NPIMap

Organization Active NPI

Cedar Valley Podiatry PC

  • Podiatrist
  • Oelwein, IA
National Provider Identifier
1023570306
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CEDAR VALLEY PODIATRY PC
Practice address
201 8TH Ave SE
Oelwein, IA 50662-2447
Phone
(319) 277-4508
Fax
(319) 277-8908
NPI assigned
Apr 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Ronald G Cervetti, DPM
Title
President
Phone
(319) 277-4508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

201 8TH Ave SE
Oelwein, IA 50662-2447

Mailing address

4508 Chadwick Rd
Cedar Falls, IA 50613-7958
Phone (319) 277-4508

Other identifiers 1

IdentifierTypeStateIssuer
0469726MedicaidIA

National Provider Directory

National Provider Directory

Locations

110 NW 9th St
Ste 5
Ankeny, IA 50023
Phone (515) 964-8888

4025 University Ave
Waterloo, IA 50701
Phone (319) 226-4404

Practitioners & affiliated clinicians

Practitioners 6

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": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1023570306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 CHADWICK RD",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506137958",
            "telephone_number": "319-277-4508",
            "fax_number": "319-277-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 8TH AVE SE",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506622447",
            "telephone_number": "319-277-4508",
            "fax_number": "319-277-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR VALLEY PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "CERVETTI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-277-4508",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469726",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oelwein, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.