Ottumwa ER LLC

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

Legal business name

OTTUMWA ER LLC

Practice address

1001 Pennsylvania Ave
Ottumwa, IA 52501-6427

Phone

(641) 684-2402

Fax

(641) 684-2401

NPI assigned

Nov 15, 2012

Organization subpart

No

Name

Stephen L. Page

Title

Vice President

Phone

(615) 844-9849

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2014.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1629312723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016427",
            "telephone_number": "641-684-2402",
            "fax_number": "641-684-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016427",
            "telephone_number": "641-684-2402",
            "fax_number": "641-684-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTUMWA ER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-844-9849"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ottumwa Chiropractic Clinic PC
• Ottumwa Community School District
• Ottumwa Development
• Ottumwa Developments Inc
• Ottumwa ER LLC
• Ottumwa Express Clinic
• Ottumwa Health Group LLC
• Ottumwa Health Group LLC
• Ottumwa Health Group LLC
• Ottumwa Health Group LLC

• All providers in Ottumwa, IA
• Emergency Medical Services (Emergency Medicine) Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.