Individual provider Active NPI

Richard Frederick Fiester, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Cedar Rapids, IA
National Provider Identifier
1073725602
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
20465 Issued in IA
Practice address
5531 Hickorywood CT
Cedar Rapids, IA 52411-8043
Phone
(319) 395-9535
Fax
(319) 395-9284
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 20465 IA Primary

Addresses

Primary practice location

5531 Hickorywood CT
Cedar Rapids, IA 52411-8043

Mailing address

5531 Hickorywood CT
Cedar Rapids, IA 52411-8043
Phone (319) 395-9535

Other identifiers 1

IdentifierTypeStateIssuer
20465OtherIAMED. LICENSE NUMBE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20465IAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weland Clinical Laboratories, P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073725602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5531 HICKORYWOOD CT",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524118043",
            "telephone_number": "319-395-9535",
            "fax_number": "319-395-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5531 HICKORYWOOD CT",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524118043",
            "telephone_number": "319-395-9535",
            "fax_number": "319-395-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIESTER",
        "first_name": "RICHARD",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IA",
            "license": "20465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED. LICENSE NUMBE",
            "identifier": "20465",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.