Organization Active NPI

General Surgery, P.C.

  • Surgery Physician
  • Sheldon, IA
National Provider Identifier
1508846635
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25857 Issued in IA
Legal business name
GENERAL SURGERY, P.C.
Practice address
1201 2ND Ave
Sheldon, IA 51201-1960
Phone
(712) 324-3298
Fax
(712) 324-8233
NPI assigned
Jan 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David L Reinke, M.D.NPI 1548240492
Title
President
Phone
(712) 324-3298

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 29665 IA
Surgery Physician 208600000X 32663 IA
Surgery Physician 208600000X 25857 IA Primary

Addresses

Primary practice location

1201 2ND Ave
Sheldon, IA 51201-1960

Mailing address

1201 2ND Ave
PO Box 347
Sheldon, IA 51201-1960
Phone (712) 324-3298

Other identifiers 1

IdentifierTypeStateIssuer
0186932MedicaidIA

National Provider Directory

National Provider Directory

Locations

118 N 7th Ave
Sheldon, IA 51201
Phone (712) 324-5041

1201 2nd Ave
Sheldon, IA 51201
Phone (712) 324-3298

1201 2nd Ave
Ste 6
Sheldon, IA 51201
Phone (712) 324-3298

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508846635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 2ND AVE",
            "address_2": "PO BOX 347",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011960",
            "telephone_number": "712-324-3298",
            "fax_number": "712-324-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 2ND AVE",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011960",
            "telephone_number": "712-324-3298",
            "fax_number": "712-324-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REINKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-324-3298",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "29665",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "32663",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "25857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0186932",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheldon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.