Individual provider Active NPI

Charles D. Mooney, MD

  • Occupational Medicine Physician
  • Clarion, IA
National Provider Identifier
1104817105
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
34101 Issued in IA
Practice address
1316 South Main Street
Clarion, IA 50525-2019
Phone
(515) 532-2811
Fax
(515) 532-9242
NPI assigned
Oct 31, 2005
Last updated
Dec 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 34101 IA Primary

Addresses

Primary practice location

1316 South Main Street
Clarion, IA 50525-2019

Mailing address

1316 South Main Street
Clarion, IA 50525-2019
Phone (515) 239-4496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080509000708 IA Practitioner - Preventive Medicine 9830278225 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G57719CAMDAnesthesiology Physician
34101IAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Specialty Hospital-Clarion CurrentSince Aug 1, 2018 Accepting new patients
Belmond Community Hospital CurrentSince Aug 1, 2018 Accepting new patients
Mason City Clinic PC Past Accepting new patients
Anesthesia Consultants of California Medical Group Inc Past Accepting new patients
Medical Professional Agency Inc Past Accepting new patients
Belmond Community Hospital Past Accepting new patients
Belmond Community Hospital Past Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

2700 1st Ave S
Ste 100
Fort Dodge, IA 50501
Phone (515) 955-6767

840 W US Highway 18
Garner, IA 50438
Phone (641) 925-1500

520 S Pierce Ave
Ste 211
Mason City, IA 50401

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1104817105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 SOUTH MAIN STREET",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252019",
            "telephone_number": "515-239-4496",
            "fax_number": "515-239-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 SOUTH MAIN STREET",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252019",
            "telephone_number": "515-532-2811",
            "fax_number": "515-532-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "CHARLES",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IA",
            "license": "34101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, IA

Sources for this page

Verify at the official NPI Registry.