, REBECCA - IAM 1801 HICKMAN DES MOINES 50314 POLK Female Accepted FC 3/25/2016
POLK BOLLIN, REBECCA - IAM 1801 HICKMAN DES MOINES 50314 Not Asked Unreachable 3/25/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DatePOLK BRADLEY, MEGAN ARNP - IAM 4020 MERLE HAY RD
#100
DES MOINES 50310 POLK Female Accepted FC 3/15/2016
POLK BROADLAWNS MEDICAL CTR DES MOINES 50314 WARREN Not Asked Active 3/31/2016
POLK BROWN, JANAE - IAM 2103 INGERSOLL AVE DES MOINES 50312 POLK Female Accepted FC 3/29/2016
POLK BURNS, KATHERINE PAC - IAM 6010 MILLER CRIC
PKWY STE 100
WEST DES
MOINES
50266 POLK Female Accepted FC 3/8/2016
POLK CARE FOR YOURSELF - DES MOINES DES MOINES 50314 Not Asked Unreachable 3/1/2016
POLK CARSTENSEN, JOHN - IAM 1221 PLEASANT ST STE
200
DES MOINES 50309 POLK Female Accepted FC 3/15/2016
POLK CHRISTIANSON, LINDSEY - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 3/29/2016
POLK CLAIR, LAURIE - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 3/29/2016
POLK CONNOR, CODY - IAM 1801 HICKMAN RD DES MOINES 50314 Not Asked Unreachable 3/29/2016
POLK DENTON, LORI PAC - IAM 2301 E 14TH ST DES MOINES 50316 POLK Female Accepted FC 3/29/2016
POLK DENTON, LORI PAC - IAM 2301 E 14TH ST DES MOINES 50316 POLK Female Accepted FC 3/24/2016
POLK DENTON, LORI PAC - IAM 2301 E 14TH ST DES MOINES 50316 Male Accepted FC 3/3/2016
POLK DENTON, LORI PAC - IAM 2301 E 14TH ST DES MOINES 50316 POLK Female Accepted FC 3/3/2016
POLK DENTON, LORI PAC - IAM 2301 E 14TH ST DES MOINES 50316 Not Asked Declined FC 3/8/2016
POLK EERNISSE, CHRISTOPHER - IAM 1801 HICKMAN DR DES MOINES 50314 POLK Male Accepted FC 3/31/2016
POLK EERNISSE, CHRISTOPHER - IAM 1801 HICKMAN DR DES MOINES 50314 Not Asked Unreachable 3/24/2016
POLK EL-MAHDY, SHERIF - IAM 1601 NW 114TH ST STE
347
CLIVE 50325 POLK Female Accepted FC 3/22/2016
POLK FACKRELL, SCOTT - IAM 6000 UNIVERSITY AVE
STE 101
WEST DES
MOINES
50266 Not Asked Unreachable 3/14/2016
POLK FLUG, RYAN ARNP - IAM 2353 SE 14TH ST DES MOINES 50320 POLK Male Accepted FC 3/11/2016
POLK FLUG, RYAN ARNP - IAM 2353 SE 14TH ST DES MOINES 50320 POLK Male Accepted FC 3/16/2016
POLK FLUG, RYAN ARNP - IAM 2353 SE 14TH ST DES MOINES 50320 Not Asked Unreachable 3/8/2016
POLK FRANCIS, IMAD MD - IAM 6601 SW 9TH ST DES MOINES 50315 POLK Female Accepted FC 3/4/2016
POLK FRANCIS, IMAD MD - IAM 6601 SW 9TH ST DES MOINES 50315 POLK Female Accepted FC 3/10/2016
POLK FREUND, JOSEPH MD - IAM 4908 FRANKLIN AVE DES MOINES 50310 POLK Female Accepted FC 3/1/2016
POLK FURNESS, KEVIN DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 3/1/2016
POLK FURNESS, KEVIN DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 3/24/2016
POLK FURNESS, KEVIN DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 3/30/2016
POLK GERRIETTS, JENNIFER - IAM 6601 SW 9TH ST DES MOINES 50315 POLK Female Accepted FC 3/4/2016
POLK GERRIETTS, JENNIFER - IAM 6601 SW 9TH ST DES MOINES 50315 POLK Male Accepted FC 3/31/2016
POLK GERRIETTS, JENNIFER - IAM 6601 SW 9TH ST DES MOINES 50315 POLK Female Unreachable 3/28/2016
POLK GILG, NICOLE - IAM 1801 HICKMAN RD DES MOINES 50314 MADISON Female Unreachable 3/17/2016
POLK GISSELMAN, KRISTIN DR - IAM 250 LAUREL ST DES MOINES 50314 POLK Female Unreachable 3/4/2016
POLK GOULD, SHAUN DO - IAM 840 E UNIVERSITY AVE DES MOINES 50316 Not Asked Unreachable 3/3/2016
POLK HANDRAN, CHAUNCEY - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 3/25/2016
POLK HANSEN-PENMAN, WENDY - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 3/30/2016
POLK HANSEN-PENMAN, WENDY - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 3/29/2016
POLK HANSEN-PENMAN, WENDY - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 3/24/2016
POLK HANSEN-PENMAN, WENDY - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 3/8/2016
POLK HANSEN-PENMAN, WENDY - IAM 1801 HICKMAN RD DES MOINES 50314 WARREN Female Accepted FC 3/8/2016
POLK HANSEN-PENMAN, WENDY - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Unreachable 3/8/2016
POLK HARDER, STEVEN DO - IAM 3200 GRAND AVE DES MOINES 50312 Not Asked Unreachable 3/16/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DatePOLK HARRIS, AMANDA DO - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 3/24/2016
POLK HENDERSON, FLORITA - IAM 1005 E PENN DES MOINES 50305 WAPELLO Female Accepted FC 3/15/2016
POLK HORNER, CAROL DO - IAM 1350 DES MOINES ST DES MOINES 50315 POLK Male Accepted FC 3/8/2016
POLK JOHNSON, JAY - IAM 2103 INGERSOLL AVE DES MOINES 50312 POLK Female Accepted FC 3/21/2016
POLK KASPER, PATRICK - IAM 2901 86TH ST URBANDALE 50322 POLK Female Accepted FC 3/8/2016
POLK KLEMESRUD, MARY - IAM 1750 48TH ST DES MOINES 50310 POLK Female Accepted FC 3/31/2016
POLK KLEMESRUD, MARY - IAM 1750 48TH ST DES MOINES 50310 POLK Female Accepted FC 3/31/2016
POLK KLOCK, LISA DR - IAM PO BOX 1475 CLIVE 50325 POLK Female Accepted FC 3/28/2016
POLK KNOBLAUCH, ANGELA - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 3/1/2016
POLK KRUSE, JASON - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 3/17/2016
POLK LAIR, BRADLEY MD - IAM 1801 HICKMAN RD DES MOINES 50314 Not Asked Unreachable 3/24/2016
POLK LAMBERTI, AMY PA-C - IAM 7481 HWY 65/69 DES MOINES 50320 WARREN Female Accepted FC 3/8/2016
POLK LEDDIN, NATALIE - IAM 119 19TH ST STE 106 WEST DES
MOINES
50265 POLK Female Accepted FC 3/28/2016
POLK LEDDIN, NATALIE - IAM 119 19TH ST STE 106 WEST DES
MOINES
50265 POLK Female Accepted FC 3/31/2016
POLK LUEPKE, MICHAEL DR - IAM 1201 PENN AVE DES MOINES 50316 POLK Male Unreachable 3/21/2016
POLK MADSON, BRANDON DR - IAM 2301 E 14TH ST DES MOINES 50316 POLK Not Asked Unreachable 3/3/2016
POLK MAIGAARD, RANDY DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 3/25/2016
POLK MASYGA, NICHOLAS DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 3/3/2016
POLK MATHENY, TIFFANY ARNP - IAM 6000 UNIVERSITY AVE WEST DES
MOINES
50266 POLK Female Accepted FC 3/4/2016
POLK MATHES, ASHLEY DO - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 3/1/2016
POLK MATHES, ASHLEY DO - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 3/29/2016
POLK MATSON, CHRISTOPHER DO - IAM 1801 HICKMAN DES MOINES 50314 POLK Female Accepted FC 3/29/2016
POLK MATSON, CHRISTOPHER DO - IAM 1801 HICKMAN DES MOINES 50314 POLK Male Accepted FC 3/8/2016
POLK MATSON, CHRISTOPHER DO - IAM 1801 HICKMAN DES MOINES 50314 POLK Male Accepted FC 3/10/2016
POLK MATSON, CHRISTOPHER DO - IAM 1801 HICKMAN DES MOINES 50314 POLK Male Accepted FC 3/15/2016
POLK MAY, BRANDON - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 3/31/2016
POLK MAY, BRANDON - IAM 1801 HICKMAN RD DES MOINES 50314 Not Asked Unreachable 3/24/2016
POLK MCCURDY, ELIZABETH DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 3/17/2016
POLK MCCURDY, ELIZABETH DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 3/14/2016
POLK MCCURDY, ELIZABETH DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 3/8/2016
POLK MCCURDY, ELIZABETH DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Unreachable 3/8/2016
POLK MCILRATH, JESSICA - IAM 6600 WESTON PKWY
STE 200
WEST DES
MOINES
50266 DECATUR Female Accepted FC 3/3/2016
POLK MCLOUGHLIN, ANDREA - IAM 1801 HICKMAN RD DES MOINES 50314 Not Asked Active 3/31/2016
POLK MEDICARE PHARMACY ANKENY 50021 Not Asked Declined FC 3/24/2016
POLK MEIN, LORENE ARNP - IAM 1350 DES MOINES ST DES MOINES 50309 WAYNE Male Accepted FC 3/17/2016
POLK MEIN, LORENE ARNP - IAM 1350 DES MOINES ST DES MOINES 50309 POLK Male Accepted FC 3/17/2016
POLK MEIN, LORENE ARNP - IAM 1350 DES MOINES ST DES MOINES 50309 POLK Female Accepted FC 3/16/2016
POLK MEIN, LORENE ARNP - IAM 1350 DES MOINES ST DES MOINES 50309 POLK Male Accepted FC 3/24/2016
POLK MEIN, LORENE ARNP - IAM 1350 DES MOINES ST DES MOINES 50309 POLK Male Accepted FC 3/3/2016
POLK MEIN, LORENE ARNP - IAM 1350 DES MOINES ST DES MOINES 50309 Not Asked Declined FC 3/21/2016
POLK MEYER, KATY PA-C - IAM 2353 SE 14TH ST DES MOINES 50320 POLK Female Accepted FC 3/14/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DatePOLK MITCHELL, AMY - IAM 2605 SW WHITE BIRCH
DR
ANKENY 50023 Female Accepted FC 3/17/2016
POLK MITCHELL, MARIA - IAM 2301 E 14TH DES MOINES 50316 JASPER Male Accepted FC 3/16/2016
POLK MITCHELL, MARIA - IAM 2301 E 14TH DES MOINES 50316 POLK Female Accepted FC 3/24/2016
POLK MITCHELL, MARIA - IAM 2301 E 14TH DES MOINES 50316 JASPER Female Accepted FC 3/10/2016
POLK MITCHELL, MARIA - IAM 2301 E 14TH DES MOINES 50316 POLK Female Accepted FC 3/3/2016
POLK MITCHELL, MARIA - IAM 2301 E 14TH DES MOINES 50316 JASPER Not Asked Declined FC 3/10/2016
POLK MOON, KENNETH DDO - IAM 2301 E 14TH ST DES MOINES 50316 JASPER Male Accepted FC 3/11/2016
POLK MOON, KENNETH DDO - IAM 2301 E 14TH ST DES MOINES 50316 POLK Female Accepted FC 3/29/2016
POLK NAEVE, LIBBY DR - IAM 5900 E UNIVERSITY AVE PLEASANT
HILL
50327 POLK Female Accepted FC 3/28/2016
POLK NICHOLSON, MATTHEW - IAM 250 LAUREL ST DES MOINES 50314 POLK Male Accepted FC 3/22/2016
POLK NICHOLSON, MATTHEW - IAM 250 LAUREL ST DES MOINES 50314 POLK Male Unreachable 3/14/2016
POLK OLSON, LEATRICE - IAM 3509 E 29TH ST DES MOINES 50317 MARION Male Accepted FC 3/16/2016
POLK OLSON, LEATRICE - IAM 3509 E 29TH ST DES MOINES 50317 POLK Female Accepted FC 3/25/2016
POLK OLSON, LEATRICE - IAM 3509 E 29TH ST DES MOINES 50317 POLK Female Unreachable 3/17/2016
POLK PARKER, DEB - IAM 3509 E 29TH ST DES MOINES 50317 POLK Female Accepted FC 3/3/2016
POLK PARKER, RACHAEL DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 3/22/2016
POLK PARKER, RACHAEL DR - IAM 1801 HICKMAN RD DES MOINES 50314 Not Asked Unreachable 3/15/2016
POLK PATTERSON, TINA PAC - IAM 6601 SW 9TH ST DES MOINES 50315 POLK Refused Accepted FC 3/14/2016
POLK PETERSON, CYNTHIA A-RNP - IAM 1801 HICKMAN RD DES MOINES 50314 GREENE Female Accepted FC 3/15/2016
POLK PIASECKI, EDMUND - IAM 2901 86TH ST URBANDALE 50322 POLK Female Accepted FC 3/21/2016
POLK PODUSKA, ALEXIS PAC - IAM 3509 E 29TH ST A DES MOINES 50317 POLK Male Accepted FC 3/8/2016
POLK PRIMARY HEALTH CARE AT MERCY DES MOINES 50314 POLK Female Accepted FC 3/10/2016
POLK PYMM, JOHN - IAM 1801 HICKMAN DR DES MOINES 50314 POLK Male Accepted FC 3/8/2016
POLK RAMSEY, AUDRA - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 3/21/2016
POLK REMER, DEANNE - IAM 18010 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 3/29/2016
POLK REMER, DEANNE - IAM 18010 HICKMAN RD DES MOINES 50314 POLK Female Accepted FC 3/29/2016
POLK REMER, DEANNE - IAM 18010 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 3/29/2016
POLK RIDLEN, JENNA DO - IAM 250 LAUREL DES MOINES 50314 POLK Female Accepted FC 3/1/2016
POLK ROWAN, ERIN DO - IAM 2301 E 14TH ST DES MOINES 50316 POLK Male Accepted FC 3/31/2016
POLK RUNKEL, ANGELA ARNP - IAM 1201 PENN AVE DES MOINES 50316 JASPER Female Accepted FC 3/31/2016
POLK SCHMITT, JEAN ARNP - IAM 411 LAUREL ST STE
A250
DES MOINES 50314 Not Asked Unreachable 3/21/2016
POLK SCHOLTEN, SANDRA FNPBC - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Not Asked Unreachable 3/1/2016
POLK SEVERIDT, LARRY DR - IAM 1801 HICKMAN RD DES MOINES 50314 POLK Male Accepted FC 3/29/2016
POLK SHAHID, SAIMA - IAM 7481 HWY 65/69 DES MOINES 50320 MARION Female Accepted FC 3/21/2016
POLK SHAHID, SAIMA - IAM 7481 HWY 65/69 DES MOINES 50320 POLK Female Accepted FC 3/8/2016
POLK SHAHID, SAIMA - IAM 7481 HWY 65/69 DES MOINES 50320 POLK Female Accepted FC 3/10/2016
POLK SHAHID, SAIMA - IAM 7481 HWY 65/69 DES MOINES 50320 POLK Female Unreachable 3/3/2016
POLK SIXTA, DEBRA - IAM 2720 8TH ST SW ALTOONA 50009 POLK Female Accepted FC 3/22/2016
POLK SMITH, GREG - IAM 1201 PENN AVE DES MOINES 50316 POLK Male Accepted FC 3/14/2016
POLK STEWART, BROOKE PAC - IAM 2901 86TH ST URBANDALE 50322 Not Asked Unreachable 3/29/2016
POLK STITT-LUX, STEPHANIE MD - IAM 5950 UNIVERSITY AVE WEST DES
MOINES
50266 POLK Female Accepted FC 3/8/2016
POLK STREET, WENDY ARNP - IAM 7481 HWY 65/69 DES MOINES 50320 WARREN Male Accepted FC 3/17/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DatePOLK STRICKLAND, LYNDA P-AC - IAM 120 NW 36TH ST ANKENY 50023 POLK Female Accepted FC 3/24/2016
POLK TAYLOR, HOLLAND - IAM 120 NW 36TH ST ANKENY 50023 POLK Female Unreachable 3/24/2016
POLK TAYLOR, SABRINA DO - IAM 1801 HICKMAN AVE DES MOINES 50314 POLK Female Accepted FC 3/21/2016
POLK TESSIER, JOSHUA DR - IAM 8210 E UNIVERSITY AVE DES MOINES 50316 POLK Male Accepted FC 3/22/2016
POLK VAN EFFEN, SARA ARNP - IAM 1350 DES MOINES ST DES MOINES 50309 Not Asked Declined FC 3/21/2016
POLK WARE, SUZANNE 1055 JORDAN CREEK
PKWY #100
WEST DES
MOINES
50266 Not Asked Unreachable 3/9/2016
POLK WESTERLY, BLAIR DR - IAM 1601 NW 114TH ST STE
347
CLIVE 50325 POLK Female Accepted FC 3/4/2016
POLK WITTMER, JASON - IAM 1601 NW 114TH ST STE
347
CLIVE 50325 POLK Male Unreachable 3/24/2016
POLK YURDIN, DAVID PA-C - IAM 1200 UNIVERSITY AVE
STE 120
DES MOINES 50314 Not Asked Declined FC 3/31/2016
POLK ZAMAN, BULLAND MD - IAM 250 LAUREL ST DES MOINES 50314 Not Asked Unreachable 3/11/2016
POTTAWATTAMIE FORD, AMY DNP - IAM 902 S 6TH COUNCIL
BLUFFS
POTTAWATT
AMIE
Female Accepted FC 3/24/2016
POTTAWATTAMIE JONES, CHRISTIAN - IAM ONE EDMUNDSON PL
#310
COUNCIL
BLUFFS
POTTAWATT
AMIE
Male Accepted FC 3/14/2016
POTTAWATTAMIE JONES, CHRISTIAN - IAM ONE EDMUNDSON PL
#310
COUNCIL
BLUFFS
POTTAWATT
AMIE
Female Accepted FC 3/29/2016
POTTAWATTAMIE MCCOOL, JESSICA - IAM 1 EDMUNDSON PL STE
310
COUNCIL
BLUFFS
POTTAWATT
AMIE
Female Accepted FC 3/29/2016
POTTAWATTAMIE MCCOOL, JESSICA - IAM 1 EDMUNDSON PL STE
310
COUNCIL
BLUFFS
Not Asked Declined FC 3/24/2016
POTTAWATTAMIE MCCOOL, JESSICA - IAM 1 EDMUNDSON PL STE
310
COUNCIL
BLUFFS
Not Asked Unreachable 3/22/2016
POTTAWATTAMIE MCELDERRY, THOMAS DR - IAM ONE EDMUNDSON PL
#310
COUNCIL
BLUFFS
POTTAWATT
AMIE
Male Accepted FC 3/22/2016
POTTAWATTAMIE MCELDERRY, THOMAS DR - IAM ONE EDMUNDSON PL
#310
COUNCIL
BLUFFS
Not Asked Unreachable 3/1/2016
POTTAWATTAMIE AABIDA, AFEERA DR - IAM 902 S 6TH ST COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 3/8/2016
POTTAWATTAMIE AABIDA, AFEERA DR - IAM 902 S 6TH ST COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 3/17/2016
POTTAWATTAMIE ARMBRUSTER, JAMIE - IAM 715 HARMONY 2ND
FLOOR
COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Female Accepted FC 3/21/2016
POTTAWATTAMIE CHI MERCY HOSP CARDIAC REHAB COUNCIL
BLUFFS
51503 Not Asked Unreachable 3/2/2016
POTTAWATTAMIE DEVOSS, GARY MD - IAM 1001 RISEN SON BLVD COUNCIL
BLUFFS
51503 Not Asked Unreachable 3/8/2016
POTTAWATTAMIE DOWLING, TERESA ARNP - IAM 902 S 6TH ST COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Male Accepted FC 3/17/2016
POTTAWATTAMIE DOWLING, TERESA MD - IAM 900 S 6TH ST COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 3/3/2016
POTTAWATTAMIE DOWLING, TERESA MD - IAM 900 S 6TH ST COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 3/3/2016
POTTAWATTAMIE DOWLING, TERESA MD - IAM 900 S 6TH ST COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 3/11/2016
POTTAWATTAMIE DOWLING, TERESA MD - IAM 900 S 6TH ST COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Unreachable 3/3/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DatePOTTAWATTAMIE FERRER, NORMAN DR - IAM 201 RIDGE ST STE 307 COUNCIL
BLUFFS
51503 SHELBY Female Unreachable 3/3/2016
POTTAWATTAMIE FRENCH, MARCY - IAM 3135 W BROADWAY COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Unreachable 3/22/2016
POTTAWATTAMIE JONES, CHRISTIAN DR - IAM 1 EDMONDSON PL STE
310
COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Female Accepted FC 3/3/2016
POTTAWATTAMIE JONES, CHRISTIAN DR - IAM 1 EDMONDSON PL STE
310
COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Female Declined FC 3/24/2016
POTTAWATTAMIE JONES, CHRISTIAN DR - IAM 1 EDMONDSON PL STE
310
COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Female Unreachable 3/24/2016
POTTAWATTAMIE KAWAMITSU, TAKASHI DR - IAM ONE EDMONDSON PL
STE 310
COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Male Accepted FC 3/24/2016
POTTAWATTAMIE KILNOSKI, ERICA P-A - IAM 1001 RISENSON BLVD COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Female Accepted FC 3/31/2016
POTTAWATTAMIE LAWRENCE, JANICE - IAM 700 S HIGHWAY OAKLAND 51560 POTTAWATT
AMIE
Female Accepted FC 3/28/2016
POTTAWATTAMIE LEE, STEPHANIE PAC - IAM 1701 W BROADWAY COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 3/8/2016
POTTAWATTAMIE LINTNER, MICKEY ARNP - IAM 3135 W BROADWAY COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Male Accepted FC 3/15/2016
POTTAWATTAMIE LINTNER, MICKEY ARNP - IAM 3135 W BROADWAY COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Unreachable 3/9/2016
POTTAWATTAMIE LINTNER, MICKEY ARNP - IAM 3135 W BROADWAY COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Unreachable 3/9/2016
POTTAWATTAMIE MADSON, CHERYL DR - IAM 1751 MADISON AVE COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Female Accepted FC 3/3/2016
POTTAWATTAMIE MADSON, CHERYL DR - IAM 1751 MADISON AVE COUNCIL
BLUFFS
51503 Not Asked Unreachable 3/29/2016
POTTAWATTAMIE MARAR, ISAM MD - IAM 1701 W BROADWAY COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 3/8/2016
POTTAWATTAMIE MARAR, ISAM MD - IAM 1701 W BROADWAY COUNCIL
BLUFFS
51501 Not Asked Unreachable 3/24/2016
POTTAWATTAMIE METHODIST JENNIE EDMUNDSON
RADIATION ONCOLOGY
COUNCIL
BLUFFS
51503 MILLS Male Accepted FC 3/24/2016
POTTAWATTAMIE METHODIST JENNIE EDMUNDSON
RADIATION ONCOLOGY
COUNCIL
BLUFFS
51503 FREMONT Male Accepted FC 3/24/2016
POTTAWATTAMIE METHODIST JENNIE EDMUNDSON
RADIATION ONCOLOGY
COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Male Accepted FC 3/29/2016
POTTAWATTAMIE METHODIST JENNIE EDMUNDSON
RADIATION ONCOLOGY
COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Female Accepted FC 3/8/2016
POTTAWATTAMIE METHODIST JENNIE EDMUNDSON
RADIATION ONCOLOGY
COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Female Accepted FC 3/10/2016
POTTAWATTAMIE METHODIST JENNIE EDMUNDSON
RADIATION ONCOLOGY
COUNCIL
BLUFFS
51503 POTTAWATT
AMIE
Female Accepted FC 3/10/2016
POTTAWATTAMIE METHODIST JENNIE EDMUNDSON
RADIATION ONCOLOGY
COUNCIL
BLUFFS
51503 MILLS Female Unreachable 3/10/2016
POTTAWATTAMIE METHODIST JENNIE EDMUNDSON
RADIATION ONCOLOGY
COUNCIL
BLUFFS
51503 Not Asked Unreachable 3/24/2016
POTTAWATTAMIE NIEMONTS, JODI APRN - IAM 902 S 6TH ST COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Male Accepted FC 3/4/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DatePOTTAWATTAMIE QUILLEN, CHRISTY A-RNP - IAM 902 S 6TH ST COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Male Accepted FC 3/16/2016
POTTAWATTAMIE RABADI-MARAR, DIANA - IAM 1701 W BROADWAY COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 3/29/2016
POTTAWATTAMIE RABADI-MARAR, DIANA - IAM 1701 W BROADWAY COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 3/2/2016
POTTAWATTAMIE RABADI-MARAR, DIANA - IAM 1701 W BROADWAY COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 3/15/2016
POTTAWATTAMIE RABADI-MARAR, DIANA - IAM 1701 W BROADWAY COUNCIL
BLUFFS
51501 Female Declined FC 3/24/2016
POTTAWATTAMIE RABADI-MARAR, DIANA - IAM 1701 W BROADWAY COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Not Asked Unreachable 3/29/2016
POTTAWATTAMIE RABADI-MARAR, DIANA - IAM 1701 W BROADWAY COUNCIL
BLUFFS
51501 Not Asked Unreachable 3/1/2016
POTTAWATTAMIE ROCA, MEL DR - IAM 2201 W BROADWAY STE
9
COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 3/11/2016
POTTAWATTAMIE ROCA, MEL DR - IAM 2201 W BROADWAY STE
9
COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Not Asked Unreachable 3/1/2016
POTTAWATTAMIE ROCA, MEL DR - IAM 2201 W BROADWAY STE
9
COUNCIL
BLUFFS
51501 Not Asked Unreachable 3/28/2016
POTTAWATTAMIE RUDE, MICHELLE - IAM 933 E PIERCE ST COUNCIL
BLUFFS
51503 SHELBY Female Accepted FC 3/30/2016
POTTAWATTAMIE SALARIA, VIKRANT DR - IAM 801 HARMONY ST STE
401
COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Male Accepted FC 3/25/2016
POTTAWATTAMIE SALARIA, VIKRANT DR - IAM 801 HARMONY ST STE
401
COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 3/1/2016
POTTAWATTAMIE SEIF, MOHSEN ABOU DR - IAM 902 S 6TH ST COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Male Accepted FC 3/24/2016
POTTAWATTAMIE SPENCER, KIMBERLY PAC - IAM 1701 W BROADWAY COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 3/31/2016
POTTAWATTAMIE SPENCER, KIMBERLY PAC - IAM 1701 W BROADWAY COUNCIL
BLUFFS
51501 Not Asked Unreachable 3/24/2016
POTTAWATTAMIE WANZEK III, JOSEPH DO - IAM 3434 W BROADWAY COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Male Accepted FC 3/28/2016
POTTAWATTAMIE WANZEK III, JOSEPH DO - IAM 3434 W BROADWAY COUNCIL
BLUFFS
51501 POTTAWATT
AMIE
Female Accepted FC 3/3/2016
POWESHIEK GRAHAM, LAUREN DR - IAM 210 FOURTH AVE GRINNELL 50112 POWESHIEK Male Accepted FC 3/15/2016
POWESHIEK HEINEMAN, BRIAN DR - IAM 128 JACKSON ST BROOKLYN 52211 POWESHIEK Female Accepted FC 3/30/2016
POWESHIEK HEINEMAN, BRIAN DR - IAM 128 JACKSON ST BROOKLYN 52211 POWESHIEK Female Unreachable 3/22/2016
POWESHIEK PHELPS, KRISTIN PAC - IAM 210 4TH AVE GRINNELL 50112 POWESHIEK Male Accepted FC 3/24/2016
RINGGOLD PHIPPS, JERALD - IAM 504 N CLEVELAND ST MT AYR RINGGOLD Female Accepted FC 3/24/2016
RINGGOLD MOUNT AYR MEDICAL CLINIC MOUNT AYR 50854 Not Asked Declined FC 3/16/2016
SAC GYANO, BERNADETTE - IAM 301 HIGHLAND AVE SAC CITY 50583 CALHOUN Male Accepted FC 3/14/2016
SAC GYANO, BERNADETTE - IAM 301 HIGHLAND AVE SAC CITY 50583 SAC Female Accepted FC 3/11/2016
SAC GYANO, BERNADETTE - IAM 301 HIGHLAND AVE SAC CITY 50583 SAC Female Accepted FC 3/17/2016
SAC PEK, ZOLTAN MD - IAM 301 HIGHLAND AVE SAC CITY 50583 SAC Male Accepted FC 3/8/2016
SARPY WENZL, JOSEPH MD - IAM 3308 SAMSON WAY BELLEVUE 68123 POTTAWATT
AMIE
Female Accepted FC 3/21/2016
SCOTT KETTELKAMP, JAMES - IAM 4480 UTICA RIDGE
#2230
BETTENDORF SCOTT Female Accepted FC 3/28/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateSCOTT MENGANG, JOELLE DR - IAM 500 W RIVER DR DAVENPORT SCOTT Male Accepted FC 3/10/2016
SCOTT PEYTON, MELISSA - IAM BETTENDORF SCOTT Female Accepted FC 3/16/2016
SCOTT ROWLANDS, VICTORIA ARNP - IAM 4017 DEVILS GLEN RD
STE 200
BETTENDORF SCOTT Male Accepted FC 3/3/2016
SCOTT SATTI, VINAY DR - IAM 500 W RIVER DR DAVENPORT SCOTT Male Accepted FC 3/29/2016
SCOTT SINGH, DHARAMVEER MD - IAM 4480 UTICA RIDGE RD
STE 2230
BETTENDORF SCOTT Male Accepted FC 3/24/2016
SCOTT SINGH, DHARAMVEER MD - IAM 4480 UTICA RIDGE RD
STE 2230
BETTENDORF SCOTT Female Accepted FC 3/24/2016
SCOTT SINGH, DHARAMVEER MD - IAM 4480 UTICA RIDGE RD
STE 2230
BETTENDORF SCOTT Female Declined FC 3/24/2016
SCOTT AANESTAD, JENNIFER DR - IAM 4311 E 53RD ST DAVENPORT 52801 SCOTT Female Accepted FC 3/11/2016
SCOTT ANDERSON, GARY - IAM 210 W 53RD ST DAVENPORT 52806 SCOTT Female Accepted FC 3/29/2016
SCOTT ARNOLD, DANIEL - IAM 4480 UTICA RIDGE RD
STE 160
BETTENDORF 52722 SCOTT Not Asked Unreachable 3/29/2016
SCOTT ARNOLD, DANIEL - IAM 4480 UTICA RIDGE RD
STE 160
BETTENDORF 52722 SCOTT Not Asked Unreachable 3/15/2016
SCOTT ARNOLD, DANIEL MD - IAM 4480 UTICA RIDGE RD
STE 160
BETTENDORF 52722 SCOTT Female Accepted FC 3/1/2016
SCOTT ARNOLD, DANIEL MD - IAM 4480 UTICA RIDGE RD
STE 160
BETTENDORF 52722 SCOTT Female Accepted FC 3/28/2016
SCOTT ARNOLD, DANIEL MD - IAM 4480 UTICA RIDGE RD
STE 160
BETTENDORF 52722 SCOTT Female Unreachable 3/14/2016
SCOTT ARNOLD, DANIEL MD - IAM 4480 UTICA RIDGE RD
STE 160
BETTENDORF 52722 Not Asked Unreachable 3/14/2016
SCOTT BARKLEY, STEPHANIE ARNP - IAM 500 WEST RIVER DR DAVENPORT 52801 SCOTT Male Accepted FC 3/3/2016
SCOTT BESCH, JACKIE ARNP - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Female Accepted FC 3/1/2016
SCOTT BESCH, JACKIE ARNP - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Female Accepted FC 3/8/2016
SCOTT BESCH, JACKIE ARNP - IAM 500 W RIVER DR DAVENPORT 52801 Not Asked Unreachable 3/3/2016
SCOTT BESCH, JACKIE ARNP - IAM 500 W RIVER DR DAVENPORT 52801 Not Asked Unreachable 3/17/2016
SCOTT BLECHLE, KEVIN MD - IAM 3411 SPRING ST DAVENPORT 52807 SCOTT Female Accepted FC 3/21/2016
SCOTT BRUYNTJENS, CHARLES MD 1230 E RUSHOLME ST
STE 105
DAVENPORT 52803 SCOTT Female Accepted FC 3/22/2016
SCOTT CLOOS, CARLA MD - IAM 301 N 4TH AVE ELDRIDGE 52748 Not Asked Unreachable 3/17/2016
SCOTT DAVIS, BRITTANY DR - IAM 1345 W CENTRAL PARK DAVENPORT 52806 SCOTT Female Accepted FC 3/21/2016
SCOTT DAVIS, JASON DO - IAM 3940 MARQUETTE DAVENPORT 52806 SCOTT Female Accepted FC 3/21/2016
SCOTT DAVIS, JASON DO - IAM 3940 MARQUETTE DAVENPORT 52806 SCOTT Male Accepted FC 3/11/2016
SCOTT DAVIS, JASON DO - IAM 3940 MARQUETTE DAVENPORT 52806 SCOTT Female Unreachable 3/21/2016
SCOTT ELMENDORF, CHARLES DO - IAM 3411 SPRING ST DAVENPORT 52807 SCOTT Female Accepted FC 3/3/2016
SCOTT EMERLE, HENRY CMA - IAM 1441 W CENTRAL PARK DAVENPORT 52804 LOUISA Male Accepted FC 3/1/2016
SCOTT GALEY, ELLIOTT - IAM 1345 W CENTRAL PARK DAVENPORT 52804 SCOTT Female Unreachable 3/28/2016
SCOTT GENESIS HEALTH GROUP - NW
FAMILY PRACTICE
DAVENPORT 52806 Not Asked Declined FC 3/29/2016
SCOTT GIMBEL, KATIE PA - IAM 500 WEST RIVER DR DAVENPORT 52801 SCOTT Male Accepted FC 3/8/2016
SCOTT GIMBEL, KATIE PA - IAM 500 WEST RIVER DR DAVENPORT 52801 SCOTT Male Accepted FC 3/8/2016
SCOTT GIMBEL, KATIE PAC - IAM 500 W RIVER AVE DAVENPORT 52801 SCOTT Male Accepted FC 3/21/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateSCOTT GROSS, BRIAN - IAM 1801 E 54TH ST DAVENPORT 52807 SCOTT Female Accepted FC 3/31/2016
SCOTT HAGEMANN, JASON - IAM 2140 53RD AVE BETTENDORF 52722 SCOTT Female Accepted FC 3/25/2016
SCOTT HAGEMANN, JASON - IAM 2140 53RD AVE BETTENDORF 52722 SCOTT Male Accepted FC 3/24/2016
SCOTT HARKER, SHEENA DO - IAM 2140 53RD AVE BETTENDORF 52722 SCOTT Male Accepted FC 3/21/2016
SCOTT HERMANSON, MARK - IAM 2140 53RD AVE BETTENDORF 52722 SCOTT Male Accepted FC 3/10/2016
SCOTT JAURON, SARAH - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Male Accepted FC 3/2/2016
SCOTT JAURON, SARAH - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Female Accepted FC 3/1/2016
SCOTT JAURON, SARAH - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Female Accepted FC 3/3/2016
SCOTT JAURON, SARAH - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Male Accepted FC 3/22/2016
SCOTT JOHNSON, ERIC DR - IAM 1345 W CENTRAL PARK DAVENPORT 52804 SCOTT Male Accepted FC 3/21/2016
SCOTT JOHNSON, ERIC DR - IAM 1345 W CENTRAL PARK DAVENPORT 52804 SCOTT Female Accepted FC 3/8/2016
SCOTT JOHNSON, ERIC DR - IAM 1345 W CENTRAL PARK DAVENPORT 52804 SCOTT Male Accepted FC 3/15/2016
SCOTT JOHNSON, ERIC DR - IAM 1345 W CENTRAL PARK DAVENPORT 52804 Not Asked Unreachable 3/22/2016
SCOTT JOHNSON, ERIC DR - IAM 1345 W CENTRAL PARK DAVENPORT 52804 Not Asked Unreachable 3/21/2016
SCOTT JOHNSON, ERIC DR - IAM 1345 W CENTRAL PARK DAVENPORT 52804 Not Asked Unreachable 3/17/2016
SCOTT JOHNSON, ERIC DR - IAM 1345 W CENTRAL PARK DAVENPORT 52804 SCOTT Male Unreachable 3/16/2016
SCOTT JOSHI, JANKI MD - IAM 4317 E 53RD ST DAVENPORT 52807 SCOTT Male Accepted FC 3/8/2016
SCOTT JOSHI, JANKI MD - IAM 4317 E 53RD ST DAVENPORT 52807 Not Asked Unreachable 3/9/2016
SCOTT KAMMER, JENNIFER - IAM 1345 W CENTRAL PARK
AVE
DAVENPORT 52804 SCOTT Male Accepted FC 3/1/2016
SCOTT KETTLEKAMP, JAMES - IAM 4480 UTICA RIDGE RD BETTENDORF 52722 SCOTT Male Accepted FC 3/31/2016
SCOTT KOLNER, BEN MD - IAM 4311 E 53RD ST DAVENPORT 52807 SCOTT Female Accepted FC 3/28/2016
SCOTT KOLNER, BEN MD - IAM 4311 E 53RD ST DAVENPORT 52807 SCOTT Male Accepted FC 3/29/2016
SCOTT LYONS, TOM MD - IAM 1520 W 53RD ST STE 1 DAVENPORT 52806 SCOTT Female Accepted FC 3/14/2016
SCOTT MARTIN, KENNETH - IAM 4480 UTICA RIDGE RD
STE 160
BETTENDORF 52722 Not Asked Unreachable 3/11/2016
SCOTT MEHTA, FALGUNI NILESH DR - IAM 4480 UTICA RIDGE RD
STE 2236
BETTENDORF 52722 SCOTT Female Accepted FC 3/4/2016
SCOTT MEHTA, FALGUNI NILESH DR - IAM 4480 UTICA RIDGE RD
STE 2236
BETTENDORF 52722 SCOTT Female Accepted FC 3/30/2016
SCOTT MEHTA, FALGUNI NILESH DR - IAM 4480 UTICA RIDGE RD
STE 2236
BETTENDORF 52722 SCOTT Female Accepted FC 3/29/2016
SCOTT MEHTA, FALGUNI NILESH DR - IAM 4480 UTICA RIDGE RD
STE 2236
BETTENDORF 52722 SCOTT Female Accepted FC 3/24/2016
SCOTT METUGE, ANNE DR - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Female Accepted FC 3/24/2016
SCOTT METUGE, ANNE DR - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Male Accepted FC 3/21/2016
SCOTT METUGE, ANNE DR - IAM 500 W RIVER DR DAVENPORT 52801 CLINTON Female Accepted FC 3/21/2016
SCOTT METUGE, ANNE DR - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Male Accepted FC 3/31/2016
SCOTT METUGE, ANNE DR - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Female Accepted FC 3/31/2016
SCOTT METUGE, ANNE DR - IAM 500 W RIVER DR DAVENPORT 52801 SCOTT Male Unreachable 3/30/2016
SCOTT NARAYANA, SUETHA DR - IAM 4311 E 53RD ST DAVENPORT 52807 SCOTT Male Accepted FC 3/3/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateSCOTT ONG, PAULETTE - IAM 1801 E 54TH ST STE 100 DAVENPORT 52807 SCOTT Male Accepted FC 3/14/2016
SCOTT PATTON, JOHN DR - IAM 3618 N DIVISION ST DAVENPORT 52806 SCOTT Female Accepted FC 3/21/2016
SCOTT SALOWITZ, STACIE MD - IAM 2140 53RD AVE BETTENDORF 52722 SCOTT Female Accepted FC 3/31/2016
SCOTT SCHIERBROCK, CATHERINE MD - IAM 2140 53RD AVE BETTENDORF 52722 SCOTT Female Accepted FC 3/15/2016
SCOTT SCHRECK, MICHEAL - IAM 301 N 4TH AVE ELDRIDGE 52748 SCOTT Male Accepted FC 3/3/2016
SCOTT STAMER, KATE FNPC - IAM 4017 DEVIL GLEN RD
STE 200
BETTENDORF 52722 SCOTT Female Accepted FC 3/14/2016
SCOTT STAMER, KATE FNPC - IAM 4017 DEVIL GLEN RD
STE 200
BETTENDORF 52722 SCOTT Female Accepted FC 3/11/2016
SCOTT SYFERT, RICHARD DR - IAM 210 W 53RD ST DAVENPORT 52806 SCOTT Female Accepted FC 3/1/2016
SCOTT TILALA, NIRAL DR - IAM 413 MISSISSIPPI BLUE GRASS 52726 SCOTT Female Accepted FC 3/11/2016
SCOTT WALCZYK, JEFFREY - IAM 4311 E 53RD ST DAVENPORT 52807 SCOTT Male Accepted FC 3/29/2016
SCOTT WALCZYK, JEFFREY - IAM 4311 E 53RD ST DAVENPORT 52807 SCOTT Male Unreachable 3/21/2016
SHELBY ANDERSON, BRIAN DR - IAM 1213 GARFIELD AVE HARLAN 51537 SHELBY Female Accepted FC 3/17/2016
SHELBY ANDERSON, BRIAN DR - IAM 1213 GARFIELD AVE HARLAN 51537 SHELBY Female Unreachable 3/8/2016
SHELBY BRELJE, TIMOTHY DR - IAM 1213 GARFIELD AVE HARLAN 51537 SHELBY Female Accepted FC 3/3/2016
SHELBY ERLBACHER, DAVID DR - IAM 1220 CHATBURN AVE HARLAN 51537 POTTAWATT
AMIE
Female Accepted FC 3/21/2016
SHELBY STAMP, JEAN - IAM 1220 CHATBURN AVE HARLAN 51537 SHELBY Female Accepted FC 3/30/2016
SIOUX HOOYER, ANNE A-RNP - IAM 1101 9TH ST SE SIOUX CENTER 51250 SIOUX Male Accepted FC 3/8/2016
SIOUX HOOYER, ANNE A-RNP - IAM 1101 9TH ST SE SIOUX CENTER 51250 SIOUX Male Unreachable 3/1/2016
SIOUX HOOYER, ANNE ARNP - IAM 1101 9TH ST SIOUX CENTER 51250 WAYNE Female Accepted FC 3/15/2016
SIOUX HOOYER, ANNE ARNP - IAM 1101 9TH ST SIOUX CENTER 51250 SIOUX Female Accepted FC 3/15/2016
SIOUX HOOYER, ANNE ARNP - IAM 1101 9TH ST SIOUX CENTER 51250 SIOUX Female Accepted FC 3/17/2016
SIOUX JURGENS, MICHAEL MD - IAM 1000 LINCOLN CIR SE ORANGE CITY 51041 SIOUX Female Accepted FC 3/22/2016
STORY ENESS, ALLISON - IAM 1015 DUFF AMES Not Asked Unreachable 3/9/2016
STORY CARLYLE, DAVID MD - IAM 1018 DUFF AVE AMES 50010 STORY Male Accepted FC 3/1/2016
STORY CARLYLE, DAVID MD - IAM 1018 DUFF AVE AMES 50010 STORY Female Accepted FC 3/1/2016
STORY CARR-PETERSON, MARY - IAM 403 1ST ST MAXWELL 50161 POLK Female Accepted FC 3/14/2016
STORY CARR-PETERSON, MARY - IAM 403 1ST ST MAXWELL 50161 POLK Female Unreachable 3/8/2016
STORY EATON, KATHERINE ARNP - IAM 3510 LINCOLN WAY AMES 50014 Female Accepted FC 3/24/2016
STORY KATRAGADDA, SRIKANTH - IAM 1215 DUFF AVE AMES 50010 STORY Male Accepted FC 3/17/2016
STORY KATRAGADDA, SRIKANTH - IAM 1215 DUFF AVE AMES 50010 STORY Male Accepted FC 3/17/2016
STORY KATRAGADDA, SRIKANTH DR - IAM 1215 DUFF AVE AMES 50010 STORY Female Accepted FC 3/21/2016
STORY LOWRY, DIANE - IAM 230 6TH ST NEVADA 50201 STORY Female Accepted FC 3/15/2016
STORY MARY GREELEY MEDICAL CENTER AMES 50010 JOHNSON Male Accepted FC 3/31/2016
STORY MARY GREELEY MEDICAL CENTER AMES 50010 Not Asked Active 3/31/2016
STORY PALAR, ADRIAN - IAM 519 F AVE NEVADA 50201 Not Asked Unreachable 3/21/2016
STORY SCHNURR, MICHAEL PAC - IAM 706 5TH ST STORY CITY 50248 STORY Female Accepted FC 3/28/2016
STORY SUDDALA, SATHEESH MD - IAM 1202 DUFF AVE AMES 50010 STORY Male Accepted FC 3/21/2016
STORY SUDDALA, SATHEESH MD - IAM 1202 DUFF AVE AMES 50010 STORY Female Accepted FC 3/21/2016
STORY SUDDALA, SATHEESH MD - IAM 1202 DUFF AVE AMES 50010 STORY Female Accepted FC 3/11/2016
TAYLOR ROBINSON, LINDA DR - IAM 210 S MAIN LENOX 50851 Not Asked Unreachable 3/28/2016
TAYLOR SCHAFER, RON PAC - IAM 504 N CLEVELAND CLEARFIELD 50840 RINGGOLD Female Unreachable 3/15/2016
UNION CUNNINGHAM, LAURA PAC - IAM 1700 W TOWNLINE ST CRESTON 50801 UNION Female Accepted FC 3/8/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
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Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateUNION KHAIRALLA, TAREQ DR - IAM 705 SIOUX PT RD STE
100
NORTH SIOUX
CITY
57049 WOODBURY Female Accepted FC 3/1/2016
UNION LEVIS, ERIKA DR - IAM 1610 W TOWNLINE STE
200
CRESTON 50801 UNION Male Accepted FC 3/15/2016
UNION LEVIS, ERIKA DR - IAM 1610 W TOWNLINE STE
200
CRESTON 50801 UNION Male Accepted FC 3/14/2016
UNION LEVIS, ERIKA DR - IAM 1610 W TOWNLINE STE
200
CRESTON 50801 UNION Male Accepted FC 3/28/2016
UNION LEVIS, ERIKA DR - IAM 1610 W TOWNLINE STE
200
CRESTON 50801 UNION Male Unreachable 3/31/2016
UNION REEVES, STEVEN - IAM 1610 W TOWNLINE RD CRESTON 50801 MADISON Male Accepted FC 3/15/2016
UNION WALTERSDORF, BLYTHE - IAM 1700 W TOWNLINE ST CRESTON 50801 UNION Female Accepted FC 3/4/2016
UNION WALTERSDORF, BLYTHE PAC - IAM 1700 W TOWNLINE CRESTON 50801 UNION Male Accepted FC 3/16/2016
VAN BUREN STRIEGEL, BELINDA ARNP - IAM 304 FRANKLIN ST KEOSAUQUA 52565 VAN BUREN Male Accepted FC 3/15/2016
VAN BUREN STRIEGEL, BELINDA ARNP - IAM 304 FRANKLIN ST KEOSAUQUA 52565 VAN BUREN Female Accepted FC 3/8/2016
VAN BUREN STRIEGEL, BELINDA ARNP - IAM 304 FRANKLIN ST KEOSAUQUA 52565 VAN BUREN Female Accepted FC 3/1/2016
VAN BUREN STRIEGEL, BELINDA ARNP - IAM 304 FRANKLIN ST KEOSAUQUA 52565 Male Declined FC 3/24/2016
WAPELLO YOUNADAM, SANDRO DR - IAM 1013 PENNSYLVANIA
STE A
OTTUMWA WAPELLO Female Accepted FC 3/20/2016
WAPELLO YOUNADAM, SANDRO DR - IAM 1013 PENNSYLVANIA
STE A
OTTUMWA APPANOOSE Male Accepted FC 3/4/2016
WAPELLO BLAND, ASHLEY ARNP - IAM 1005 E PENNSYLVANIA
STE 104
OTTUMWA 52501 WAPELLO Female Accepted FC 3/30/2016
WAPELLO BRANNEN, JEFF DO - IAM 1005 PENNSYLVANIA
STE 201A
OTTUMWA 52501 DUBUQUE Female Accepted FC 3/8/2016
WAPELLO BROWN, KIMBERLY ARNP - IAM 1005 E PENNSYLVANIA
STE 104
OTTUMWA 52501 WAPELLO Female Accepted FC 3/17/2016
WAPELLO BROWN, KIMBERLY ARNP - IAM 1005 E PENNSYLVANIA
STE 104
OTTUMWA 52501 MAHASKA Male Accepted FC 3/17/2016
WAPELLO BROWN, KIMBERLY ARNP - IAM 1005 E PENNSYLVANIA
STE 104
OTTUMWA 52501 WAPELLO Male Accepted FC 3/31/2016
WAPELLO BROWN, KIMBERLY ARNP - IAM 1005 E PENNSYLVANIA
STE 104
OTTUMWA 52501 Not Asked Unreachable 3/24/2016
WAPELLO BUTLER, VERONICA DR - IAM 1221 N COURT OTTUMWA 52501 WAPELLO Male Accepted FC 3/4/2016
WAPELLO EDWARDS, SHELLY ARNP - IAM 920 N QUINCY AVE OTTUMWA 52501 WAPELLO Female Accepted FC 3/17/2016
WAPELLO GREINER, STACY - IAM 1005 PENN AVE OTTUMWA 52501 WAPELLO Female Accepted FC 3/24/2016
WAPELLO LAYTON, MOLLY - IAM 201 S MARKET ST OTTUMWA 52501 WAPELLO Female Accepted FC 3/29/2016
WAPELLO LAYTON, MOLLY - IAM 201 S MARKET ST OTTUMWA 52501 WAPELLO Male Accepted FC 3/8/2016
WAPELLO O'BRIEN, JUANITA ARNP - IAM PO BOX 458 OTTUMWA 52501 WAPELLO Female Unreachable 3/15/2016
WAPELLO O'BRIEN, JUANITA ARNP - IAM PO BOX 458 OTTUMWA 52501 Not Asked Unreachable 3/28/2016
WAPELLO STEPHENSON, DEBORAH 1005 PENSYLVANIA OTTUMWA 52501 Not Asked Unreachable 3/4/2016
WAPELLO STEPHENSON, DEBORAH A-RNP - IAM 1005 PENNSYLVANIA OTTUMWA 52501 WAPELLO Male Accepted FC 3/4/2016
WAPELLO STEPHENSON, DEBORAH A-RNP - IAM 1005 PENNSYLVANIA OTTUMWA 52501 WAPELLO Female Accepted FC 3/4/2016
WAPELLO STEPHENSON, DEBORAH A-RNP - IAM 1005 PENNSYLVANIA OTTUMWA 52501 WAPELLO Female Accepted FC 3/21/2016
WAPELLO STEPHENSON, DEBORAH A-RNP - IAM 1005 PENNSYLVANIA OTTUMWA 52501 Not Asked Unreachable 3/21/2016
WAPELLO STRUCK, KENDRA - IAM 920 N QUINCY AVE OTTUMWA 52501 WAPELLO Female Accepted FC 3/30/2016
WARREN JOHNSON, YULIA - IAM 1504 N 1ST ST INDIANOLA WARREN Male Accepted FC 3/4/2016
WARREN ROGERS, JESSICA ARNP - IAM 125 SCHOOL ST WARREN Male Accepted FC 3/24/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
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Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateWARREN ROGERS, JESSICA ARNP - IAM 125 SCHOOL ST WARREN Female Accepted FC 3/21/2016
WARREN BARRY, REAGAN PA-C - IAM 301 E HILLCREST AVE INDIANOLA 50125 Not Asked Unreachable 3/24/2016
WARREN GABEL, DAVID MD - IAM 301 E HILLCREST AVE INDIANOLA 50125 WARREN Female Accepted FC 3/21/2016
WARREN HOFFMAN, SCOTT - IAM 307 E SCENIC VALLEY
RD
INDIANOLA 50125 CLARKE Male Accepted FC 3/21/2016
WARREN KIM, KATIE PAC - IAM 301 E HILLCREST INDIANOLA 50125 Not Asked Unreachable 3/1/2016
WARREN OLSON, JENNIFER DR - IAM 125 SCHOOL ST CARLISLE 50047 Not Asked Unreachable 3/2/2016
WASHINGTON BEDELL, DAVID - IAM 3056 RIVER CROSSING
CT
RIVERSIDE 52327 Male Accepted FC 3/15/2016
WASHINGTON CRAMER, ELIZABETH - IAM 3056 RIVER CROSSING RIVERSIDE 52327 WASHINGTO
N
Female Accepted FC 3/21/2016
WASHINGTON LANE, HEIDI - IAM 2175 LEXINGTON BLVD
BLDG 2
WASHINGTON 52353 Not Asked Unreachable 3/8/2016
WASHINGTON NEUKIRCH, NEALY - IAM 3056 RIVER CROSSING
CT
RIVERSIDE 52327 WASHINGTO
N
Female Accepted FC 3/3/2016
WASHINGTON NEUKIRCH, NEALY - IAM 3056 RIVER CROSSING
CT
RIVERSIDE 52327 WASHINGTO
N
Female Accepted FC 3/14/2016
WASHINGTON NEUKIRCH, NEALY - IAM 3056 RIVER CROSSING
CT
RIVERSIDE 52327 WASHINGTO
N
Female Accepted FC 3/10/2016
WASHINGTON NEUKIRCH, NEALY - IAM 3056 RIVER CROSSING
CT
RIVERSIDE 52327 WASHINGTO
N
Male Accepted FC 3/24/2016
WASHINGTON NEUKIRCH, NEALY - IAM 3056 RIVER CROSSING
CT
RIVERSIDE 52327 Not Asked Unreachable 3/11/2016
WASHINGTON WECKMULLER, CAROL - IAM 812 N 22ND ST BLAIR 68008 HARRISON Female Accepted FC 3/11/2016
WAYNE BOZWELL, KAREN - IAM 515 W WALL ST SEYMOUR 52590 WAYNE Female Accepted FC 3/8/2016
WAYNE BOZWELL, KAREN - IAM 515 W WALL ST SEYMOUR 52590 WAYNE Female Accepted FC 3/15/2016
WAYNE RUBLE, NICOLE PAC - IAM 417 S EAST ST CORYDON 50060 LUCAS Male Accepted FC 3/14/2016
WEBSTER TURNER, DARLENE ARNP - IAM 126 N 10TH ST FT DODGE WEBSTER Female Accepted FC 3/8/2016
WEBSTER TURNER, DARLENE ARNP - IAM 126 N 10TH ST FT DODGE CERRO
GORDO
Not Asked Unreachable 3/31/2016
WEBSTER TURNER, DARLENE ARNP - IAM 126 N 10TH ST FT DODGE Not Asked Unreachable 3/31/2016
WEBSTER ANDERSON, DEBRA - IAM 126 N 10TH ST FORT DODGE 50501 WEBSTER Female Accepted FC 3/21/2016
WEBSTER CONDON, JENNY ARNP - IAM 800 KENYON RD FORT DODGE 50501 HAMILTON Male Accepted FC 3/24/2016
WEBSTER CONDON, JENNY ARNP - IAM 800 KENYON RD FORT DODGE 50501 WEBSTER Female Accepted FC 3/3/2016
WEBSTER CONDON, JENNY ARNP - IAM 800 KENYON RD FORT DODGE 50501 WEBSTER Female Accepted FC 3/3/2016
WEBSTER CONDON, JENNY ARNP - IAM 800 KENYON RD FORT DODGE 50501 WEBSTER Not Asked Unreachable 3/9/2016
WEBSTER GAPP, APRIL ARNP - IAM 800 KENYON RD FORT DODGE 50501 Not Asked Unreachable 3/4/2016
WEBSTER GAPP, APRIL ARNP - IAM 800 KENYON RD FORT DODGE 50501 WEBSTER Female Unreachable 3/29/2016
WEBSTER HOPP, MEGAN ARNP - IAM 800 KENYON RD FORT DODGE 50501 CALHOUN Female Accepted FC 3/24/2016
WEBSTER KEELER, ALICIA - IAM 1428 2ND AVE FORT DODGE 50501 WEBSTER Female Accepted FC 3/21/2016
WEBSTER LAMPE, MICHAEL DR - IAM 1519 S PHILLIPS FORT DODGE 50501 KOSSUTH Male Accepted FC 3/4/2016
WEBSTER MEYER, JAMES DO - IAM 800 KENYON RD FORT DODGE 50501 WEBSTER Female Accepted FC 3/15/2016
WEBSTER MINION, RANDALL DR - IAM 726 S 17TH ST FORT DODGE 50501 WEBSTER Not Asked Declined FC 3/24/2016
WEBSTER MINION, RANDALL DR - IAM 726 S 17TH ST FORT DODGE 50501 WEBSTER Not Asked Unreachable 3/24/2016
WEBSTER MINION, RANDY MD - IAM 800 KENYON RD FORT DODGE 50501 WEBSTER Female Accepted FC 3/28/2016
WEBSTER MINION, RANDY MD - IAM 800 KENYON RD FORT DODGE 50501 WEBSTER Female Unreachable 3/15/2016
WEBSTER NGUYEN, ALAN DO - IAM 1428 2ND AVE FORT DODGE 50501 WEBSTER Male Accepted FC 3/21/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateWEBSTER SWISHER, KARI - IAM 1800 MAIN ST GOWRIE 50543 WEBSTER Male Accepted FC 3/2/2016
WEBSTER TRIMARK PHYSICIANS GROUP / OB-
GYN
FORT DODGE 50501 Not Asked Unreachable 3/24/2016
WEBSTER UBBEN, MICHELLE ARNP - IAM 24 S MAIN DAYTON 50530 Not Asked Unreachable 3/15/2016
WINNEBAGO KNUDTSON, NANCY - IAM 309 S 10TH AVE E LAKE MILLS 50450 WINNEBAGO Male Accepted FC 3/31/2016
WINNESHIEK BAKEWELL, DANIELLE - IAM 1830 STATE HWY 9 DECORAH WINNESHIEK Female Accepted FC 3/29/2016
WINNESHIEK KACH, SARAH - IAM DECORAH 52101 WINNESHIEK Female Accepted FC 3/1/2016
WINNESHIEK PELLETT, PAUL - IAM 1830 STATE HWY 9 DECORAH 52101 HOWARD Female Accepted FC 3/29/2016
WINNESHIEK TOPE, LAURIE DR - IAM 901 MONTGOMERY DECORAH 52101 WINNESHIEK Female Accepted FC 3/16/2016
WOODBURY PETERSON, PAUL DR - IAM 2600 OUTER DR SIOUX CITY Not Asked Unreachable 3/8/2016
WOODBURY RYDER, KELLY MD - IAM 2501 PIERCE ST SIOUX CITY WOODBURY Female Accepted FC 3/9/2016
WOODBURY RYDER, KELLY MD - IAM 2501 PIERCE ST SIOUX CITY WOODBURY Male Accepted FC 3/14/2016
WOODBURY RYDER, KELLY MD - IAM 2501 PIERCE ST SIOUX CITY Not Asked Unreachable 3/29/2016
WOODBURY ANDERSEN, RICHARD MD - IAM 4545 SERGEANT RD SIOUX CITY 51106 WOODBURY Female Accepted FC 3/8/2016
WOODBURY BARTO, EILEEN DR - IAM 319 SERGEANT SQUARE
DR
SERGEANT
BLUFF
51054 WOODBURY Female Accepted FC 3/29/2016
WOODBURY CROFT, TERESA PAC - IAM 1021 NEBRASKA ST SIOUX CITY 51105 Not Asked Unreachable 3/8/2016
WOODBURY FALDMO, DAVID PAC - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Female Accepted FC 3/8/2016
WOODBURY GUERDAT, RANDY PAC - IAM 1021 NEBRASKA ST SIOUX CITY 51104 WOODBURY Male Accepted FC 3/13/2016
WOODBURY GUERDAT, RANDY PAC - IAM 1021 NEBRASKA ST SIOUX CITY 51104 WOODBURY Male Accepted FC 3/3/2016
WOODBURY GUERDAT, RANDY PAC - IAM 1021 NEBRASKA ST SIOUX CITY 51104 WOODBURY Female Accepted FC 3/3/2016
WOODBURY GUERDAT, RANDY PAC - IAM 1021 NEBRASKA ST SIOUX CITY 51104 WOODBURY Female Accepted FC 3/16/2016
WOODBURY GUERDAT, RANDY PAC - IAM 1021 NEBRASKA ST SIOUX CITY 51104 CARROLL Male Accepted FC 3/17/2016
WOODBURY GUERDAT, RANDY PAC - IAM 1021 NEBRASKA ST SIOUX CITY 51104 CARROLL Male Accepted FC 3/19/2016
WOODBURY GUERDAT, RANDY PAC - IAM 1021 NEBRASKA ST SIOUX CITY 51104 WOODBURY Male Unreachable 3/21/2016
WOODBURY HATTAN, GARY DR - IAM 1021 NEBRASKA SIOUX CITY 51105 WOODBURY Female Accepted FC 3/17/2016
WOODBURY HATTAN, GARY DR - IAM 1021 NEBRASKA SIOUX CITY 51105 WOODBURY Male Accepted FC 3/29/2016
WOODBURY JACOBS, CHRISTOPHER - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Male Accepted FC 3/24/2016
WOODBURY JACOBS, CHRISTOPHER - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Female Accepted FC 3/17/2016
WOODBURY JACOBS, CHRISTOPHER - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Male Accepted FC 3/15/2016
WOODBURY KRAUSE, LORI - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Female Accepted FC 3/14/2016
WOODBURY KRAUSE, LORI - IAM 1021 NEBRASKA ST SIOUX CITY 51102 JABWEBAOL.
COM
Female Accepted FC 3/11/2016
WOODBURY KRAUSE, LORI - IAM 1021 NEBRASKA ST SIOUX CITY 51102 Not Asked Declined FC 3/8/2016
WOODBURY KRUEGER, TONYA - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Female Accepted FC 3/8/2016
WOODBURY KRUEGER, TONYA - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Female Accepted FC 3/1/2016
WOODBURY KRUEGER, TONYA - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Female Accepted FC 3/15/2016
WOODBURY LAFLEUR, SHAUNA - IAM 2600 OUTER DR N SIOUX CITY 51104 WOODBURY Female Accepted FC 3/3/2016
WOODBURY LAFLEUR, SHAUNA - IAM 2600 OUTER DR N SIOUX CITY 51104 WOODBURY Not Asked Unreachable 3/10/2016
WOODBURY MERCY MEDICAL CENTER - SIOUX
CITY
SIOUX CITY 51102 Not Asked Unreachable 3/17/2016
WOODBURY MORGAN, THOMAS DR - IAM 2501 PIERCE ST SIOUX CITY 51104 WOODBURY Female Accepted FC 3/24/2016
WOODBURY MORGAN, THOMAS DR - IAM 2501 PIERCE ST SIOUX CITY 51104 WOODBURY Female Unreachable 3/28/2016
WOODBURY MORGAN, THOMAS DR - IAM 2501 PIERCE ST SIOUX CITY 51104 WOODBURY Female Unreachable 3/22/2016
WOODBURY OLSON, ALISA DR - IAM 2600 OUTER DR SIOUX CITY 51104 WOODBURY Female Accepted FC 3/3/2016
WOODBURY OLSON, ALISA DR - IAM 2600 OUTER DR SIOUX CITY 51104 WOODBURY Male Accepted FC 3/3/2016
WOODBURY PIPLANI, MICHAEL DR - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Male Accepted FC 3/28/2016
Clinic County Clinic Name Clinic Address Clinic City Clinic
Zip
Participant
County
Participant
Gender
Enrollment
Status
Fax Received
DateWOODBURY SAHASRANAMAN, VENKETRAMAN DR -
IAM
2730 PIERCE ST STE 401 SIOUX CITY 51104 WOODBURY Female Accepted FC 3/11/2016
WOODBURY SAHASRANAMAN, VENKETRAMAN DR -
IAM
2730 PIERCE ST STE 401 SIOUX CITY 51104 Not Asked Unreachable 3/21/2016
WOODBURY SIOUXLAND MEDICAL EDUCATION
FOUNDATION
SIOUX CITY 51104 WOODBURY Female Accepted FC 3/9/2016
WOODBURY SOPHER, LAVONE - IAM 1021 NEBRASKA ST SIOUX CITY 51105 WOODBURY Female Accepted FC 3/8/2016
WOODBURY STERUD-BLANCHE, STACI - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Female Accepted FC 3/24/2016
WOODBURY STERUD-BLANCHE, STACI F-MPC - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Male Accepted FC 3/31/2016
WOODBURY UNITYPOINT PULMONARY SIOUX CITY 51104 WOODBURY Female Accepted FC 3/10/2016
WOODBURY WATERS, THOMAS - IAM 2501 PIERCE ST SIOUX CITY 51104 WOODBURY Female Accepted FC 3/22/2016
WOODBURY WURTH, RACHEL - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Female Accepted FC 3/24/2016
WOODBURY WURTH, RACHEL - IAM 1021 NEBRASKA ST SIOUX CITY 51102 WOODBURY Female Accepted FC 3/8/2016
WOODBURY ZOELLE, JEFF DR - IAM 5885 SUNNYBROOK DR
STE E100
SIOUX CITY 51103 WOODBURY Male Accepted FC 3/11/2016
WORTH CARE FOR YOURSELF - WORTH
COUNTY
NORTHWOOD 50459 WORTH Female Unreachable 3/24/2016
WRIGHT HAYES, CHARITY - IAM 115 S PARK EAGLE GROVE 50533 WRIGHT Male Accepted FC 3/15/2016
WRIGHT HAYES, CHARITY - IAM 115 S PARK EAGLE GROVE 50533 WRIGHT Female Accepted FC 3/4/2016
WRIGHT NAGEL, TIMOTHY DR - IAM 215 13TH AVE SW CLARION 50525 HANCOCK Male Accepted FC 3/10/2016
WRIGHT SMITH, DUSTIN - IAM 115 S PARK EAGLE GROVE 50533 WRIGHT Male Accepted FC 3/17/2016
WRIGHT SMITH, DUSTIN - IAM 115 S PARK EAGLE GROVE 50533 Not Asked Unreachable 3/24/2016
