Organization Active NPI

Cedar Valley Hand Surgery, PLC

  • Orthopaedic Hand Surgery Physician
  • Cedar Rapids, IA
National Provider Identifier
1619030467
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
24119 Issued in IA
Legal business name
CEDAR VALLEY HAND SURGERY, PLC
Practice address
1953 1St Ave SE
Suite C4
Cedar Rapids, IA 52402-5328
Phone
(319) 364-2697
Fax
(319) 364-2312
NPI assigned
Dec 19, 2006
Last updated
Feb 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Dr. James Clyde Johns Jr., M.D.NPI 1174505499
Title
Owner
Phone
(319) 364-2697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 24119 IA Primary

Addresses

Primary practice location

1953 1St Ave SE
Suite C4
Cedar Rapids, IA 52402-5328

Mailing address

1953 1St Ave SE
Suite C4
Cedar Rapids, IA 52402-5328
Phone (319) 364-2697

Other identifiers 1

IdentifierTypeStateIssuer
3072694MedicaidIA

National Provider Directory

National Provider Directory

Locations

1953 1st Ave SE
Ste C4
Cedar Rapids, IA 52402
Phone (319) 364-2697

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1619030467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 1ST AVE SE",
            "address_2": "SUITE C4",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025328",
            "telephone_number": "319-364-2697",
            "fax_number": "319-364-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 1ST AVE SE",
            "address_2": "SUITE C4",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025328",
            "telephone_number": "319-364-2697",
            "fax_number": "319-364-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR VALLEY HAND SURGERY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CLYDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-364-2697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "IA",
            "license": "24119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072694",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 22, 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.