Radiology Associates of Ottumwa, P.C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

RADIOLOGY ASSOCIATES OF OTTUMWA, P.C.

Practice address

Highway 1 North
Keosauqua, IA 52565

Phone

(641) 682-5453

NPI assigned

Jan 25, 2007

Last updated

Oct 24, 2007By 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

Elvin W McCarl, M.D.NPI 1073513776

Title

President

Phone

(641) 682-5453

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Elvin W McCarl, M.D.

  • Diagnostic Radiology Physician
  • Ottumwa, IA
  • NPI 1073513776
  Authorized official Same address or phone

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1609921857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA AVE",
            "address_2": "SUITE 103",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016413",
            "telephone_number": "641-682-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 1 NORTH",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "52565",
            "telephone_number": "641-682-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES OF OTTUMWA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "MCCARL",
        "authorized_official_first_name": "ELVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-682-5453",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8188177",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP7547",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary G Lee, D.O.
• Matthew Arthur Manning, D.O.
• Midwest Meals Catering Unlimited Holly Boyd (Midwest Meals)
• Kelsey L Nank
• Opco Keosauqua, Ia, LLC (Keosauqua Health Care Center)
• Karla Sheetz, PTA
• Carrie Ann Smithart, P.A.-C
• Belinda Lee Striegel, A.R.N.P.
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Van Buren)
• Thomas Pharmacy Inc. (Lee Pharmacy)

• Diagnostic Radiology Physician in Keosauqua, IA
• Providers in Keosauqua, IA by specialty
• Diagnostic Radiology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.