Active NPI
Jonathan Kent McGregor, D.O.
- Obstetrics & Gynecology Physician
- Clinton, IA
National Provider Identifier
1407053010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5101017011
- Practice address
- 915 13TH Ave N
Clinton, IA 52732-5067 - Phone
- (563) 243-2511
- Fax
- (563) 243-0817
- NPI assigned
- Jun 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5101017011 | MI | Primary |
Addresses
Primary practice location
915 13TH Ave N
Clinton, IA 52732-5067
Mailing address
915 13TH Ave N
Clinton, IA 52732-5067
Phone (563) 243-2511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619270139 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101017011 | MI | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1407053010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 13TH AVE N",
"city": "CLINTON",
"state": "IA",
"postal_code": "527325067",
"telephone_number": "563-243-2511",
"fax_number": "563-243-0817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 13TH AVE N",
"city": "CLINTON",
"state": "IA",
"postal_code": "527325067",
"telephone_number": "563-243-2511",
"fax_number": "563-243-0817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGREGOR",
"first_name": "JONATHAN",
"middle_name": "KENT",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-27",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5101017011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619270139",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.