Emil J Pecholt, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2804 Issued in IA

Practice address

608 NW 7TH St
Pocahontas, IA 50574-1000

Phone

(712) 335-5632

NPI assigned

Jan 30, 2006

Last updated

Jun 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Ivanhoe Clinic

  • Primary Care Clinic/Center
  • Ivanhoe, MN
  • NPI 1316162308
  NPD (past)
• United Clinics of Faribault County

  • Family Medicine Physician
  • Blue Earth, MN
  • NPI 1568557544
  NPD (past)
• United Hospital District Inc.

  dba UHD - Fairmont Clinic

  • Rural Health Clinic/Center
  • Fairmont, MN
  • NPI 1144984766
  NPD (past)
• United Hospital District Inc.

  • Critical Access Hospital
  • Blue Earth, MN
  • NPI 1952307688

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1124099932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N 9TH ST",
            "address_2": "SUITE A",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013905",
            "telephone_number": "515-574-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NW 7TH ST",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505741000",
            "telephone_number": "712-335-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHOLT",
        "first_name": "EMIL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "33942",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "2804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "838002300",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124099932",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE - DC",
            "identifier": "P00710402",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE - SG",
            "identifier": "P00725349",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caralynn Jean Lowe
• LZP Dental Enterprises, LLC
• Kylie Maurer, PA-C
• Eugene Mullins, MD
• North Central Iowa Mental Health Center, Inc (Berryhill Center for Mental Health)
• Mark Kevin Peebles, PA-C
• Paige Lynn Peterson, M.A., CFY-SLP
• Pocahontas Area Community School
• Pocahontas Community Hospital (Pocahontas Community Hospital Home Health)
• Pocahontas Community Hospital

• Family Medicine Physician in Pocahontas, IA
• Providers in Pocahontas, 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 Jun 26, 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.