Organization Active NPI

Marshalltown Medical & Surgical Center

  • Anatomic Pathology & Clinical Pathology Physician
  • Marshalltown, IA
National Provider Identifier
1437152709
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
MARSHALLTOWN MEDICAL & SURGICAL CENTER
Doing business as
Biopath Lab
Practice address
3 South 4TH Avenue
Marshalltown, IA 50158-2998
Phone
(641) 754-5151
Fax
(641) 844-6208
NPI assigned
May 31, 2005
Organization subpart
Yes
Parent organization
MARSHALLTOWN MEDICAL & SURGICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Ms. Dawnett L Willis
Title
Acting Ceo
Phone
(641) 754-5145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

3 South 4TH Avenue
Marshalltown, IA 50158-2998

Mailing address

3 South 4TH Avenue
Marshalltown, IA 50158-2998
Phone (641) 754-5145

Other names 1

  • Biopath Lab Doing business as

National Provider Directory

National Provider Directory
Part of
Marshalltown Medical Su

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1437152709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SOUTH 4TH AVENUE",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582998",
            "telephone_number": "641-754-5145",
            "fax_number": "641-844-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SOUTH 4TH AVENUE",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582998",
            "telephone_number": "641-754-5151",
            "fax_number": "641-844-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALLTOWN MEDICAL & SURGICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHALLTOWN MEDICAL & SURGICAL CENTER",
        "enumeration_date": "2005-05-31",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "DAWNETT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ACTING CEO",
        "authorized_official_telephone_number": "641-754-5145",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Biopath Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.