Active NPI
James Dennis Kuder, PA-C
- Physician Assistant
- Keosauqua, IA
National Provider Identifier
1013112812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001787
- Practice address
- 304 Franklin St
Keosauqua, IA 52565-1164 - Phone
- (319) 293-3171
- NPI assigned
- Jun 20, 2007
- Last updated
- Oct 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001787 | IA | Primary |
Addresses
Primary practice location
304 Franklin St
Keosauqua, IA 52565-1164
Mailing address
304 Franklin St
Keosauqua, IA 52565-1164
Phone (319) 293-3171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001787 | Other | IA | PA LISENCE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001787 | IA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1013112812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 FRANKLIN ST",
"city": "KEOSAUQUA",
"state": "IA",
"postal_code": "525651164",
"telephone_number": "319-293-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 FRANKLIN ST",
"city": "KEOSAUQUA",
"state": "IA",
"postal_code": "525651164",
"telephone_number": "319-293-3171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDER",
"first_name": "JAMES",
"middle_name": "DENNIS",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-20",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "001787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LISENCE NUMBER",
"identifier": "001787",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Keosauqua, IA
- Charles Arthur Handy, D.D.S
- Jessie Ann Kennedy
- Keosauqua Family Chiropractic, PC
- Keosauqua Health Care Center LLC (Keosauqua Health Care Center)
- Augusta R Kincart, PA-C
- Gary G Lee, D.O.
- Matthew Arthur Manning, D.O.
- Midwest Meals Catering Unlimited Holly Boyd (Midwest Meals)
- Kelsey L Nank
- Opco Keosauqua, Ia, LLC (Keosauqua Health Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.