NPIMap

Organization Active NPI

St Lukes Methodist Hospital

Doing business as St LUkes Work Well Solutions

  • Occupational Medicine Physician
  • Cedar Rapids, IA
National Provider Identifier
1578686341
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
ST LUKES METHODIST HOSPITAL
Doing business as
St LUkes Work Well Solutions
Practice address
830 First Ave NE
St Lukes Work Well Solutions
Cedar Rapids, IA 52406-3026
Phone
(319) 369-8883
Fax
(319) 369-7012
NPI assigned
Apr 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jerry L Worden
Title
Cfo Vice President
Phone
(319) 369-7094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X NU Primary

Addresses

Primary practice location

830 First Ave NE
St Lukes Work Well Solutions
Cedar Rapids, IA 52406-3026

Mailing address

830 First Ave NE
St Lukes Work Well Solutions
Cedar Rapids, IA 52406-3026
Phone (319) 369-8883

Other names 1

  • St LUkes Work Well Solutions Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Lukes ER Dept Phy17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

830 1st Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-8107

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578686341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 FIRST AVE NE",
            "address_2": "ST LUKES WORK WELL SOLUTIONS",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524063026",
            "telephone_number": "319-369-8883",
            "fax_number": "319-369-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 FIRST AVE NE",
            "address_2": "ST LUKES WORK WELL SOLUTIONS",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524063026",
            "telephone_number": "319-369-8883",
            "fax_number": "319-369-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES METHODIST HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WORDEN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO VICE PRESIDENT",
        "authorized_official_telephone_number": "319-369-7094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St LUkes Work Well Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, 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.

Verify at the official NPI Registry.