Individual provider Active NPI

Kasey K Clowe, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Mason City, IA
National Provider Identifier
1548558711
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
R-9312 Issued in IA
Practice address
101 S Taylor Ave
Mason City, IA 50401-2849
Phone
(641) 428-7766
Fax
(641) 428-7788
NPI assigned
Jul 21, 2011
Last updated
Jul 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X R-9312 IA Primary

Addresses

Primary practice location

101 S Taylor Ave
Mason City, IA 50401-2849

Mailing address

621 S Illinois Ave
Sutie 103
Mason City, IA 50401-5405
Phone (641) 428-3041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R-9312IAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1548558711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S ILLINOIS AVE",
            "address_2": "SUTIE 103",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015405",
            "telephone_number": "641-428-3041",
            "fax_number": "641-428-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S TAYLOR AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012849",
            "telephone_number": "641-428-7766",
            "fax_number": "641-428-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOWE",
        "first_name": "KASEY",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IA",
            "license": "R-9312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2011; 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.