Organization Active NPI

Spahr Inc

  • Internal Medicine Physician
  • Oskaloosa, IA
National Provider Identifier
1063604486
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
02695 Issued in IA
Legal business name
SPAHR INC
Practice address
1417 A Ave E
Suite 300
Oskaloosa, IA 52577-4280
Phone
(641) 672-9930
Fax
(641) 672-9932
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Ms. Karen A Spahr, DONPI 1194891374
Title
Provider
Phone
(641) 672-9930

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 02695 IA Primary

Addresses

Primary practice location

1417 A Ave E
Suite 300
Oskaloosa, IA 52577-4280

Mailing address

1417 A Ave E
Suite 300
Oskaloosa, IA 52577-4280
Phone (641) 672-9930

Other identifiers 1

IdentifierTypeStateIssuer
2102491MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070928000099 IA Part B Supplier - Clinic/Group Practice 2668567157 Receives reassigned benefits from 1 practitioner
Practice locations: Oskaloosa, IA

National Provider Directory

National Provider Directory

Locations

105 N 3rd St
Oskaloosa, IA 52577
Phone (515) 277-3455

1417 A Ave E
Ste 300
Oskaloosa, IA 52577
Phone (641) 672-9930

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": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1063604486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 A AVE E",
            "address_2": "SUITE 300",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774280",
            "telephone_number": "641-672-9930",
            "fax_number": "641-672-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 A AVE E",
            "address_2": "SUITE 300",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774280",
            "telephone_number": "641-672-9930",
            "fax_number": "641-672-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPAHR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "SPAHR",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "641-672-9930",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "02695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102491",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oskaloosa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.

Verify at the official NPI Registry.