Patricia Banwart, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02170 Issued in IA

Practice address

3201 1/2 1St St
Emmetsburg, IA 50536-0000

Phone

(712) 852-5555

Fax

(712) 852-5560

NPI assigned

Aug 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386655447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S ILLINOIS AVE",
            "address_2": "SUITE 103",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015489",
            "telephone_number": "641-494-3041",
            "fax_number": "641-494-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 1/2 1ST ST",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505360000",
            "telephone_number": "712-852-5555",
            "fax_number": "712-852-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANWART",
        "first_name": "PATRICIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "02170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0188656",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "09723",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abcm Corporation (Emerald Oaks)
• Kari Lynn Anderson, MS LMHC
• Barbara Anliker, R.PH.
• Mark M Anliker, PHARMACIST
• Jared Ball, LMSW/ICAADC
• William Beardsley, R.PH
• Amanda Kristine Beurskens, ARNP-BC
• James Lester Bird, D.C.
• Paula Jane Blocker, LICSW
• Sara Boysen, ARNP

• Family Medicine Physician in Emmetsburg, IA
• Providers in Emmetsburg, 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 Jul 8, 2007; 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.