Northwest Iowa Urologists PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

24150 Issued in IA

Legal business name

NORTHWEST IOWA UROLOGISTS PC

Practice address

1200 1St Ave E
Suite B
Spencer, IA 51301-4342

Phone

(712) 262-6214

Fax

(712) 262-6216

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Walter Leslie Mendenhall, M.D.

Title

President

Phone

(712) 262-6214

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: charlottecaligiuri@nwiauro.medalliesdirect.net
• FHIR API: https://app.meldrx.com/api/fhir/uc05134_northwestiowaurologists
• Direct secure messaging: davidchrist@nwiauro.medalliesdirect.net
• Direct secure messaging: bobbihonkomp@nwiauro.medalliesdirect.net

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bobbi Jeanne Honkomp, ARNP

  • Nurse Practitioner
  • Spencer, IA
  • NPI 1649568825
  Medicare reassignment Care Compare group NPD
• Mark Arthur Milleman, M.D.

  • Urology Physician
  • Davenport, IA
  • NPI 1538162250
  Medicare reassignment Care Compare group NPD
• Charlotte Jean Caligiuri, D.O.

  • Urology Physician
  • Warren, MI
  • NPI 1497041172

  IA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1063465003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 1ST AVE E",
            "address_2": "SUITE B",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014342",
            "telephone_number": "712-262-6214",
            "fax_number": "712-262-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 1ST AVE E",
            "address_2": "SUITE B",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014342",
            "telephone_number": "712-262-6214",
            "fax_number": "712-262-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST IOWA UROLOGISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "MENDENHALL",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-262-6214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IA",
            "license": "20168",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IA",
            "license": "24150",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "20168",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0183244",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carol Ann Olberding, P.A. - C
• Bradley C Olsen
• Dana Olson

• Specialist in Spencer, IA
• Providers in Spencer, IA by specialty
• Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.