Active NPI
Paul Arthur Mahlberg, MD
- Ophthalmology Physician
- Dubuque, IA
National Provider Identifier
1235118175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 22884
- Practice address
- 300 N Grandview Ave
Dubuque, IA 52001-6397 - Phone
- (563) 588-4675
- Fax
- (563) 588-1195
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 22884 | IA | Primary |
Addresses
Primary practice location
300 N Grandview Ave
Dubuque, IA 52001-6397
Mailing address
300 N Grandview Ave
Dubuque, IA 52001-6397
Phone (563) 588-4675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0194498 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22884 | IA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Mental Health Management LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1235118175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N GRANDVIEW AVE",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520016397",
"telephone_number": "563-588-4675",
"fax_number": "563-588-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N GRANDVIEW AVE",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520016397",
"telephone_number": "563-588-4675",
"fax_number": "563-588-1195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHLBERG",
"first_name": "PAUL",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IA",
"license": "22884",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0194498",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.