MEDICARE: JOY S MOHR PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	001323	IA

General Provider Information

NPI Number	:	1275530370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOY S MOHR PA-C

Provider Business Mailing Address
First Line	:	2800 220TH TRL
Second Line	:
City	:	AMANA
State	:	IA
Zip	:	52203-8244
Country	:	US
Telephone Number	:	319-622-2911
Fax Number	:

Provider Business Practice Location Address
First Line	:	122 1/2 E WASHINGTON ST
Second Line	:
City	:	MARENGO
State	:	IA
Zip	:	52301-1503
Country	:	US
Telephone Number	:	319-759-9721
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	08/12/2025

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Directions to “ JOY S MOHR PA-C” Practice Location

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