Patrick J Cogley PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34265 Issued in IA

Legal business name

PATRICK J COGLEY PC

Practice address

210 4TH Ave
Grinnell, IA 50112-0780

Phone

(641) 236-2500

Fax

(641) 236-2539

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Patrick J Cogley, PC

Title

Owner/Provider

Phone

(641) 236-2500

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1124136494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 780",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501120780",
            "telephone_number": "641-236-2500",
            "fax_number": "641-236-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501120780",
            "telephone_number": "641-236-2500",
            "fax_number": "641-236-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J COGLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "COGLEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "641-236-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "34265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV #",
            "identifier": "35853",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6250597",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE #",
            "identifier": "P00060875",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0414755",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Grinnell, IA
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.