Active NPI
David James Congdon, MD
- Otolaryngology/Facial Plastic Surgery Physician
- Waterloo, IA
National Provider Identifier
1639123243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 35119
- Practice address
- 2515 Cyclone Dr Ste B
Waterloo, IA 50701-9746 - Phone
- (319) 888-8044
- NPI assigned
- May 19, 2006
- Last updated
- Feb 4, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 35119 | IA | Primary |
Addresses
Primary practice location
2515 Cyclone Dr Ste B
Waterloo, IA 50701-9746
Mailing address
PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 833-5970
Other practice location 1
1753 W Ridgeway Ave
Ste 111
Waterloo, IA 50701-4588
Phone (319) 833-5970
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | david.congdon@cvms.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35119 | IA | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vito C. Quatela, MD PLLC | Past | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Interoperability endpoints
- david.congdon@cvms.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
-
dba Quatela Center for Plastic Surgery
- Plastic Surgery Physician
- Rochester, NY
- NPI 1013005602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1639123243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2758",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507042758",
"telephone_number": "319-833-5970",
"fax_number": "319-833-5971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 CYCLONE DR STE B",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507019746",
"telephone_number": "319-888-8044"
}
],
"practiceLocations": [
{
"address_1": "1753 W Ridgeway Ave",
"address_2": "Ste 111",
"address_purpose": "LOCATION",
"city": "Waterloo",
"state": "IA",
"postal_code": "507014588",
"country_code": "US",
"telephone_number": "319-833-5970",
"fax_number": "319-833-5971",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONGDON",
"first_name": "DAVID",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "IA",
"license": "35119",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "david.congdon@cvms.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "CVMS",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "2515 Cyclone Dr Ste B",
"city": "Waterloo",
"state": "IA",
"country_code": "US",
"postal_code": "507019746",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.