NPIMap

Organization Active NPI

Stuart Medical Clinic

  • Family Medicine Physician
  • Stuart, IA
National Provider Identifier
1003846098
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28764 Issued in IA
Legal business name
STUART MEDICAL CLINIC
Practice address
106 NE 2ND St
Stuart, IA 50250-7706
Phone
(515) 523-2283
Fax
(515) 523-2786
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Wilda L. Orewiler, PA-C
Title
Owner
Phone
(515) 523-2283

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 28764 IA Primary
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X 000971 IA

Addresses

Primary practice location

106 NE 2ND St
Stuart, IA 50250-7706

Mailing address

106 NE 2ND Street
Stuart, IA 50250-0196
Phone (515) 523-2283

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1003846098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 NE 2ND STREET",
            "city": "STUART",
            "state": "IA",
            "postal_code": "502500196",
            "telephone_number": "515-523-2283",
            "fax_number": "515-523-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NE 2ND ST",
            "city": "STUART",
            "state": "IA",
            "postal_code": "502507706",
            "telephone_number": "515-523-2283",
            "fax_number": "515-523-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "OREWILER",
        "authorized_official_first_name": "WILDA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-523-2283",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "28764",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "000971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.