Nathan Tiwari, MD, Joshwa Tromblee, DO, Jessica Webb, DO, Wyatt Baxter, PA-C, and Joshua Mann, PA-C

Hospital Services

Emergency/Trauma Care (ER/Ambulance): Available 24 hours/day, 7 days/week. Call 911.


ER Providers

Nathan Tiwari, MD, attended Johns Hopkins University (BA, Public Health) and Ross University School of Medicine (MD).  He completed his Family Medicine Residency at the University of Minnesota.  Dr. Tiwari was born and raised in Minnesota, and has fond memories of spending childhood summers in Waukee, IA with Grandpa Art and Uncle Jon.  He participated in the chess club and the chess team that won the high school national championship in 1997 and 1998.  Dr. Tiwari was on the JHU crew team, and now he enjoys jogging, meditation, and tinkering with circuits and electronics.  Dr. Tiwari is especially fascinated by real-life mysteries and the history of technology.  A few of his favorite inventors include Nikola Tesla, Philo Farnsworth, and Royal Rife.  

Joshwa Tromblee, DO, graduated from Des Moines University in 2007 and did his residency at Broadlawns in Des Moines (intern year at Lutheran Hospital). Dr. Tromblee moved to the area in 2013, where he and his three children live on a farm outside of Ottumwa, Iowa. Dr. Tromblee has worked in the Emergency Room since 2009 as a Resident and has spent over 10 years full-time in the ER. He appreciates a small town Iowa and really enjoys practicing in Sigourney, Iowa.  Dr. Tromblee sees patients of all ages, newborns and up.  

Jessica Webb, DO, was born and raised here in Iowa. She attended the University of Northern Iowa and graduated medical school from Des Moines University. She completed residency at Iowa Lutheran Family Medicine Residency in Des Moines. She is board-certified in Family Medicine and has experience in emergency room and inpatient care, outpatient medicine and newborn nursery. Her professional interests include pediatrics, women’s health and dermatology. She is an active member of the American Academy of Family Physicians, American Board of Family Medicine, and the Iowa Academy of Family Physicians.

In her spare time, Jessica enjoys being active with her husband and three sons. Her husband, Eric, was also born and raised in Sigourney. Their boys enjoy exploring their grandparents’ farm every chance they get! If she gets a spare moment, she enjoys triathlon training, baking, and photography.

Wyatt Baxter, PA-C

Joshua Mann, PA-C