NPIMap

Organization Active NPI

St Lukes Methodist Hospital

  • Obstetrics Physician
  • Cedar Rapids, IA
National Provider Identifier
1003017153
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
ST LUKES METHODIST HOSPITAL
Practice address
4251 River Center CT NE
Cedar Rapids, IA 52402-7549
Phone
(319) 369-7512
Fax
(319) 369-7494
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Milton E. Aunan
Title
VP/Cfo
Phone
(319) 369-7094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

4251 River Center CT NE
Cedar Rapids, IA 52402-7549

Mailing address

PO Box 141
Des Moines, IA 50301-0141
Phone (319) 369-7512

Other identifiers 1

IdentifierTypeStateIssuer
0021691MedicaidIA

Other names 1

  • Family Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000942 IA Part B Supplier - Clinic/Group Practice 6608786751 Receives reassigned benefits from 169 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cedar Rapids, IA; Vinton, IA; Tipton, IA; Independence, IA; Dubuque, IA; Belle Plaine, IA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ekg Physician Serv17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1003017153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503010141",
            "telephone_number": "319-369-7512",
            "fax_number": "319-369-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 RIVER CENTER CT NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027549",
            "telephone_number": "319-369-7512",
            "fax_number": "319-369-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES METHODIST HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "AUNAN",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "319-369-7094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021691",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.