Active NPI
Radiology Associates of Ottumwa, P.C.
- Diagnostic Radiology Physician
- Ottumwa, IA
National Provider Identifier
1104899863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RADIOLOGY ASSOCIATES OF OTTUMWA, P.C.
- Practice address
- 1005 Pennsylvania Ave
Suite 103
Ottumwa, IA 52501-2192 - Phone
- (641) 682-5453
- NPI assigned
- Feb 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elvin W McCarl, M.D.
- Title
- President
- Phone
- (641) 682-5453
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1005 Pennsylvania Ave
Suite 103
Ottumwa, IA 52501-2192
Mailing address
1005 Pennsylvania Ave
Suite 103
Ottumwa, IA 52501-2192
Phone (641) 682-5453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0188177 | Medicaid | IA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184025600000",
"number": "1104899863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 PENNSYLVANIA AVE",
"address_2": "SUITE 103",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012192",
"telephone_number": "641-682-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 PENNSYLVANIA AVE",
"address_2": "SUITE 103",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012192",
"telephone_number": "641-682-5453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGY ASSOCIATES OF OTTUMWA, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-10",
"last_updated": "2007-07-10",
"status": "A",
"authorized_official_last_name": "MCCARL",
"authorized_official_first_name": "ELVIN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "641-682-5453",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0188177",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.