NPIMap

Organization Active NPI

Heritage Emergency Physicians

  • Emergency Medicine Physician
  • Clinton, IA
National Provider Identifier
1265620819
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
HERITAGE EMERGENCY PHYSICIANS
Practice address
1410 N 4TH St
Clinton, IA 52732-2940
Phone
(319) 244-3640
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Joseph Gatewood, MD
Title
Owner
Phone
(800) 355-0808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

1410 N 4TH St
Clinton, IA 52732-2940

Mailing address

PO Box 8147
Philadelphia, PA 19101-8147
Phone (800) 732-1066

Other identifiers 2

IdentifierTypeStateIssuer
12820OtherIABLUE SHIELD
0222166MedicaidIA

National Provider Directory

National Provider Directory

Locations

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

Practitioners & affiliated clinicians

Practitioners 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1265620819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8147",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191018147",
            "telephone_number": "800-732-1066",
            "fax_number": "630-941-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N 4TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322940",
            "telephone_number": "319-244-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE EMERGENCY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GATEWOOD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-355-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "12820",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0222166",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.