Organization Active NPI

Mississippi Valley Anesthesiology

  • Anesthesiology Physician
  • Dubuque, IA
National Provider Identifier
1386067635
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MISSISSIPPI VALLEY ANESTHESIOLOGY
Practice address
350 Grandview Avenue
Dubuque, IA 52001
Phone
(563) 557-5991
Fax
(563) 589-4078
NPI assigned
Jan 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Mark P Bainbridge, D.O.
Title
President
Phone
(563) 557-5991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X IA Primary

Addresses

Primary practice location

350 Grandview Avenue
Dubuque, IA 52001

Mailing address

1515 Delhi St
Suite 300
Dubuque, IA 52001-6320
Phone (563) 557-5991

National Provider Directory

National Provider Directory

Locations

1515 Delhi St
Ste 300
Dubuque, IA 52001
Phone (563) 557-5991

1515 Delhi St
Ste 30
Dubuque, IA 52001
Phone (563) 557-5991

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1386067635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DELHI ST",
            "address_2": "SUITE 300",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016320",
            "telephone_number": "563-557-5991",
            "fax_number": "563-589-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 GRANDVIEW AVENUE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52001",
            "telephone_number": "563-557-5991",
            "fax_number": "563-589-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI VALLEY ANESTHESIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "BAINBRIDGE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-557-5991",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.