Clinton Emergency Room Associates

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

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

Organization subpart

No

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

Addresses

Other identifiers 3

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mercy Medical Center-Clinton, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Clinton, IA
  • NPI 1093845737

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis D Boekhoff, DO

  • Emergency Medicine Physician
  • Clinton, IA
  • NPI 1992765333

  Emergency Medicine

  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0451534",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS OF IOWA",
            "identifier": "38201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC9207",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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

• All providers in Clinton, IA
• Emergency Medicine Physician in Iowa

• 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.

Verify at the official NPI Registry.