NPIMap

Organization Active NPI

Skiff Medical Center

  • Emergency Medicine Physician
  • Newton, IA
National Provider Identifier
1245233121
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
SKIFF MEDICAL CENTER
Practice address
204 N 4TH Ave E
Newton, IA 50208-3135
Phone
(641) 792-1273
Fax
(641) 791-4852
NPI assigned
May 24, 2005
Organization subpart
Yes
Parent organization
SKIFF MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Authorized official

Name
Brett A Altman
Title
Ceo
Phone
(641) 792-1273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

204 N 4TH Ave E
Newton, IA 50208-3135

Mailing address

204 N 4TH Ave E
Newton, IA 50208-3135
Phone (641) 792-1273

Other identifiers 2

IdentifierTypeStateIssuer
0185876MedicaidIA
18587OtherIABCBS ER PROVIDER #

National Provider Directory

National Provider Directory
Part of
Mary F Skiff Mem Hos

Locations

300 N 4th Ave E
#B
Newton, IA 50208

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1245233121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N 4TH AVE E",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083135",
            "telephone_number": "641-792-1273",
            "fax_number": "641-791-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N 4TH AVE E",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083135",
            "telephone_number": "641-792-1273",
            "fax_number": "641-791-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIFF MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKIFF MEDICAL CENTER",
        "enumeration_date": "2005-05-24",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "641-792-1273"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185876",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ER PROVIDER #",
            "identifier": "18587",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.