Organization Active NPI

Magnus Orthopaedic Clinic, PC

  • Orthopaedic Surgery Physician
  • Bettendorf, IA
National Provider Identifier
1629095492
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
28680 Issued in IA
Legal business name
MAGNUS ORTHOPAEDIC CLINIC, PC
Practice address
865 Lincoln Rd
Suite 500a
Bettendorf, IA 52722-4190
Phone
(563) 441-0101
Fax
(563) 441-9090
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Robert E Magnus, MDNPI 1407835341
Title
President
Phone
(563) 441-0101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 28680 IA Primary

Addresses

Primary practice location

865 Lincoln Rd
Suite 500a
Bettendorf, IA 52722-4190

Mailing address

865 Lincoln Rd
Suite 500a
Bettendorf, IA 52722-4190
Phone (563) 441-0101

Other identifiers 1

IdentifierTypeStateIssuer
0423798MedicaidIA

National Provider Directory

National Provider Directory

Locations

865 Lincoln Rd
Ste 500A
Bettendorf, IA 52722
Phone (563) 333-2000

Practitioners & affiliated clinicians

Practitioners 2

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1629095492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 LINCOLN RD",
            "address_2": "SUITE 500A",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224190",
            "telephone_number": "563-441-0101",
            "fax_number": "563-441-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 LINCOLN RD",
            "address_2": "SUITE 500A",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224190",
            "telephone_number": "563-441-0101",
            "fax_number": "563-441-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNUS ORTHOPAEDIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MAGNUS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-441-0101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "28680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0423798",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.