IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION NPI 1891127502

NPI Information

NPI: 1891127502
Provider Name: IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
8101 BIRCHWOOD CT
SUITE N
JOHNSTON, IA
ZIP 50131
Phone: (515) 471-9300
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IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION is a general practice in Johnston, IA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION NPI is 1891127502. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8101 BIRCHWOOD CT
SUITE N
JOHNSTON, IA
ZIP 50131-930
Phone: (515) 471-9300
Fax: (515) 471-9320

The provider's authorized official is Erick Laine .
The authorized official title is Exec Vp/coo and has the following contact phone number (515) 471-9227.

The enumeration date for this NPI number is 8/5/2013 and was last updated on 8/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	207R00000X	Internal Medicine		No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	No
4	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	No
5	207RG0100X	Internal Medicine	Gastroenterology	No
6	207RI0200X	Internal Medicine	Infectious Disease	No
7	207RP1001X	Internal Medicine	Pulmonary Disease	No
8	207RR0500X	Internal Medicine	Rheumatology	No
9	207V00000X	Obstetrics & Gynecology		No
10	208000000X	Pediatrics		No
11	208100000X	Physical Medicine & Rehabilitation		No
12	2084N0400X	Psychiatry & Neurology	Neurology	No
13	208600000X	Surgery		No
14	208M00000X	Hospitalist		No
15	208D00000X	General Practice		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200715	MEDICARE PIN	ILLINOIS
2	CC7716	OTHER	IOWA	RR MEDICARE
3	1366425274	MEDICAID	IOWA
4	CC6519	OTHER	IOWA	RR MEDICARE
5	CI6362	OTHER	IOWA	RR MEDICARE
6	CJ3564	OTHER	IOWA	RR MEDICARE
7	CC6757	OTHER	IOWA	RR MEDICARE
8	71926	MEDICARE PIN	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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