Organization Active NPI

Lantern Family Medicine, PLLC

  • Family Medicine Physician
  • Bonaparte, IA
National Provider Identifier
1053772202
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38644 Issued in IA
Legal business name
LANTERN FAMILY MEDICINE, PLLC
Practice address
602 8TH St Ste 105
Bonaparte, IA 52620-9769
Phone
(319) 677-0219
Fax
(888) 965-5450
NPI assigned
Mar 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Amanda Jean Gerber, MDNPI 1396909701
Title
Owner Physician
Phone
(319) 677-0219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 38644 IA Primary

Addresses

Primary practice location

602 8TH St Ste 105
Bonaparte, IA 52620-9769

Mailing address

PO Box 250
Bonaparte, IA 52620-0250
Phone (319) 677-0219

Other practice location 1

120 N Highway 1
Birmingham, IA 52535-7700
Phone (319) 677-0219

Other practice location 2

510 Texas St
Bonaparte, IA 52620-9779
Phone (319) 677-0219

National Provider Directory

National Provider Directory

Locations

602 8th St
Ste 105
Bonaparte, IA 52620
Phone (319) 677-0219

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25327/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1053772202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "BONAPARTE",
            "state": "IA",
            "postal_code": "526200250",
            "telephone_number": "319-677-0219",
            "fax_number": "888-965-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 8TH ST STE 105",
            "city": "BONAPARTE",
            "state": "IA",
            "postal_code": "526209769",
            "telephone_number": "319-677-0219",
            "fax_number": "888-965-5450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N Highway 1",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "IA",
            "postal_code": "525357700",
            "country_code": "US",
            "telephone_number": "319-677-0219",
            "fax_number": "888-965-5450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Texas St",
            "address_purpose": "LOCATION",
            "city": "Bonaparte",
            "state": "IA",
            "postal_code": "526209779",
            "country_code": "US",
            "telephone_number": "319-677-0219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LANTERN FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "319-677-0219",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "38644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonaparte, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.