New Life Family Medicine P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NEW LIFE FAMILY MEDICINE P.C.

Practice address

1610 W Townline St
Suite 100
Creston, IA 50801-1066

Phone

(641) 782-3877

Fax

(641) 782-3879

NPI assigned

Nov 21, 2008

Organization subpart

No

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

Authorized official

Name

Karen J Krogstad, M.D.

Title

Owner/Physician

Phone

(641) 782-3877

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ted Arthur Bonebrake, M.D.

  • Family Medicine Physician
  • Waterloo, IA
  • NPI 1356788616
  NPD (past)

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1376798066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 W TOWNLINE ST",
            "address_2": "SUITE 100",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011066",
            "telephone_number": "641-782-3877",
            "fax_number": "641-782-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 W TOWNLINE ST",
            "address_2": "SUITE 100",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011066",
            "telephone_number": "641-782-3877",
            "fax_number": "641-782-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE FAMILY MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "KROGSTAD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "641-782-3877",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Creston, IA
• Providers in Creston, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.