NPIMap

Organization Active NPI

Family Medicine of Mt. Pleasant, P.C.

  • Family Medicine Physician
  • Mt Pleasant, IA
National Provider Identifier
1427153998
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE OF MT. PLEASANT, P.C.
Practice address
501 S White St
Suite One
Mt Pleasant, IA 52641-2600
Phone
(319) 385-6700
Fax
(319) 385-6703
NPI assigned
Sep 13, 2006
Last updated
Oct 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
David P. Weiss
Title
Director
Phone
(319) 385-6127

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Nephrology Physician 207RN0300X

Addresses

Primary practice location

501 S White St
Suite One
Mt Pleasant, IA 52641-2600

Mailing address

501 S White St
Suite One
Mt Pleasant, IA 52641-2600
Phone (319) 385-6700

Other identifiers 1

IdentifierTypeStateIssuer
0182196MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310001283 IA Part B Supplier - Clinic/Group Practice 6406745306 Receives reassigned benefits from 13 practitioners
Practice locations: Mount Pleasant, IA

National Provider Directory

National Provider Directory

Locations

501 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6158

501 S White St
Ste 1
Mt Pleasant, IA 52641
Phone (319) 385-6700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21701/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1427153998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S WHITE ST",
            "address_2": "SUITE ONE",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412600",
            "telephone_number": "319-385-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S WHITE ST",
            "address_2": "SUITE ONE",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412600",
            "telephone_number": "319-385-6700",
            "fax_number": "319-385-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF MT. PLEASANT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "319-385-6127"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0182196",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.