Organization Active NPI

Mid Iowa Orthopaedics, P.C.

  • Clinic/Center
  • Newton, IA
National Provider Identifier
1497923163
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
27934 Issued in IA
Legal business name
MID IOWA ORTHOPAEDICS, P.C.
Practice address
300 N 4TH Ave E
Suite 140B
Newton, IA 50208-3155
Phone
(641) 787-9276
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Dr. Ronald William Charles, M.D.
Title
Owner
Phone
(641) 787-9276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 27934 IA Primary

Addresses

Primary practice location

300 N 4TH Ave E
Suite 140B
Newton, IA 50208-3155

Mailing address

300 N 4TH Ave E
Suite 140B
Newton, IA 50208-3155
Phone (641) 787-9276

Other identifiers 1

IdentifierTypeStateIssuer
0002105MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1497923163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N 4TH AVE E",
            "address_2": "SUITE 140B",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083155",
            "telephone_number": "641-787-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 4TH AVE E",
            "address_2": "SUITE 140B",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083155",
            "telephone_number": "641-787-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID IOWA ORTHOPAEDICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-787-9276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IA",
            "license": "27934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002105",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.