Organization Active NPI

Family Medicine Associates PC

  • Family Medicine Physician
  • Guttenberg, IA
National Provider Identifier
1528128337
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE ASSOCIATES PC
Practice address
Second and Main Street
Guttenberg, IA 52052
Phone
(563) 252-2141
NPI assigned
Dec 11, 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
Mrs. Linda Lee Aulwes
Title
Clinic Manager
Phone
(563) 252-2141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IA Primary

Addresses

Primary practice location

Second and Main Street
Guttenberg, IA 52052

Mailing address

104 South Main Street
Garnavillo, IA 52049
Phone (563) 964-2608

Other identifiers 2

IdentifierTypeStateIssuer
0689422MedicaidIA
14482OtherIABILLING NUMBER

National Provider Directory

National Provider Directory

Locations

104 S Main St
Garnavillo, IA 52049
Phone (563) 581-2768

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528128337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SOUTH MAIN STREET",
            "city": "GARNAVILLO",
            "state": "IA",
            "postal_code": "52049",
            "telephone_number": "563-964-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SECOND AND MAIN STREET",
            "city": "GUTTENBERG",
            "state": "IA",
            "postal_code": "52052",
            "telephone_number": "563-252-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AULWES",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "563-252-2141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0689422",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING NUMBER",
            "identifier": "14482",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guttenberg, 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.