NPIMap

Organization Active NPI

Southeast Iowa Family Practice, LLC

  • Clinic/Center
  • Wellman, IA
National Provider Identifier
1154572600
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOUTHEAST IOWA FAMILY PRACTICE, LLC
Practice address
217 8TH Ave Suite 3
Wellman, IA 52356-0473
Phone
(319) 646-2800
Fax
(319) 646-2600
NPI assigned
Oct 2, 2008
Last updated
Oct 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Brian Patrick Murphy, ARNP, FNP-C
Title
Provider
Phone
(319) 646-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

217 8TH Ave Suite 3
Wellman, IA 52356-0473

Mailing address

PO Box 473
Wellman, IA 52356-0473
Phone (319) 646-2800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1154572600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 473",
            "city": "WELLMAN",
            "state": "IA",
            "postal_code": "523560473",
            "telephone_number": "319-646-2800",
            "fax_number": "319-646-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 8TH AVE SUITE 3",
            "city": "WELLMAN",
            "state": "IA",
            "postal_code": "523560473",
            "telephone_number": "319-646-2800",
            "fax_number": "319-646-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST IOWA FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "319-646-2800",
        "authorized_official_credential": "ARNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellman, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.