Organization Active NPI

Upstream Functional Medicine PC

  • Specialist
  • Iowa City, IA
National Provider Identifier
1396110102
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
UPSTREAM FUNCTIONAL MEDICINE PC
Practice address
221 E College St
Suite 211
Iowa City, IA 52240-1699
Phone
(319) 471-4727
NPI assigned
Dec 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Dr. Julia Buchkina, MD
Title
Doctor
Phone
(319) 471-4727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

221 E College St
Suite 211
Iowa City, IA 52240-1699

Mailing address

221 E College St
Suite 211
Iowa City, IA 52240-1699
Phone (319) 471-4727

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1396110102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E COLLEGE ST",
            "address_2": "SUITE 211",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522401699",
            "telephone_number": "319-471-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E COLLEGE ST",
            "address_2": "SUITE 211",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522401699",
            "telephone_number": "319-471-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTREAM FUNCTIONAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "BUCHKINA",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "319-471-4727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.