Individual provider Active NPI

Michael D Sargent, D.O.

  • Family Medicine Physician
  • Perry, IA
National Provider Identifier
1316106529
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-04004 Issued in IA
Practice address
616 10TH St
Perry, IA 50220-2221
Phone
(515) 465-3553
Fax
(515) 465-4319
NPI assigned
Jun 3, 2008
Last updated
Sep 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO-04004 IA Primary

Addresses

Primary practice location

616 10TH St
Perry, IA 50220-2221

Mailing address

616 10TH St
Perry, IA 50220-2221
Phone (515) 465-3553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090820000383 IA Practitioner - Emergency MedicinePractitioner - Family Practice 3072667310 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Clarke County Public Hospital Family Medicine CurrentSince Apr 15, 2022 Accepting new patients
Clarke County Public Hospital Current Accepting new patients
Iowa Emergency Physicians LLP CurrentSince Nov 1, 2010 Accepting new patients
Avera Holy Family Current Accepting new patients
Iowa Emergency Physicians LLP CurrentSince Nov 1, 2010 Accepting new patients
Clarke County Public Hospital Family Medicine CurrentSince Apr 15, 2022 Accepting new patients

Locations

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

800 S Fillmore St
Ste A
Osceola, IA 50213
Phone (641) 342-2128

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1316106529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 10TH ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502202221",
            "telephone_number": "515-465-3553",
            "fax_number": "515-465-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 10TH ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502202221",
            "telephone_number": "515-465-3553",
            "fax_number": "515-465-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGENT",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-04004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, IA

Sources for this page

Verify at the official NPI Registry.