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Organization Active NPI

Grinnell Regional Medical Center

Doing business as Unitypoint Health - Grinnell Professional Services

  • Family Medicine Physician
  • Grinnell, IA
National Provider Identifier
1437663242
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GRINNELL REGIONAL MEDICAL CENTER
Doing business as
Unitypoint Health - Grinnell Professional Services
Practice address
210 4TH Ave
Grinnell, IA 50112-1898
Phone
(641) 236-7511
Fax
(641) 236-2995
NPI assigned
Dec 1, 2017
Last updated
Jun 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GRINNELL REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
David-Paul Cavazos
Title
Rural President
Phone
(641) 236-7511

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Certified Registered Nurse Anesthetist 367500000X
Pain Medicine (Anesthesiology) Physician 207LP2900X
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Hematology & Oncology Physician 207RH0003X
Rheumatology Physician 207RR0500X
Orthopaedic Surgery Physician 207X00000X
Otolaryngology Physician 207Y00000X
Occupational Medicine Physician 2083X0100X

Addresses

Primary practice location

210 4TH Ave
Grinnell, IA 50112-1898

Mailing address

210 4TH Ave
Grinnell, IA 50112-1898
Phone (614) 236-7511

Other names 1

  • UNITYPOINT HEALTH - GRINNELL PROFESSIONAL SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL, FL, NY, NJ, TN, TX, MO, DC, WI, MI, CT, VA, GA, NC15 enrollments

Enrollment records 15

Enrollment IDStateProvider typePAC IDDetails
O20040127001219 IA Part B Supplier - Clinic/Group Practice 0446153662 Receives reassigned benefits from 173 practitioners
12 other NPIs on this enrollment
Practice locations: Pella, IA; Waterloo, IA; Robins, IA; Oskaloosa, IA; Marshalltown, IA; Marion, IA; Kalona, IA; Iowa City, IA…
O20231025000635 IL Part B Supplier - Clinic/Group Practice 0446153662 Receives reassigned benefits from 11 practitioners
Practice locations: Dunlap, IL; Willowbrook, IL; South Barrington, IL; Oak Brook, IL; Hinsdale, IL; Freeburg, IL; Evanston, IL; Chicago, IL…
O20231030001007 FL Part B Supplier - Clinic/Group Practice 0446153662 Receives reassigned benefits from 6 practitioners
Practice locations: Jacksonville, FL; Miami, FL; Niceville, FL; Oviedo, FL; Pensacola, FL
O20231030002972 NY Part B Supplier - Clinic/Group Practice 0446153662 Receives reassigned benefits from 2 practitioners
Practice locations: Melville, NY; Miller Place, NY
O20231031003064 NJ Part B Supplier - Clinic/Group Practice 0446153662 Receives reassigned benefits from 1 practitioner
Practice locations: Hillside, NJ
O20231104000111 TN Part B Supplier - Clinic/Group Practice 0446153662 Receives reassigned benefits from 3 practitioners
Practice locations: Clarksville, TN; Franklin, TN; Murfreesboro, TN
O20231117001434 TX Part B Supplier - Clinic/Group Practice 0446153662 Receives reassigned benefits from 6 practitioners
Practice locations: Katy, TX; Prosper, TX; Cypress, TX; Cedar Park, TX
O20231218000509 MO Part B Supplier - Clinic/Group Practice 0446153662 Receives reassigned benefits from 1 practitioner
Practice locations: Chesterfield, MO
O20240104003119 DC Part B Supplier - Clinic/Group Practice 0446153662 Receives reassigned benefits from 3 practitioners
Practice locations: Alexandria, VA; Herndon, VA
O20240415001854 WI Part B Supplier - Clinic/Group Practice 0446153662 Receives reassigned benefits from 2 practitioners
Practice locations: Brookfield, WI; Milwaukee, WI
O20240424002190 MI Part B Supplier - Clinic/Group Practice 0446153662 Receives reassigned benefits from 2 practitioners
Practice locations: West Bloomfield, MI
O20240904001706 CT Part B Supplier - Clinic/Group Practice 0446153662 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington, CT
O20250319003175 VA Part B Supplier - Clinic/Group Practice 0446153662 Receives reassigned benefits from 2 practitioners
Practice locations: Herndon, VA; Salem, VA
O20260208000259 GA Part B Supplier - Clinic/Group Practice 0446153662 Receives reassigned benefits from 2 practitioners
Practice locations: Dallas, GA; Savannah, GA
O20260318002988 NC Part B Supplier - Clinic/Group Practice 0446153662 Receives reassigned benefits from 1 practitioner
Practice locations: Kernersville, NC

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Lynnville Medical Clini

Locations

105 Jackson St
#J
Brooklyn, IA 52211
Phone (641) 522-2424

122 4th Ave
#1A
Grinnell, IA 50112
Phone (641) 236-4323

1310 Hobart St
Grinnell, IA 50112
Phone (641) 236-2780

132 East St S
Grinnell, IA 50112
Phone (641) 236-2620

1333 Sunset St
Grinnell, IA 50112
Phone (641) 236-2720

202 4th Ave
Fl 2
Grinnell, IA 50112
Phone (641) 236-2925

202 4th Ave
Ste 101
Grinnell, IA 50112
Phone (641) 236-2364

210 8th Ave
Grinnell, IA 50112
Phone (641) 236-2770

306 4th Ave
Grinnell, IA 50112
Phone (641) 236-2385

306 4th Ave
Ste A
Grinnell, IA 50112
Phone (641) 236-2418

425 East St S
Grinnell, IA 50112
Phone (641) 236-7959

818 Hamilton Ave
Grinnell, IA 50112
Phone (641) 236-2790

916 5th Ave
Grinnell, IA 50112
Phone (641) 236-3757

51 Unitypoint Way
Ste 140
Marshalltown, IA 50158
Phone (641) 236-2323

101 W Washington St
Ste 100
Montezuma, IA 50171
Phone (641) 623-5690

300 E Washington St
Montezuma, IA 50171
Phone (641) 623-3274

504 N 4th St
Montezuma, IA 50171
Phone (641) 623-5121

1229 C Ave E
#B
Oskaloosa, IA 52577
Phone (641) 236-2323

404 Jefferson St
Ofc D
Pella, IA 50219
Phone (641) 236-2323

207 W 3rd St
Tama, IA 52339
Phone (515) 484-8600

18081 Burt St
Ste 200
Elkhorn, NE 68022
Phone 40233026605526

Practitioners & affiliated clinicians

Practitioners 230

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 230

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1437663242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "614-236-7511",
            "fax_number": "641-236-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-7511",
            "fax_number": "641-236-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRINNELL REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRINNELL REGIONAL MEDICAL CENTER",
        "enumeration_date": "2017-12-01",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "CAVAZOS",
        "authorized_official_first_name": "DAVID-PAUL",
        "authorized_official_title_or_position": "RURAL PRESIDENT",
        "authorized_official_telephone_number": "641-236-7511"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "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": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITYPOINT HEALTH - GRINNELL PROFESSIONAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grinnell, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.