Active NPI
Waverly Health Center
- Emergency Medicine Physician
- Waverly, IA
National Provider Identifier
1033282975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- WAVERLY HEALTH CENTER
- Practice address
- 312 9TH St SW
Waverly, IA 50677-2929 - Phone
- (319) 352-4120
- Fax
- (319) 352-3992
- NPI assigned
- Nov 16, 2006
- Organization subpart
- Yes
- Parent organization
- WAVERLY HEALTH CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jodi M Geerts
- Title
- Ceo
- Phone
- (319) 352-4120
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
312 9TH St SW
Waverly, IA 50677-2929
Mailing address
312 9TH St SW
Waverly, IA 50677-2929
Phone (319) 352-4120
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03296 | Other | IA | BCBS WHC ER PHYSICIAN SVC |
| 0070573 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Certified Registered Nurse Anesthetist
- Waverly, IA
- NPI 1033125463
O20031230000129
National Provider Directory
National Provider Directory- Part of
- Waverly Municipal Hospital
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Waverly, IA
- NPI 1427169051
-
- Physician Assistant
- Allison, IA
- NPI 1457339095
-
- Psychiatry Physician
- Waverly, IA
- NPI 1952310195
-
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1164526349
-
- Medical Physician Assistant
- Waverly, IA
- NPI 1528400447
-
- Family Nurse Practitioner
- Denver, IA
- NPI 1982681094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717545600000",
"number": "1033282975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 9TH ST SW",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506772929",
"telephone_number": "319-352-4120",
"fax_number": "319-352-3992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 9TH ST SW",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506772929",
"telephone_number": "319-352-4120",
"fax_number": "319-352-3992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAVERLY HEALTH CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WAVERLY HEALTH CENTER",
"enumeration_date": "2006-11-16",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A",
"authorized_official_last_name": "GEERTS",
"authorized_official_first_name": "JODI",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "319-352-4120",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS WHC ER PHYSICIAN SVC",
"identifier": "03296",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0070573",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waverly, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.