Organization Active NPI

Radiology Associates of Ottumwa, P.C.

  • Diagnostic Radiology Physician
  • Ottumwa, IA
National Provider Identifier
1104899863
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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

Updated by the provider on Jul 10, 2007

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0188177MedicaidIA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.