Medical Associates of Clinton, Iowa, P.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDICAL ASSOCIATES OF CLINTON, IOWA, P.L.C.

Doing business as

DeWitt Family Health Clinic

Practice address

1021 11TH St
De Witt, IA 52742-1209

Phone

(563) 659-9294

Fax

(563) 659-8104

NPI assigned

May 19, 2006

Last updated

Mar 15, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDICAL ASSOCIATE OF CLINTON IOWA, P.L.C.As reported in NPPES

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

Authorized official

Name

Thomas A Moser

Title

Chief Operating Officer

Phone

(563) 243-2511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DeWitt Family Health Clinic Doing business as

Part of

Xerxes Colah MD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1124072814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 13TH AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325067",
            "telephone_number": "563-243-2511",
            "fax_number": "563-243-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 11TH ST",
            "city": "DE WITT",
            "state": "IA",
            "postal_code": "527421209",
            "telephone_number": "563-659-9294",
            "fax_number": "563-659-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF CLINTON, IOWA, P.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL ASSOCIATE OF CLINTON IOWA, P.L.C.",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "563-243-2511"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44018",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeWitt Family Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in De Witt, IA
• Providers in De Witt, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.