NPIMap

Organization Active NPI

Mercy Hospital of Franciscan Sisters

Doing business as Mercy Hospital Anesthesia

  • Anesthesiology Physician
  • Oelwein, IA
National Provider Identifier
1154321404
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
105345 Issued in IA
Legal business name
MERCY HOSPITAL OF FRANCISCAN SISTERS
Doing business as
Mercy Hospital Anesthesia
Practice address
201 8TH Ave SE
Oelwein, IA 50662-2447
Phone
(319) 283-6000
NPI assigned
Jul 28, 2005
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Timothy Huber
Title
Cfo
Phone
(319) 272-7607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 105345 IA Primary

Addresses

Primary practice location

201 8TH Ave SE
Oelwein, IA 50662-2447

Mailing address

400 E 10TH St
Waconia, MN 55387-4552
Phone (952) 442-9770

Other identifiers 2

IdentifierTypeStateIssuer
0101972MedicaidIA
67M83MEOtherMNBLUE CROSS MN CC SYST

Other names 1

  • Mercy Hospital Anesthesia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hosp ER Group6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1154321404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 10TH ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "952-442-9770",
            "fax_number": "952-442-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 8TH AVE SE",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506622447",
            "telephone_number": "319-283-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL OF FRANCISCAN SISTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "319-272-7607"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "105345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101972",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MN CC SYST",
            "identifier": "67M83ME",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Hospital Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oelwein, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.