The Other Medical Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

21081 Issued in IA

Legal business name

THE OTHER MEDICAL CLINIC

Practice address

410 E Robinson St
B2
Knoxville, IA 50138-2058

Phone

(641) 842-3700

Fax

(641) 842-3363

NPI assigned

Nov 29, 2006

Last updated

Feb 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alda L Knight, MD FACP

Title

The Other Medical Clinic PLC Employ

Phone

(641) 842-3700

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1568539344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E ROBINSON ST",
            "address_2": "B2",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501382058",
            "telephone_number": "641-842-3700",
            "fax_number": "641-842-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E ROBINSON ST",
            "address_2": "B2",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501382058",
            "telephone_number": "641-842-3700",
            "fax_number": "641-842-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OTHER MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "ALDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THE OTHER MEDICAL CLINIC PLC EMPLOY",
        "authorized_official_telephone_number": "641-842-3700",
        "authorized_official_credential": "MD FACP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "21081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "05986",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6188037",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR KNIGHT NPI",
            "identifier": "1871550723",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindi R Sudman
• Derrick Sweeney
• Susan Switzer, RPH
• Nancy Kay Tegeler, CADC
• Sonya Test, RN
• Rhonda J Thompson, LISW
• Sarah Thompson
• Gretchen Thorson, RD,LD,CDE
• Katheryne Jean Todd, ARNP
• Todd A Treimer, DO

• Specialist in Knoxville, IA
• Providers in Knoxville, IA by specialty
• Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.