Active NPI
Clinton Emergency Room Associates
- Emergency Medicine Physician
- Clinton, IA
National Provider Identifier
1174584460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- CLINTON EMERGENCY ROOM ASSOCIATES
- Practice address
- 1410 N 4TH St
Clinton, IA 52732-2940 - Phone
- (563) 244-5555
- NPI assigned
- Mar 28, 2006
- Last updated
- Aug 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Oliver
- Title
- Ceo
- Phone
- (563) 244-3530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
1410 N 4TH St
Clinton, IA 52732-2940
Mailing address
PO Box 1894
Mason City, IA 50402-1894
Phone (641) 494-3900
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba MercyOne Clinton Medical Center Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Clinton, IA
- NPI 1093845737
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Clinton, IA
- NPI 1992765333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534464000000",
"number": "1174584460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1894",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504021894",
"telephone_number": "641-494-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 N 4TH ST",
"city": "CLINTON",
"state": "IA",
"postal_code": "527322940",
"telephone_number": "563-244-5555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINTON EMERGENCY ROOM ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-28",
"last_updated": "2018-08-17",
"status": "A",
"authorized_official_last_name": "OLIVER",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "563-244-3530"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, IA
- Clinton Back and Neck Family Wellness, PC
- Clinton Community School District
- Clinton County Case Management
- Clinton Dental Associates PC
- Clinton Dental Surgery Center, P.C.
- Clinton Imaging Services, LLC
- Clinton Medical Clinic Pharmacy Inc
- Clinton Municipal Transit
- Clinton Opco LLC
- Clinton Physical Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.