Organization Active NPI

Radiologists of North Iowa PC

  • Gynecology Physician
  • Mason City, IA
National Provider Identifier
1548093628
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
RADIOLOGISTS OF NORTH IOWA PC
Practice address
1010 4TH St SW Ste 220
Mason City, IA 50401-2856
Phone
(641) 428-5100
NPI assigned
Aug 23, 2024
Organization subpart
Yes
Parent organization
RADIOLOGISTS OF NORTH IOWA PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Carol Kelley
Title
Administrator
Phone
(641) 424-0102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

1010 4TH St SW Ste 220
Mason City, IA 50401-2856

Mailing address

1416 6TH St SW
Mason City, IA 50401-4818

Other names 1

  • Gynecologic Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Carl a Shurtz MD2 organizations share this tax ID, including this one
Part of
Carl a Shurtz MD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1548093628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 6TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504014818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 4TH ST SW STE 220",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012856",
            "telephone_number": "641-428-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGISTS OF NORTH IOWA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIOLOGISTS OF NORTH IOWA PC",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "641-424-0102"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gynecologic Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.