Providers

Dana R. Brecount, DO

Dr. Brecount is a Family Practice physician that treats patients of all ages. She offers women’s health, pediatrics and osteopathic manipulative. She grew up in Houghton area and is happy to be caring for the community.

David L. Parsons, DO

Dr. Parsons graduated medical school from Des Moines University.   He joined the Van Buren County Hospital & Medical Clinics staff in June 2013.  Dr. Parsons has 31 years of experience in family practice.  He is also the medical examiner for Van Buren County.

In his spare time David and his wife, Natalie, enjoy photography, fishing and their hobby farm with dogs, cats, chickens and many gardens.

Mindy P. Danielson, ARNP

Mindy sees patients of all ages for wellness and acute visits. She is a Certified DOT Examiner. Mindy’s interest lies in obesity management and teen anxiety and depression.

Seaira M. Drish, ARNP

Seaira received her RN from Iowa Lakes University then went on to get her Masters through Walden University. She worked as an RN at the University of Iowa Hospitals and Clinics  and Ottumwa Regional Health Center. Seaira completed her practicum at Van Buren County Hospital and Clinic with Mindy Danielson, NP so she is no stranger to VBCH. She started with Van Buren County Medical Clinics in November 2021. Seaira sees patients of all ages. She is currently at the Keosauqua Clinic.

Kyla I. Yates, ARNP

Kyla joined the VBCH team December 2020 as a Family Nurse Practitioner.  Prior to becoming a Nurse Practitioner, she worked at the local nursing home as a Nurse Manager completing the MDS for Medicare, Medicaid and Insurance Reimbursement for almost 9 years, so she has worked with Van Buren County Residents and families for over 10 years. She started as  CNA in 2001, obtained her Associate's Degree in 2008 and worked at Blessing Hospital on the Med/Surg units until moving back to Clark County. Kyla was also a traveling nurse for some bigger hospitals in Galesburg and Peoria, Illinois. This allowed her to see so many different diagnosis and cultures along with making friends with some amazing people that she still keep in touch with. When offered the job at Keosauqua Health Care Center (formerly Good Samaritan Society) in 2012, she decided that it would be nice to sleep in her own bed every night. 

When Kyla is not at work, she enjoys outside activities with her husband, Rowdy and son, Preston. They live in rural Clark County, Missouri where they have cows and horses. She would ride her horses every day if time and weather allowed. Also, the Yates' are big St. Louis Cardinals fans! Kyla also loves Harry Potter and Grey's Anatomy! 

She is able to see patients from birth far into retirement and is certified to complete DOT physicals. "I have not found my exact niche' as far as a Nurse Practitioner, so right now I love seeing anyone and everyone". 

Keenan P. Laraway, MD

Dr. Keenan Laraway is an Internal Medicine Physician and sees adult patients in our Keosauqua clinic.  He has advanced training and an interest in Nephrology (kidney function), complex hypertension (blood pressure), and heart failure as well as palliative medicine. 

Dr. Laraway has experience from the University of Iowa Hospital and Clinics, the Hospital of the University of Pennsylvania and most recently, Unity Point Internal Medicine. He is a lifelong Iowan and received his BA from Coe College in Cedar Rapids and his MD from The University of Iowa Carver College of Medicine. 

William B. Felegi, DO

Dr. Felegi started at Van Buren County Hospital in March of 2018 as an Emergency Room provider, Emergency Room medical director and Ambulance Medical Director. Prior to coming to VBCH, Dr. Felegi was an attending Emergency Room physician and a former Chair & Vice Chair of Emergency Medicine in New Jersey. He has been practicing Emergency Medicine for 25 years and is board-certified. He has an extensive list of professional positions held as well as numerous publications and presentations. Please see attached CV.

Dr. Felegi continues to serve as an examiner at the American board of Emergency Medicine Oral certification examination in Chicago indicating his vast experience and knowledge Emergency Medicine. During his tenure at VBCH, has served as a physician champion for quality and process improvement. Most recently, has been appointed to the administrative team providing valuable physician input into operational and strategic decision-making.

P. Ross Hurd, ARNP

Ross received his Doctorate of Nursing Practice at the University of MO in Columbia, He has worked in health care since 1992 and for Van Buren County Hospital as an Emergency Department Provider since Oct 2015.

Jessica Oranika, NP

Jessica received her BSN from Southern Illinois University- Edwardsville. She began her career as a Trauma ICU RN. Jessica received her MSN with a focus in primary care at Lincoln Memorial University then had additional training in Acute and Critical care at Northern Kentucky University. She has been practicing critical care in different capacities since 2017 both in the ICU/ER setting and in the prehospital setting as a first responder and flight nurse. Jessica's hobbies include reading, weight training and traveling. She has a special interest in pulmonary, sleep medicine and advanced procedures.

Kristina L. Payne, ARNP

Kristina received her Masters of Science in Family Nurse Practitioner from Troy University.  She comes to Van Buren County Hospital & Clinics from Fort Benning, GA, with her Veteran husband and four dogs.  Kristina and her husband spend most of their free time enjoying the great outdoors.  Kristina is looking forward to providing exceptional care and education to the residents of Van Buren County and surrounding communities.

Carrie Smithart, PA

Carrie Smithart has over 20 years of healthcare experience.  She graduated from the University of Iowa with her degree in Physician Assistant Studies.  Carrie is excited to come back home to Van Buren County Hospital where she started her PA career in 2003 in Family Practice as well as in the Emergency Department.  For the last 10 + years, she has been working at Ottumwa Regional Medical Center as an Emergency Department provider. Carrie recently decided to join the hospitalist team here at Van Buren County Hospital.  She is excited to learn a new aspect of healthcare, managing those that need inpatient care.  She is looking forward to this new adventure and being able to give back to her home community.  Carrie loves to spend time at home with her family, sitting outdoors, and reading.

Keenan P. Laraway, MD

Dr. Keenan Laraway is an Internal Medicine Physician and sees adult patients in our Keosauqua clinic.  He has advanced training and an interest in Nephrology (kidney function), complex hypertension (blood pressure), and heart failure as well as palliative medicine. 

Dr. Laraway has experience from the University of Iowa Hospital and Clinics, the Hospital of the University of Pennsylvania and most recently, Unity Point Internal Medicine. He is a lifelong Iowan and received his BA from Coe College in Cedar Rapids and his MD from The University of Iowa Carver College of Medicine. 

Jennifer K. Berge, MD

Dr. Jennifer Berge is an Otolaryngologist (Ear, Nose and Throat) Specialist who sees patients at our Keosauqua Clinic on the second and fourth Wednesday of each month.

Dr. Berge performs special procedures at Van Buren County Hospital, including endoscopic sinus, tonsillectomy and adenoidectomy.

Ralph O. Boling, DO

Dr. Ralph Boling is providing OB/Gyn services at VBCH. OB services will be up until 36 weeks gestation.

Dr. Boling will treat all gynecology conditions in addition to:

• Breast disorders
• Female infertility
• Menopausal and postmenopausal
• Ovarian dysfunction
• Pregnancy-induced hypertension

Dr. Boling sees patients on the first and third Tuesdays of every month at the Keosauqua Clinic.

Derek Breder, MD

Since 1950, Steindler Orthopedic Clinic has remained the experienced leader in providing exceptional orthopedic care to patients suffering from bone, joint, and muscle injuries and conditions.

Dr. Breder is an orthopedic surgeon who specializes in treatment and joint replacement for the hip, knee, and shoulder. He performs arthroscopic shoulder and knee surgery, in addition to treating hand injuries such as carpal tunnel syndrome and trigger finger. He joined Steindler Orthopedic Clinic in 2020.

He received his undergraduate degree in Integrative Physiology from the University of Iowa. Dr. Breder continued his education in Iowa and attended the University of Iowa Carver College of Medicine for his medical degree. He then went on to complete his orthopedic surgery residency at the University of Kansas Hospital, Department of Orthopedic Surgery in Kansas City, Kansas.

When he’s not seeing patients, Dr. Breder enjoys spending time with his family, hunting, fishing, boating, snowboarding, and woodworking.

Steindler Orthopedic Clinic see patients in our Community Center (building to the north of the hospital) every Monday. Please call (319) 338-3606 or toll free (800) 373 6417 to make an appointment.

Brian Darling

Dr. Brian Darling, or Dr. Brian as patients call him, is a Board-Certified Pediatric Dentist who loves his job of providing fun and stress-free dental care to children and people with special needs. Born and raised in Iowa, Dr. Brian grew up in Toledo, IA and graduated valedictorian from South Tama County High School. Next, he went to Luther College and played Division III football. He attended the University of Iowa College of Dentistry to earn his dental degree. Because of his love in working with children, he went on to complete a two-year pediatric dental residency in Rhode Island, during which time he was named as Chief Resident. In becoming Board-Certified, the highest level of certification in pediatric dentistry, Dr. Brian was recognized with the Richard C. Pugh Award for having one of the highest exam scores in the country. With a dedication to caring for vulnerable and underserved populations, he began his career in public health and created the pediatric dental program at a federally qualified health center in southern Missouri. He also treated children at St. Louis Children’s Hospital, one of the best children’s hospitals in the country, where he had the privilege of caring for children with special needs and complex medical conditions. After four years of practicing in Missouri, Dr. Brian decided it was time for his family to put their roots down back in Iowa, so he and his wife decided Ottumwa would be the perfect place to do that. Dr. Brian enjoys spending time with his amazing wife Alyssa, son Roy, and extended family. In his spare time, he enjoys woodworking, boating, and hunting.

Deborah AK. Holte, DPM

Deborah Holte, DPM has been practicing family-focused podiatry since 1993 in Northeast Missouri. Dr. Holte sees patients in the Keosauqua Clinic on the first Friday and fourth Wednesday each month. As a podiatrist, Dr. Holte may treat bunions, calluses, ingrown toenails, heel spurs or foot deformities.

Robert W. Jackson, DO

Dr. Robert Jackson, D.O., a Rheumatologist from Kirksville, MO is holding Rheumatology Clinics at VBCH.

Dr. Jackson is seeing patients in the Keosauqua Clinic and will treat for the following conditions: osteoarthritis, plantar fascitis, rotor cuff syndrome, arthritis and autoimmune diseases such as systemic lupus erythematosus, gout, and fibromyalgia.

Mohammad Jarbou

Mohammad Jarbou, MD earned his medical degree from Damascus University Medical School in Syria. He completed his residency in internal medicine at the University of Missouri in Columbia and his fellowship in pulmonary-critical care at Washington University in St. Louis.

He is board certified in pulmonary, internal, critical care and sleep medicine as well as clinical informatics.

He offers treatments for many respiratory diseases and illnesses including: COPD, bronchitis, pneumonia, respiratory failure, pulmonary fibrosis, pulmonary embolism, lung lesions and more.

Tim J. Miller, MD

Dr. Tim Miller, M.D. is an anesthesiologist specializing in chronic pain management and pain procedures.

Dr. Miller sees patients for Pain Management at the Keosauqua Clinic on the second and fourth Friday of each month. He can perform spinal/epidural steroid injections, facet blocks, bursa injections, discogram and occipital nerve blocks — just to name a few! Medicine management for chronic pain is an area of expertise for Dr. Miller.

Gregory K. Moore, AU, AID

Dr. Gregory K. Moore, AU, AUD is a licensed audiologist, has a BA in Speech Pathology and Psychology and a master's degree in Audiology from the University of Iowa. He has practiced as an audiologist since 1976 and has years of experience testing and fitting hearing aids.

Dr. Moore provides services in the prevention, diagnosis, and evidence-based treatment of hearing and balance disorders for people of all ages. Dr. Moore holds a clinic in Keosauqua on the first Friday of each month.

Robert E. Remis, MD

Dr. Remis, MD is a Urology Specialist from Columbia, MO. He is seeing patients on the 2nd and 4th Tuesdays, at the Keosauqua Clinic.

 Dr. Remis will be performing a number of surgeries at VBCH including: Cystoscopies, Vasectomies, Prostate, Urethral and Bladder.

Please call 319-293-8731to schedule your appointment.

Ryan J. Roe, DO

Dr. Ryan Roe, DO was born and raised in Keosauqua and has 20 years of general and trauma surgery experience. He comes to us from Mercy in Des Moines and has access to a multitude of services.

Dr. Roe specializes in symptoms such as abdominal pain, heartburn, acid reflux, stomach ulcers, difficulty swallowing, gallbladder disease, hernias, appendicitis, bowl obstruction, rectal bleeding, changes in bowel habits and certain cancers.

At VBCH he offers upper endoscopy, colonoscopy with polyp removal, cholecystectomy, appendectomy, hernia repair, laparoscopy, hemorrhoidectomy, and lumps/bumps biopsies. He also offers minimally invasive robotics at Mercy if needed.

Dr. Roe provides clinic consultations at the Keosauqua Clinic, every Thursday.