Gerald Mathew Paluska, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

18366 Issued in IA

Practice address

312 E Alta Vista
Addiction Medicine Clinic
Ottumwa, IA 52501

Phone

(641) 684-3170

Fax

(641) 684-3173

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jefferson County Hospital

  dba JCHC Richland Clinic

  • Rural Health Clinic/Center
  • Richland, IA
  • NPI 1881294536
  NPD (past)
• Jefferson County Hospital

  dba JCH Professional Clinic

  • Surgery Physician
  • Fairfield, IA
  • NPI 1972771384
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1548249519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E ALTA VISTA",
            "address_2": "CENTRAL BILLING OFFICE ATTN REGINA NEWTON",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "52501",
            "telephone_number": "641-684-3053",
            "fax_number": "641-683-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E ALTA VISTA",
            "address_2": "ADDICTION MEDICINE CLINIC",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "52501",
            "telephone_number": "641-684-3170",
            "fax_number": "641-684-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUSKA",
        "first_name": "GERALD",
        "middle_name": "MATHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "IA",
            "license": "18366",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "18366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6158311",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06515",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7158311",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ottumwa Regional Health Center, Inc
• Ottumwa Rehabilitation Specialists PLC
• Nathan D Overturf, D.C.
• Kassandra D Padget, LMSW
• Vicki Sue Palm, ARNP
• Talia Kae Parenza, PHARMD.
• Dwayne J. Patritto, D.D.S., M.S., P.L.C.
• Ruth Ann Patritto, DDS
• Eric Daniel Payne, DC
• Kristina Payne

• Surgery Physician in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.