NPIMap

Organization Active NPI

Physicians Clinic of Iowa, PC

  • Specialty Pharmacy
  • Cedar Rapids, IA
National Provider Identifier
1295064111
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
1477682540 Issued in IA
Legal business name
PHYSICIANS CLINIC OF IOWA, PC
Practice address
202 10TH St SE
Dept of Hematology & Oncology
Cedar Rapids, IA 52403-2404
Phone
(319) 297-2900
Fax
(319) 297-2969
NPI assigned
Dec 24, 2009
Organization subpart
Yes
Parent organization
PHYSICIANS' CLINIC OF IOWA, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Sandra J. Sparenborg
Title
Director of Finance
Phone
(319) 247-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X 1477682540 IA Primary

Addresses

Primary practice location

202 10TH St SE
Dept of Hematology & Oncology
Cedar Rapids, IA 52403-2404

Mailing address

PO Box 3178
Cedar Rapids, IA 52406-3178
Phone (319) 399-2096

Other identifiers 1

IdentifierTypeStateIssuer
16D1079312OtherIACLIA

Other names 1

  • Iowa Blood and Cancer Care of PCI Medication Dispensing Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040128000886 IA Part B Supplier - Clinic/Group Practice 2163325242 Receives reassigned benefits from 164 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Vinton, IA; Marion, IA; Cedar Rapids, IA; Manchester, IA; Iowa City, IA; Hiawatha, IA; Independence, IA
O20100930058026 IA DME Supplier - Physician - General Surgery 2163325242 1 other NPI on this enrollment
Practice locations: Cedar Rapids, IA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
James E Spoden MD Facs12 organizations share this tax ID, including this one
Part of
James E Spoden MD Facs

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

202 10th St SE
Ste 290
Cedar Rapids, IA 52403
Phone (319) 294-4319

400 S Blairsferry Crossing
Hiawatha, IA 52233
Phone (319) 368-5582

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIJCBD

Practitioners & affiliated clinicians

Practitioners 167

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

View all 167

NPI Registry JSON

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1295064111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3178",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524063178",
            "telephone_number": "319-399-2096",
            "fax_number": "319-399-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE",
            "address_2": "DEPT OF HEMATOLOGY & ONCOLOGY",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032404",
            "telephone_number": "319-297-2900",
            "fax_number": "319-297-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CLINIC OF IOWA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIANS' CLINIC OF IOWA, PC",
        "enumeration_date": "2009-12-24",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "SPARENBORG",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "319-247-3003"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "IA",
            "license": "1477682540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "16D1079312",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iowa Blood and Cancer Care of PCI Medication Dispensing Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.