Iowa Physicians

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

License

22537 Issued in IA

Legal business name

IOWA PHYSICIANS

Practice address

405 S Clark St
Ste 200
Carroll, IA 51401-3047

Phone

(712) 792-0040

NPI assigned

Jun 16, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric L PaulsonNPI 1508863341

Title

MD

Phone

(712) 792-0040

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Eric L Paulson, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Red Oak, IA
  • NPI 1508863341
  NPD (past) Authorized official

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184629073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S CLARK ST",
            "address_2": "STE 200",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013047",
            "telephone_number": "712-792-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S CLARK ST",
            "address_2": "STE 200",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013047",
            "telephone_number": "712-792-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "712-792-0040",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "IA",
            "license": "22537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0210179",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08987",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Innate Health, LLC
• Integrated Behavioral Health Services, PC (Classroom Clinic)
• Integrity Physical Therapy and Wellness
• Iowa Dermatology Clinic PLC (Radiant Complexions Dermatology Clinic)
• Iowa Hospice, LLC (Gentiva)
• Ericka Irlbeck
• Katie N Jaffe, D.D.S.
• Christy Jenkins, LMHC
• Chad Jensen, LMSW, IADC
• Eric Peter Jensen, DPM

• Ph.D. Medical Genetics in Carroll, IA
• Providers in Carroll, IA by specialty
• Ph.D. Medical Genetics in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.