Physmed Iowa LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PHYSMED IOWA LLC

Practice address

1130 S Scott Blvd Ste 201
Iowa City, IA 52240-2908

Phone

(319) 338-5503

Fax

(319) 351-1281

NPI assigned

Dec 12, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jacob Keith Panowicz

Title

Owner/Ceo

Phone

(402) 926-4088

Specialties & licenses 1

Addresses

Other names 1

• SERENE CARE HOSPICE Doing business as

Locations

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1144868928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 S 107TH AVE STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271965",
            "telephone_number": "402-926-4088",
            "fax_number": "402-926-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 S SCOTT BLVD STE 201",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522402908",
            "telephone_number": "319-338-5503",
            "fax_number": "319-351-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSMED IOWA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "PANOWICZ",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "402-926-4088",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERENE CARE HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SERENE CARE HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Libbe Phillips, PA-C
• Lorita Lynn Phillips, PA
• Robert Reynold Phillips III
• Physician Anesthesia Care of Iowa City PC
• Physiotherapy Associates Inc
• Physmed Iowa LLC
• Htay Phyu, M.D.,
• Tarin Piangsuk, DDS
• Kermshlise Cathchusca Ilitcha Picard, MD
• Jesus Manuel Pichardo Jr., PH.D.

• Community Based Hospice Care Agency in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Community Based Hospice Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.