Organization Active NPI

Pediatric Associates of Iowa City and Coralville, LLP

  • Pediatrics Physician
  • Iowa City, IA
National Provider Identifier
1265523062
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC ASSOCIATES OF IOWA CITY AND CORALVILLE, LLP
Practice address
605 E Jefferson St
Iowa City, IA 52245-2426
Phone
(319) 351-1448
Fax
(319) 351-9367
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Alejandro Gonzalo Galindo
Title
Administrator
Phone
(319) 351-1448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

605 E Jefferson St
Iowa City, IA 52245-2426

Mailing address

605 E Jefferson St
Iowa City, IA 52245-2426
Phone (319) 351-1448

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1265523062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E JEFFERSON ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452426",
            "telephone_number": "319-351-1448",
            "fax_number": "319-351-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E JEFFERSON ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452426",
            "telephone_number": "319-351-1448",
            "fax_number": "319-351-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF IOWA CITY AND CORALVILLE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "GALINDO",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "GONZALO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "319-351-1448"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 4, 2016; 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.