Family Physicians of Cedar Rapids, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31916 Issued in IA

Legal business name

FAMILY PHYSICIANS OF CEDAR RAPIDS, P.C.

Practice address

811 5TH Ave SE
Cedar Rapids, IA 52403-2421

Phone

(319) 365-7581

Fax

(319) 365-0163

NPI assigned

Feb 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark J Goedken, MDNPI 1386630663

Title

Owner

Phone

(319) 365-7581

Specialties & licenses 1

Addresses

Tax ID family

Family Physcnscedar Rapids2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Family Physicians of Cedar Rapids, P.C.

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1285663849
  NPD tax ID

Practitioners 1

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.

• Mark J Goedken, MD

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1386630663
  NPD Authorized official

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1609108711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 5TH AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032421",
            "telephone_number": "319-365-7581",
            "fax_number": "319-365-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 5TH AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032421",
            "telephone_number": "319-365-7581",
            "fax_number": "319-365-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIANS OF CEDAR RAPIDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "GOEDKEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-365-7581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "31916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Dental Care Associates PLC
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• Family Medicine Specialists, P.C.
• Family Physicians of Cedar Rapids, P.C.
• Family Practice Center
• Family Psychology Associates, P.C.
• Family Smilecare Center
• Ashlee Erin Fandel, P.T.
• Talha A. Farid, MD

• Family Medicine Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.