Iowa Physicians Clinic Medical Foundation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

Practice address

2375 Edgewood Rd SW
Cedar Rapids, IA 52404-4736

Phone

(319) 396-1983

Fax

(319) 396-3183

NPI assigned

Jun 15, 2006

Organization subpart

Yes

Parent organization

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Erick J Laine

Title

Coo

Phone

(515) 471-9227

Specialties & licenses 1

Addresses

Other names 1

• Westside Family Medicine & UC Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Iowa Physicians Clinic Medical Foundation

  • Rural Health Clinic/Center
  • Anthon, IA
  • NPI 1053203927

  O20031118000363

  Same enrollment
• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  O20031118000363

  Same enrollment
• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • Johnston, IA
  • NPI 1619309325

  O20031118000363

  Same enrollment
• Iowa Physicians Clinic Medical Foundation

  • Rural Health Clinic/Center
  • Correctionville, IA
  • NPI 1639061583

  O20031118000363

  Same enrollment
• Iowa Physicians Clinic Medical Foundation

  • Rural Health Clinic/Center
  • Kingsley, IA
  • NPI 1659263523

  O20031118000363

  Same enrollment
• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • Johnston, IA
  • NPI 1891127502

  O20031118000363

  Same enrollment
• Iowa Physicians Clinic Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • West Des Moines, IA
  • NPI 1962651588

  O20031118000363

  Same enrollment
• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • Muscatine, IA
  • NPI 1982831426

  O20031118000363

  Same enrollment

Part of

Jeffrey Carandall MD

Locations

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1609810522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 BIRCHWOOD COURT",
            "address_2": "SUITE R",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312930",
            "telephone_number": "515-471-9243",
            "fax_number": "515-471-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 EDGEWOOD RD SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524044736",
            "telephone_number": "319-396-1983",
            "fax_number": "319-396-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "LAINE",
        "authorized_official_first_name": "ERICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "515-471-9227"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Family Medicine & UC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iowa Physical Therapy PC
• Iowa Physical Therapy, P.C.
• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation
• Iowa Wellness Clinic PLLC
• Susan Marie Ireland, M.D.
• Irving Point Limited Partnership

• Durable Medical Equipment & Medical Supplies in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Durable Medical Equipment & Medical Supplies in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.