Organization Active NPI

Pulmonary Associates of Iowa City, PC

  • Specialist
  • Iowa City, IA
National Provider Identifier
1619057361
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
27094 Issued in IA
Legal business name
PULMONARY ASSOCIATES OF IOWA CITY, PC
Practice address
540 E Jefferson St
Suite 305
Iowa City, IA 52245-2477
Phone
(319) 887-2873
Fax
(319) 887-2870
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Authorized official

Name
Dr. Alan Brent Moy, MD
Title
President
Phone
(319) 887-2873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 27094 IA Primary

Addresses

Primary practice location

540 E Jefferson St
Suite 305
Iowa City, IA 52245-2477

Mailing address

2500 Crosspark Rd Ste W230
Coralville, IA 52241-4710
Phone (319) 887-2873

Other identifiers 1

IdentifierTypeStateIssuer
39714OtherIAWELLMARK/ BCBS

National Provider Directory

National Provider Directory

Locations

2500 Crosspark Rd
Ste 230A
Coralville, IA 52241

2500 Crosspark Rd
Ste W230
Coralville, IA 52241
Phone (319) 887-2873

540 E Jefferson St
Ste 202
Iowa City, IA 52245
Phone (319) 339-3666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1619057361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CROSSPARK RD STE W230",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522414710",
            "telephone_number": "319-887-2873",
            "fax_number": "319-887-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E JEFFERSON ST",
            "address_2": "SUITE 305",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452477",
            "telephone_number": "319-887-2873",
            "fax_number": "319-887-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY ASSOCIATES OF IOWA CITY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "MOY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-887-2873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IA",
            "license": "27094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK/ BCBS",
            "identifier": "39714",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.