Provider Demographics
NPI:1730269747
Name:HESSE, CURTIS R (DO)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:R
Last Name:HESSE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E 2ND ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:IDA GROVE
Mailing Address - State:IA
Mailing Address - Zip Code:51445-1601
Mailing Address - Country:US
Mailing Address - Phone:712-364-2514
Mailing Address - Fax:
Practice Address - Street 1:700 E 2ND ST
Practice Address - Street 2:SUITE 2
Practice Address - City:IDA GROVE
Practice Address - State:IA
Practice Address - Zip Code:51445-1601
Practice Address - Country:US
Practice Address - Phone:712-364-2514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02740207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
41818OtherWELLMARK BCBS OF IOWA
IA005624Medicaid
1794OtherMIDLANDS
110154553OtherMEDICARE RAILROAD
IAI5074Medicare PIN
1794OtherMIDLANDS