Active NPI
Family Medicine Associates PC
- Family Medicine Physician
- Guttenberg, IA
National Provider Identifier
1528128337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0689422 | Medicaid | IA | |
| 14482 | Other | IA | BILLING NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.