Active NPI
Surgical Services, PC
- Surgery Physician
- Iowa City, IA
National Provider Identifier
1215997739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SURGICAL SERVICES, PC
- Practice address
- 510 E Bloomington St
Iowa City, IA 52245-2803 - Phone
- (319) 338-9247
- Fax
- (319) 338-2785
- NPI assigned
- Mar 27, 2006
- 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
- Dr. Rick A Shelman, M.D.
- Title
- President
- Phone
- (319) 338-9247
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
510 E Bloomington St
Iowa City, IA 52245-2803
Mailing address
510 E Bloomington St
Iowa City, IA 52245-2803
Phone (319) 338-9247
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0154716 | Medicaid | IA | |
| 15471 | Other | IA | BLUE CROSS # |
| CS8759 | Other | IA | MEDICARE RR # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D1016685 | Surgical Services, PC | Certificate of waiver | Sep 3, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Iowa City, IA
- NPI 1629038120
-
- Surgery Physician
- Iowa City, IA
- NPI 1891756854
-
- Plastic and Reconstructive Surgery Physician
- Iowa City, IA
- NPI 1366880932
-
- Trauma Surgery Physician
- Iowa City, IA
- NPI 1295726560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205193600000",
"number": "1215997739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 E BLOOMINGTON ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522452803",
"telephone_number": "319-338-9247",
"fax_number": "319-338-2785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E BLOOMINGTON ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522452803",
"telephone_number": "319-338-9247",
"fax_number": "319-338-2785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-27",
"last_updated": "2008-03-11",
"status": "A",
"authorized_official_last_name": "SHELMAN",
"authorized_official_first_name": "RICK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "319-338-9247",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0154716",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS #",
"identifier": "15471",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR #",
"identifier": "CS8759",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.